Smoking in Pregnancy 65
66 Essential Midwifery Practice: Public Health
midwife strives to communicate in a facilitative and open manner, and is empathetic and takes a non-judgmental approach, she will encourage the woman to feel less threatened, more able to talk openly about her smoking and more inclined to change her habit (Clasper and White 1995).
Key implications for midwifery practice
•
Be non-judgmental about other women.•
Be mindful of the complexities of some women’s lives.•
Review recent government policy such as Saving Lives: Our Healthier Nation,Smoking and Reproductive LifeandSmoking Kills.•
Do you know the rates of smoking in pregnancy in your area? Does it differ from neighbouring areas?•
Find out more about brief interventions and incorporate them into your practice.•
Link into your local health promotion team to find out how you can work in partnership to reduce smoking rates in pregnancy.•
Pregnant smokers should receive clear, easy-to-understand and accurate information on the risks of smoking to the fetus and be offered special support in quitting.•
Clinicians should be familiar with the cycle of behavioural change so that support may be targeted at the most appropriate time.References
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