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Title: Which role do midwives and gynaecologists have in smoking cessation in pregnant women? - a study in Flanders, Belgium
Authors: De Wilde, Katrien ×
Tency, Inge
Steckel, Sarah
Temmerman, Marleen
Boudrez, Hedwig
Maes, Lea #
Issue Date: 2015
Publisher: Elsevier Ltd
Series Title: Sexual & Reproductive Healthcare
Article number: 10.1016/j.srhc.2014.12.002
Abstract: Objectives
The objectives of our study were 1) to explore knowledge, beliefs and practice among midwives and gynaecologists concerning a smoking cessation policy for pregnant women and their partners and 2) to examine if midwives and gynaecologists 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 gynaecologists. Data were analysed 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.
ISSN: 1877-5756
Publication status: accepted
KU Leuven publication type: IT
Appears in Collections:Field of Study Health Care Odisee
× corresponding author
# (joint) last author

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