Katrien De Wilde1, Inge Tency2, Sarah Steckel2, Marleen Temmerman3, Hedwig Boudrez4, Lea Maes5. 1. Odisee University College, Hospitaalstraat 23, Sint-Niklaas 9100, Belgium. Electronic address: Katrien.dewilde@odisee.be. 2. Odisee University College, Hospitaalstraat 23, Sint-Niklaas 9100, Belgium. 3. Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Ghent 9000, Belgium. 4. Stop-smoking Clinic, Ghent University Hospital, De Pintelaan 185, Ghent 9000, Belgium. 5. Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Ghent 9000, Belgium.
Abstract
OBJECTIVES: The objectives of our study were (1) to explore knowledge, beliefs and practice among midwives and gynecologists concerning a smoking cessation policy for pregnant women and their partners and (2) to examine if midwives and gynecologists do have a role in smoking cessation in pregnant women. METHOD: We performed a qualitative study using semi-structured interviews with nine midwives and eight gynecologists. Data were analyzed using deductive content analysis, based on the 5 A's framework (Ask-Advise-Assess-Assist-Arrange). RESULTS: The national smoking cessation policy seemed to be insufficiently known. "Ask" and "Advise" were part of a standard prenatal consultation, the next three steps were rarely implemented. Participants had a negative image of "the smoking pregnant woman": a low educated woman with a smoking partner and "bad examples" in their history. Reported barriers were fear of provoking resistance and lack of time and communication skills regarding smoking cessation. CONCLUSIONS: These findings suggest that training in communication skills and dealing with resistance should be offered, i.e. by using motivational interviewing. It could be considered that a trained midwife or tobaccologist is part of an obstetrical team or that the AAR-method (Ask-Advise-Refer) is used instead of the 5 A's framework.
OBJECTIVES: The objectives of our study were (1) to explore knowledge, beliefs and practice among midwives and gynecologists concerning a smoking cessation policy for pregnant women and their partners and (2) to examine if midwives and gynecologists do have a role in smoking cessation in pregnant women. METHOD: We performed a qualitative study using semi-structured interviews with nine midwives and eight gynecologists. Data were analyzed using deductive content analysis, based on the 5 A's framework (Ask-Advise-Assess-Assist-Arrange). RESULTS: The national smoking cessation policy seemed to be insufficiently known. "Ask" and "Advise" were part of a standard prenatal consultation, the next three steps were rarely implemented. Participants had a negative image of "the smoking pregnant woman": a low educated woman with a smoking partner and "bad examples" in their history. Reported barriers were fear of provoking resistance and lack of time and communication skills regarding smoking cessation. CONCLUSIONS: These findings suggest that training in communication skills and dealing with resistance should be offered, i.e. by using motivational interviewing. It could be considered that a trained midwife or tobaccologist is part of an obstetrical team or that the AAR-method (Ask-Advise-Refer) is used instead of the 5 A's framework.
Authors: Eefje Willemse; Bethany Hipple Walters; Linda Springvloet; Jeroen Bommelé; Marc C Willemsen Journal: BMC Health Serv Res Date: 2022-08-31 Impact factor: 2.908