Summary of report contentIn partnership with Healthwatch North Somerset, The Care Forum carried out an engagement project in Summer 2018. Women who did not stop smoking during pregnancy were recruited to explore why this was and to inform future interventions. This work was commissioned by Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group. The priority topics for discussion were: the reasons why women continue to smoke during their pregnancy and when they have young children, and whether there is any advice, information or other influences which might increase their willingness to quit smoking; and to review specific points on the smoking cessation pathway and identify how they could be improved. The report identified that the women who participated smoked during pregnancy because they were not sufficiently persuaded that it was in their interests to stop smoking. Many therefore chose to reduce the quantity of cigarettes they smoked, usually for a short time, following support from a midwife or stop smoking service. Stop smoking support for women after birth was reportedly poor – during this time most participants reported returning to previous levels of smoking. Better engagement with women’s partners or family members, and interventions which are more tailored to the individual needs of the participant may increase their ability to stop smoking over a longer period of time. For the majority of participants, the intervention of the midwife was a positive factor. Feedback about the quality of the stop smoking service support was mixed. The report made recommendations in three areas: improving coordination, particularly the way in which health visitors and other post-pregnancy support can build on the stop smoking support delivered during pregnancy; providing health visitors with clearer guidelines on discussing smoking with women after their pregnancy has ended; and maximising the influence of supportive family members and/or peers so that women have a wider network of support both during and after pregnancy.
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Action plan to reduce smoking in pregnancy
Healthwatch North Somerset
Date of publication
Monday, 8 April, 2019
Date evidence capture began
Saturday, 1 June, 2019
Date evidence capture finished
Saturday, 31 August, 2019
Type of report
Continuity of care
Integration of services
Lifestyle and wellbeing
Healthwatch reference number
Was the work undertaken at the request of another organisation?
What type of organisation requested the work
If this work has been done in partnership, who is the partner?
The Care Forum
Primary research method used
How was the information collected?
If an Enter and View methodology was applied, was the visit announced or unannounced?
Primary care services
Community healthcare and nursing services
Number of people who shared their views
Specific ethnicity if known
Does the information include public's views?
Does the information include carer's, friend's or relative's views?
Does the information include staff's views?
Types of health and care professionals engaged
Does the information include other people's views?
What was the main sentiment of the people who shared their views?
Were recommendations made by local Healthwatch in the report?
Does the information contain a response from a provider?
Is there evidence of impact in the report?
Is there evidence of impact external to the report?