Table 2 Organisation of English Stop Smoking Services for Pregnant women
Percentage | n | Total* | ||
|---|---|---|---|---|
Service configuration | ||||
Support for pregnant women offered via:** | Generic Stop Smoking Service | 57 | 69 | 121 |
Specialist SSSP | 55 | 67 | ||
Midwives employed by maternity unit | 12 | 15 | ||
Healthy lifestyles’ service | 2 | 2 | ||
Funded by “payment by results” | 7 | 8 | 121 | |
Specific pregnancy budget | 31 | 34 | 109 | |
Have current specialist pregnancy advisor in post | 76 | 92 | 121 | |
Ever had a specialist pregnancy advisor in post | 59 | 17 | 29† | |
Substantial changes have taken place at SSSP since March 2011 | 59 | 61 | 104 | |
Identification and referral | ||||
Identification of smokers:** | Self-reported smoking status only | 39 | 46 | 118 |
Exhaled CO only | 27 | 32 | ||
Combination of exhaled CO and self-report | 18 | 21 | ||
No policy exists/Not sure | 9 | 11 | ||
Referral of smokers:** | Opt-in | 55 | 44 | 118 |
Opt-out | 37 | 65 | ||
No single policy/Not sure | 8 | 9 | ||
Combined exhaled CO and opt-out | 20 | 24 | 118 | |
Most common referring group: | Community midwife | 76 | 89 | 118 |
Hospital midwife | 17 | 20 | ||
Self-referral | 3 | 4 | ||
Family doctor | 2 | 2 | ||
Other | 2 | 2 | ||
Clinician | 1 | 1 | ||
Nurse | 0 | 0 | ||
Health visitor | 0 | 0 | ||
Children’s centre staff | 0 | 0 | ||
Pregnancy outreach workers | 0 | 0 | ||
Engaging with pregnant women | ||||
Staff member initially engaging with referred women: | Specialist stop smoking in pregnancy advisor | 45 | 53 | 118 |
Administrative staff | 25 | 29 | ||
Specialist stop smoking in pregnancy manager/lead | 13 | 15 | ||
Stop Smoking manager/advisor | 12 | 14 | ||
Any staff member | 3 | 3 | ||
Other | 3 | 3 | ||
Midwife | 1 | 1 | ||
Nurse | 0 | 0 | ||
Pharmacist | 0 | 0 | ||
Mode of contact for engaging with referred women: | Telephone call | 88 | 104 | 118 |
Letter | 6 | 7 | ||
Text message | 3 | 3 | ||
Face-to-face in clinic | 2 | 2 | ||
No standard contact method | 2 | 2 | ||
0 | 0 | |||
Home visit | 0 | 0 | ||
Referred women establish contact | 0 | 0 | ||
Stage of pregnancy referrals most commonly received in: | First trimester | 86 | 61 | 71†† |
Second trimester | 10 | 7 | ||
Third trimester | 4 | 3 | ||
Service promotion | ||||
Setting in which smoking in pregnancy training provided:** | Mandatory training for maternity services midwives | 58 | 68 | 118 |
Optional training for maternity services midwives | 58 | 68 | ||
Other | 33 | 39 | ||
University training for student midwives | 25 | 29 | ||
None | 6 | 7 | ||
Type of service promotion:** | Posters in antenatal clinics | 93 | 100 | 108 |
Training for midwives/Family doctor practice staff | 91 | 98 | ||
Posters/flyers in community | 82 | 89 | ||
Flyers etc. in maternity booking packs | 70 | 76 | ||
Television/radio/local press | 32 | 35 | ||
Obstetrician meetings | 32 | 34 | ||
Other | 30 | 32 | ||
Internet including social networking sites | 19 | 20 | ||
None | 2 | 2 | ||