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Smoking in Pregnancy Project Report: June 2012<br />

6. Additional recommendations for<br />

national consideration<br />

■<br />

■<br />

■<br />

■<br />

To ensure consistency and quality of implementation a nationally led and funded phased<br />

roll out approach is advocated<br />

Further evaluation of the longer-term use (12–24 months) of referral pathways and<br />

electronic referral systems during pregnancy and into the postpartum period is suggested.<br />

In particular this would allow further investigation into re-referral activity, including how<br />

this is best supported and what impact this has on the number of women accessing<br />

support and successfully stopping during pregnancy<br />

Further investigation into biochemically testing smoking status at time of delivery is also<br />

encouraged as this would increase confidence in the SATOD data submitted by local<br />

areas and support more accurate measurement to inform the relevant public health<br />

outcome indicator<br />

Finally, the beliefs of broader health care professionals such as GP practice staff and<br />

pharmacy staff regarding their role with pregnant smokers are yet to be investigated in<br />

detail. Whilst, it is logical and important to focus policy and communications predominantly<br />

on dedicated maternity professionals such as midwives, obstetricians and maternity<br />

assistants as well as health visitors, it would be useful to have a greater understanding<br />

of the opinions of other professionals who are involved in the care of pregnant women.<br />

Funding such research could help ensure that any opportunities to maximise policy and<br />

communication developments have been explored<br />

44

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