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Midwives' attitudes to counselling women about their smoking behaviour during pregnancy and postpartum
Jochen René Thyrian1, Wolfgang Hannöver, Kathrin Röske
1Institute of Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University Greifswald, Germany. thyrian@uni-greifswald.de
Objective:
to investigate the attitudes of midwives to counselling women about their smoking behaviour during pregnancy and postpartum.
Design:
survey using postal questionnaires.
Setting:
the entire federal state of Mecklenburg-West-Pomerania in Germany.
Participants:
189 midwives constituting 77% of all midwives working in that State.
Findings:
midwives reported that they assessed smoking behaviour regularly (77%), addressed the consequences of smoking (70%) and advised women to quit. Among the midwives, 81% saw low chances of success and parents' expectations as the biggest barriers to counselling. Midwives reported that about 28% of women quit following their advice.
Key Conclusions:
smoking and exposure to environmental tobacco smoke are seen as prominent health threats that midwives reported they addressed routinely, including giving advice to stop smoking.
Implications For Practice:
midwives should be supported in learning effective intervention strategies to further strengthen their work. They are a target population to deliver brief smoking interventions.
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