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Related Experiment Videos

Collaboration to implement smoking cessation guidelines during the childbirth continuum.

N P Saks1, P Hartigan, N Howard

  • 1Women's/Children's Services, Sharp HealthCare, San Diego, USA. nsaks1@san.rr.com

The Joint Commission Journal on Quality Improvement
|January 5, 2002
PubMed
Summary

The Trilateral Partnership

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Tobacco Control

Background:

  • Pregnancy smoking is linked to adverse outcomes like low birth weight and mortality.
  • The Trilateral Partnership, a collaboration of three San Diego healthcare systems, launched a tobacco control initiative for pregnant women and families in 1998.
  • The program aimed to improve child health and well-being through smoking cessation interventions.

Purpose of the Study:

  • To implement and evaluate a multi-component smoking cessation program for pregnant women and their families.
  • To reduce smoking rates among pregnant women and in households with young children.

Main Methods:

  • Intervention by prenatal care providers.
  • Referral to telephone counseling for pregnant smokers.

Related Experiment Videos

  • Intervention for women who spontaneously quit smoking.
  • Hospital-based intervention for new mothers.
  • Pediatric intervention during newborn visits.
  • Development of a telephone protocol for new parents.

    • Main Results:

    • Over 20,000 women screened in 28 months.
    • 83% of women identified as nonsmokers at prenatal screening.
    • 11% of women quit smoking upon learning of their pregnancy.
    • 6% of women reported continued smoking.
    • 23% of women lived in households with other smokers.

    Conclusions:

    • The noncontroversial nature of smoking cessation during pregnancy facilitated program buy-in.
    • Strong commitment and financial support from healthcare systems were crucial for program success and visibility.
    • The program demonstrated a high rate of self-reported nonsmoking among participants.