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Abstract
BackgroundSmoking during pregnancy is a major public health concern and an NHS priority. In 2010, 26% of UK women smoked immediately before or during their pregnancy and 12% smoked continuously. Smoking cessation support is provided through free at the point of use Stop Smoking Services for Pregnant women (SSSP). However, to date, little is known of how these services provide support across England. The aim of this study was to describe the key elements of support provided through English SSSP.MethodsSSSP managers were invited to participate in this survey by email. Data were then collected via an online questionnaire; one survey was completed for each SSSP. Up to four reminder emails were sent over a two month period.Results86% (121 of 141) of services completed the survey. Responding services were, on average, larger than non-responding services in terms of the number of pregnant women setting quit dates and successfully quitting (p < 0.01). In line with the 2010 NICE guidelines, Stop Smoking in Pregnancy and following Childbirth, one in five SSSP identified pregnant smokers using carbon monoxide (CO) testing and refer via an opt-out pathway. All services offered nicotine replacement therapy (NRT) to pregnant women and 87% of services also offered dual therapy NRT, i.e. combination of a patch and short acting NRT product.. The 2010 NICE guidelines note that services should be flexible and client-centred. Consistent with this, SSSP offer pregnant women a range of support types (median 4) including couple/family, group (open or closed) or one-to-one. These are available in a number of locations (median 5), including in community venues, clinics and women’s homes.ConclusionsEnglish Stop Smoking Services offer behavioural support and pharmacotherapy to pregnant women motivated to quit smoking. Interventions provided are generally evidence-based and delivered in a variety of both social and health care settings.
Highlights
Smoking during pregnancy is a major public health concern and an National Health Service (NHS) priority
One hundred and forty one NHS Smoking Services for Pregnant women (SSSP) were identified across England and the Isles of Wight and Man
These services provide support to smokers in all areas of the country; areas covered by SSSP were approximately coterminous with those covered by the 152 Primary Care Trusts (PCT) during the survey period
Summary
Smoking during pregnancy is a major public health concern and an NHS priority. Smoking cessation support is provided through free at the point of use Stop Smoking Services for Pregnant women (SSSP). The aim of this study was to describe the key elements of support provided through English SSSP. Smoking during pregnancy is a major public health concern. The prevalence of smoking during pregnancy varies between countries and reflects variations in tobacco use amongst women. The problem is established with the prevalence of smoking during pregnancy reported at around 10% in Canada [4] and Japan [5], 14% in the USA [6], 30-35% in Spain [7] and in the UK in 2010, 12% of women smoked throughout their pregnancy [8]. Data from Canada and Australia show the rate of decline is markedly less amongst women from lower socioeconomic groups, compared to those from more affluent groups [9,10]
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