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Smoking cessation
- from pregnancy to old age
Smoking in pregnancy - a family matter
Beverley Marr
Abstract
The impact of smoking in pregnancy is well documented
in terms of high miscarriage, perinatal mortality, sudden
infant death syndrome, and much more. The health inequalities
associated with pregnant women are enormous. Their isolation
is exacerbated by guilt and the fear of being judged by
health professionals and society.
This presentation demonstrates how the difficulties in
recruiting women and their families into quit smoking
programmes has been approached in a large rural/deprived
area, and a small semi rural deprived area, to produce
successful and sustained quit programmes in pregnancy.
The multiple deprivation indexes shows the four PCT areas
discussed have geographical wards that are among the worst
10% in the country.
A range of intensive interventions at home and in clinics
are discussed. These interventions have led to increased
4 week quit rates in pregnant women and their partners
and families (over 60%).
The reduction in carbon monoxide levels, and continued
engagement with failed quitters in pregnancy is also explored.
Emphasis is placed on partnership working and Surestart
settings.
For more information regarding the presentation given
at this conference please contact Beverley directly:
Beverley Marr
Public Health Improvement Team, County Durham
beverley.marr@cdd.nhs.uk
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