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Smoking in Pregnancy Project Report: June 2012<br />
Tick all<br />
that apply<br />
Comments<br />
Supplementary questions<br />
Please indicate the number of maternity<br />
acute trusts in your PCT<br />
Please provide the number of smoking in<br />
pregnancy referrals received by your LSSS<br />
2010/11<br />
How does your LSSS currently receive<br />
smoking in pregnancy referrals?<br />
Do you receive any of your smoking in<br />
pregnancy referrals via an electronic<br />
referral system?<br />
Protocols / guidelines<br />
Do you have any agreed protocols /<br />
guidelines or procedures in place with<br />
your maternity services linked to the<br />
identification and referral of pregnant<br />
smokers?<br />
If yes, please state<br />
Training<br />
What % of midwives has been recently<br />
trained to deliver smoking cessation very<br />
brief advice?<br />
Have you recently trained any other health<br />
professionals to deliver smoking cessation<br />
very brief advice?<br />
If yes, please indicate which HCP<br />
What % of midwives has been trained<br />
to use CO monitors to identify pregnant<br />
smokers?<br />
Have you trained any other health<br />
professionals to use CO monitors to<br />
identify pregnant smokers?<br />
If yes, please indicate which HCP<br />
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