Which role do midwives and gynecologists have in smoking cessation in pregnant women? - A study in Flanders, Belgium
Obstetrics and Gynaecology (East Africa)
Objectives: The objectives of our study were (1) to explore knowledge, beliefs and practice among midwives and gynecologists concerning a smoking cessation policy for pregnant women and their partners and (2) to examine if midwives and gynecologists do have a role in smoking cessation in pregnant women.
Method: We performed a qualitative study using semi-structured interviews with nine midwives and eight gynecologists. Data were analyzed using deductive content analysis, based on the 5 A's framework (Ask-Advise-Assess-Assist-Arrange).
Results: The national smoking cessation policy seemed to be insufficiently known. "Ask" and "Advise" were part of a standard prenatal consultation, the next three steps were rarely implemented. Participants had a negative image of "the smoking pregnant woman": a low educated woman with a smoking partner and "bad examples" in their history. Reported barriers were fear of provoking resistance and lack of time and communication skills regarding smoking cessation.
Conclusions: These findings suggest that training in communication skills and dealing with resistance should be offered, i.e. by using motivational interviewing. It could be considered that a trained midwife or tobaccologist is part of an obstetrical team or that the AAR-method (Ask-Advise-Refer) is used instead of the 5 A's framework.
Sexual and Reproductive Healthcare
De Wilde, K.,
(2015). Which role do midwives and gynecologists have in smoking cessation in pregnant women? - A study in Flanders, Belgium. Sexual and Reproductive Healthcare, 6(2), 66-73.
Available at: http://ecommons.aku.edu/eastafrica_fhs_mc_obstet_gynaecol/55