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Acknowledgments Sincere thanks go to everyone involved in the development, implementation and analysis of the projects discussed in this report including: Madge Nelson Paul Jackson Lorraine Frith Louisa Thompson Julie Tipton Amanda McKenzie Dr Lucy Hackshaw Professor Linda Bauld Dr Rachael Murray AN Computing North 51 Plus all of the health care professionals involved in the projects
Smoking in Pregnancy Project Report: June 2012 Contents Executive summary 4 1. Background and introduction 7 1.1 Health effects of smoking in pregnancy 7 1.2 Prevalence and identification of pregnant smokers 8 1.3 Brief stop smoking interventions in pregnancy 8 1.4 Policy context 10 1.5 Local delivery 11 2. Project overview 14 2.1 The systems-based approach 14 2.2 Piloting the system 15 3. Outcomes 21 3.1 Central and Eastern Cheshire 21 3.2 Knowsley, Halton & St Helens 35 3.3 Queen Alexandra Hospital, Portsmouth 36 4. Discussion 40 5. Recommendations 43 6. Additional recommendations for national consideration 44 7. References 45 8. Annex A: Tiered model: level three flowchart 46 9. Annex B: Eligibility criteria for interested pilot sites 47 10. Annex C: Labour ward CO guidelines 52 3
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