AI Article Synopsis
- * A survey involving over 23,000 midwives revealed that while most frequently questioned pregnant women about smoking, only a minority used advanced assessment tools like the Fagerström test.
- * The findings suggest a need for better training for midwives in smoking cessation strategies, as those who prescribed NRT showed more concern and capability in helping pregnant women quit smoking.
Article Abstract
Objectives: Evaluate the midwives' practices and knowledges with regard to the management of the smoking cessation in pregnant women and analyse the profile of midwives prescribing nicotine replacement therapy (NRT).
Methods: A national practice survey amongst 23,541 French midwives was conducted from 1 September 2020 to 15 September 2021 using an online self-administered questionnaire.
Results: The analysis of the 1,216 usable questionnaires (97, 7% women, mostly aged 30 to 49 years and non-smokers) showed that 93.4% of midwives frequently questioned pregnant women about their smoking consumption during pregnancy. The minimal counselling was known and practiced by 91% of midwives, the Fagerström test by 26.9% and the measurement of exhaled CO by 27.1%. Concerning NRT, 60% of the midwives prescribed them in a usual way and 36.8% were aware of the possibility of prescribing them to the pregnant woman's entourage. The profile of midwives prescribing NRT was significantly more concerned with smoking cessation in pregnant women; worked more frequently in a hospital; carried out 25% or more of antenatal monitoring consultations; and had significantly better knowledge of the evaluation tools, without influence of sex or smoking status.
Conclusions: Improving the training of midwives in the screening and management of smoking cessation during pregnancy seems necessary.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.midw.2023.103886 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!