Smokefree pregnancies: experience of a partnership based approach of a large NHS maternity unity with local authority and specialist partners
PHE ePoster Library. Patel S. Sep 12, 2019; 274414; 213
Dr. Shruti Patel
Dr. Shruti Patel
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Abstract
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Abstract Progress has been made to achieve ambitions around smokefree pregnancies across England, but has not been universal. In NW London we found a 10-fold difference in smoking at delivery between the most and least deprived women. A myriad of challenges exist from universal screening and geographical service variation to staff training and fragmented referral pathways. We report experiences of a collaborative partnership between the 5th largest maternity unit in England, local authorities and smoking cessation specialist services to increase smokefree pregnancies. A working group set out to process map a pregnant woman's journey from conception to birth identifying the critical touchpoints with services, representing opportunities to intervene. Education and training of all maternity staff, including ultrasonographers and clerical team has led to significant increase in CO screening rate to 98% (up from 65%), with an increase in the pledges made for SmokeFree homes (up 28%). A new referral pathway, designed to reduce attrition and address key barriers centres around Midwifery Support Workers who have have been trained as smoking cessation advisors. Working with specialist services to set quit dates, by co-locating in the maternity unit and tagging onto scan appointments we are looking to optimise engagement. We are piloting a Skype service to allow women and partners to be supported remotely and our early successes are being shared sector-wide. Making the case for NHS maternity units to work with local authority partners, we are setting up a regional network to address common challenges and share tried and tested solutions. External funding details Nil
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