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Smoking in Pregnancy Project Report: June 2012<br />
1.3.1 NICE guidance<br />
In 2010 the National Institute for Health and Clinical Excellence (NICE) <strong>published</strong> the ‘Quitting<br />
Smoking in Pregnancy and following childbirth’ (PH26) guidance, 19 which provided evidencebased<br />
recommendations to support the design and delivery of local stop smoking in pregnancy<br />
support. The recommendations included actions for the identification of all pregnant women<br />
who smoke and referral to stop smoking services, namely:<br />
■<br />
Recommendation 1: Identifying pregnant women who smoke and referring them to<br />
stop smoking services – action for midwives<br />
Midwives should (at first maternity booking and subsequent appointments):<br />
■<br />
■<br />
■<br />
■<br />
■<br />
■<br />
■<br />
Routinely establish smoking status by asking the woman and undertaking a CO test<br />
Provide information to the woman about the effects of smoking and the benefits<br />
of stopping<br />
Inform the woman it is normal practice to refer all women who smoke for help to<br />
quit and a specialist midwife or adviser will phone to offer support<br />
Refer all smokers to a stop smoking service, including women who have stopped in<br />
the preceding two weeks and all women with a CO reading higher than 7ppm<br />
Offer support to partners and other family members who smoke<br />
Check progress at the next appointment and offer a re-referral as appropriate<br />
Record smoking status, CO readings, referral activity (including whether accepted or<br />
declined) and feedback within the woman’s hand-held notes or as per local protocol<br />
■<br />
Recommendation 2: Identifying pregnant women who smoke and referring them to<br />
stop smoking services – actions for others in the public, community and voluntary sectors.*<br />
Key actions:<br />
■<br />
■<br />
■<br />
■<br />
Use any appointment or meeting as an opportunity to ask women if they smoke,<br />
provide advice and information about stop smoking services<br />
Offer a referral into local stop smoking services and refer where this offer is accepted<br />
Record in the hand-held notes or as per local protocol<br />
Provide the national smoking in pregnancy helpline number and the local helpline<br />
number (where possible)<br />
* This includes GPs, practice nurses, health visitors, family nurses, obstetricians, paediatricians,<br />
sonographers, maternity team members (other than midwives), those working within youth<br />
and teenage pregnancy services, children centres, social services, fertility clinics, dental practices,<br />
pharmacies, voluntary and community organisations.<br />
9