Abstract

Using the structure of Azjen's (1991) health behaviour model, this article examines the experience of promoting smoking cessation in a woman's booking appointment. Smoking cessation is a key contributor to adverse health outcomes, and is a priority for health professionals on a local and national scale. Conversations surrounding smoking cessation in pregnancy are often seen as difficult; midwives are often concerned they may harm the developing midwife-woman bond. The use of non confrontational brief intervention based methods may aid health professionals by creating a positive image of behaviour change. Barriers to the success of the intervention are discussed, including institutional pressures alongside ineffective communication skills, and suggestions for future practice are made. The importance of involving partners or family members in health promotion barriers to aid success is highlighted and demonstrates the wider impact midwives have on public health.

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