Table 2 Source of cessation activities in the babyClear© package
Activity | NICE (2010) Recommendation | Pragmatic addition | Beenstock et al. 2012 |
|---|---|---|---|
Universal carbon monoxide monitoring | 1 | ||
Provision of CO monitors and lower level of CO threshold for referral (4 ppm)* | 1 | ✓ | |
Opt-out referral from maternity services | 1 | ||
Increase speed of referral by the midwife to the SSPS | ✓ | ||
Motivational interviewing by staff who deliver babyClear© package | 4, 8 | ||
Target quitting completely, not reduction | 1, 8 | ||
Increase speed/strict timeframes within which contact is pursued at each point by the SSPS | ✓ | ||
Increase contact with pregnant smokers by the SSPS | 1, 3, 4 | ||
Risk perception tool at 12 week dating scan | 7, 8 | ✓ | |
Offer a variety of accessible SSPS follow up options | 3, 4, 7 | ||
**Provide sufficient resources/logistics to deliver the babyClear© pathway | ✓ | ||
Increased prioritisation of the SS message | 8 | ||
Increased buy-in by healthcare staff | 8 | ✓ | |
New discourse between healthcare staff and pregnant women who smoke | 8 | ✓ | ✓ |
Increased communication between SSPS and maternity services/integration | 1, 4, 6 | ✓ |