Can support and education for smoking cessation and reduction be effectively by midwives within primary maternity care? / Déborah McLeod (2004)

Public Titre : Can support and education for smoking cessation and reduction be effectively by midwives within primary maternity care? Type de document : texte imprimé Auteurs : Déborah McLeod, Auteur ; Susan Pullon, Auteur ; Cheryl Benn, Auteur Editeur : Paris [France] : Elsevier Année de publication : 2004 Collection : Midwifery, ISSN 0266-6138 Importance : p. 37-50 Langues : Anglais (eng) Catégories : [DIVERS] personne:par métier:professionnel de la santé:sage-femme [DIVERS] personne:par sexe:femme:femme enceinte [TABAC] étude:statistique [TABAC] sevrage tabagique:aide au sevrage Index. décimale : TA 0.3.4 Infirmiers,-ères Résumé : OBJECTIVE: To test the hypothesis that appropriate interventions delivered by midwives within usual primary maternity care, can assist women to stop or reduce the amount they smoke and facilitate longer duration of breast feeding. DESIGN, SETTING AND PARTICIPANTS: In a cluster randomised trial of smoking education and breast-feeding interventions in the lower North Island, New Zealand, midwives were stratified by locality and randomly allocated into a control group and three intervention groups. The control group provided usual care. Midwives in the intervention groups delivered either a programme of education and support for smoking cessation or reduction, a programme of education and support for breast feeding or both programmes. Sixty-one midwives recruited a total of 297 women. INTERVENTIONS: Structured programmes provided by midwives. FINDINGS: Women receiving only the smoking cessation or reduction programme were significantly more likely to have reduced, stopped smoking or maintained smoking changes than women in the control group, at 28 weeks and 36 weeks gestation. Women receiving both the smoking cessation and breast-feeding education and support programmes were significantly more likely than women in the control group to have changed their smoking behaviour at 36 weeks gestation. There was no difference in rates of cessation or reduction between the groups in the postnatal period. There was no difference in rates of full breast feeding between the control and intervention groups for women who planned to breast feed. Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=7494

Exemplaires (1)

Code-barres	Cote	Support	Localisation	Section	Disponibilité
TA 005348	TA 3.0 MCL C	Article/Périodique	Bibliothèque FARES	Tabac	Consultation sur place Exclu du prêt

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The midwife's role in facilitating smoking behaviour change during pregnancy / Déborah McLeod (2003)  

Public Titre : The midwife's role in facilitating smoking behaviour change during pregnancy Type de document : texte imprimé Auteurs : Déborah McLeod, Auteur ; Cheryl Benn, Auteur ; Susan Pullon, Auteur Editeur : Paris [France] : Elsevier Année de publication : 2003 Collection : Midwifery, ISSN 0266-6138 Importance : p. 285-297 Langues : Anglais (eng) Catégories : [DIVERS] personne:par métier:professionnel de la santé:sage-femme [DIVERS] personne:par sexe:femme:femme enceinte [TABAC] étude [TABAC] sevrage tabagique:méthode de sevrage:méthode collective:groupe Index. décimale : TA 0.3.4 Infirmiers,-ères Résumé : OBJECTIVE: To explore the midwife's role in providing education and support for changes in smoking behaviour during usual primary maternity care. DESIGN: A qualitative study using a thematic approach to analysis of data collected in face-to-face interviews. SETTING AND PARTICIPANTS: Eleven women who had participated in the intervention groups of the MEWS Study, a cluster randomised trial of education and support for women who smoke, and 16 midwives from the intervention and control arms of the trial. The trial was set in the lower North Island of New Zealand in 2000. FINDINGS: Midwives acknowledged that asking women about smoking was part of their role as maternity care providers. However, many found it difficult to know how to ask women about their smoking, how to identify the women who would be receptive to advice and how to support them to make changes to their smoking. Midwives were also concerned about making women feel guiltier than they already did about their smoking, and about the impact of providing smoking cessation on their relationship with women. In contrast, women expected their midwife to ask them about their smoking. When women wanted to quit their midwife was an extremely valuable source of information and support. Midwives were also in a position to help women who did not want to quit to make other changes to their smoking behaviour. Even women who did not want to quit were prepared to be asked about their smoking. Problems arose when the way the midwife asked and the frequency of her enquiries were not appropriate for the stage of the change cycle the woman was in. IMPLICATIONS FOR PRACTICE: Midwives can effectively provide education and support for smoking change during pregnancy if they match the woman's readiness to make changes with the type of advice and support they provide. En ligne : https://www.academia.edu/18625224/The_midwifes_role_in_facilitating_smoking_beha [...] Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=7498

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