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

Tick all<br />

that apply<br />

Comments<br />

Data collection<br />

LSSS will need to have in place a web based<br />

database system<br />

Please specify provider<br />

LSSS will need to have formal systems in<br />

place that can track pregnancy referrals from<br />

the referral provider built into data base as<br />

per evaluation<br />

LSSS service configuration<br />

Established smoking in pregnancy service<br />

Have an identified project lead or smoking<br />

in pregnancy lead that has the dedicated<br />

capacity to oversee the coordination,<br />

preparation, development and<br />

implementation of the project<br />

Have sufficient administrative support as<br />

appropriate in the LSSS to retrieve and follow<br />

up web based referrals; and ensure data<br />

entry of the referral into LSSS database<br />

Referrals<br />

Have in place an opt out referral system<br />

for pregnant smokers<br />

It should be routine practice for the midwife<br />

to be using CO testing to identify and refer<br />

pregnant smokers throughout pregnancy<br />

and appropriately referring in the postnatal<br />

period to the stop smoking services<br />

Midwives and other health professionals<br />

referring pregnant and postnatal smokers<br />

will need to have access to a computer with<br />

e-mail functions<br />

49

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