Using a range of NHS staff to deliver stop smoking services to pregnant women: Findings from the Models to Access Maternal Smoking Cessation Support (MAMSS) study
Lorna Bennett, Aimee Grant and Shantini Paranjothy
Presenter(s)
Lorna Bennett Specialty Registrar, Cardiff and Vale Public Health Team, Public Health Wales
Aimee Grant Research Fellow, Cardiff University
Abstract
Wales has the highest prevalence of maternal smoking in the UK. Uptake of NHS specialist smoking cessation support in Wales has been poor in some areas (< 5 per cent). Furthermore, NICE guidance on identifying pregnant women who smoke is not currently implemented systematically by the NHS in Wales.
Models for Access to Maternal Smoking cessation Support (MAMSS) aimed to systematically implement NICE guidance for identifying smokers in 4 areas of Wales (4 pilot sites, 4 usual care sites). We used a quasi-experimental design to evaluate the effectiveness of specialist smoking cessation services for pregnant women delivered by different providers (midwives, midwifery support workers and NHS Stop Smoking Advisors) who all received smoking cessation in pregnancy training.
The primary outcome measure was the proportion of treated pregnant smokers. Our findings suggest that the number of referrals from maternity services to the smoking cessation services, and the number of treated smokers was consistently higher in intervention sites compared to usual care across all four areas. The proportion of those who were quit at 4 weeks (Carbon monoxide validated) was also consistently higher in intervention sites compared to usual care. Barriers and facilitators to intervention delivery will also be discussed.
Source of funding: Aneurin Bevan University Heath Board, Abertawe Bro Morgannwg University Health Board, Betsi Cadwaladr University Health Board, Cwm Taf University Heath Board, Public Health Wales NHS Trust,
