(2004)
| 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. |
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| TA 005348 | TA 3.0 MCL C | Article/Périodique | Bibliothèque FARES | Tabac | Consultation sur place
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(2005)
| Titre : |
Midwives' attitude to counselling women about their smoking behaviour during and postpartum |
| Type de document : |
texte imprimé |
| Auteurs : |
J.R. Thyrian, Auteur ; Wolfgang Hannöver, Auteur ; Kathrin Röske, Auteur |
| Editeur : |
Paris [France] : Elsevier |
| Année de publication : |
2005 |
| Collection : |
Midwifery, ISSN 0266-6138 |
| Importance : |
p.32-39 |
| Langues : |
Anglais (eng) |
| Catégories : |
[DIVERS] personne:par métier:professionnel de la santé:sage-femme
[TABAC] tabagisme:habitude tabagique
[TABAC] tabagisme:tabagisme actif:tabagisme féminin:tabagisme durant la grossesse
|
| Index. décimale : |
TA 0.3.4 Infirmiers,-ères |
| Résumé : |
OBJECTIVE:
to investigate the attitudes of midwives to counselling women about their smoking behaviour during pregnancy and postpartum.
DESIGN:
survey using postal questionnaires.
SETTING:
the entire federal state of Mecklenburg-West-Pomerania in Germany.
PARTICIPANTS:
189 midwives constituting 77% of all midwives working in that State.
FINDINGS:
midwives reported that they assessed smoking behaviour regularly (77%), addressed the consequences of smoking (70%) and advised women to quit. Among the midwives, 81% saw low chances of success and parents' expectations as the biggest barriers to counselling. Midwives reported that about 28% of women quit following their advice.
KEY CONCLUSIONS:
smoking and exposure to environmental tobacco smoke are seen as prominent health threats that midwives reported they addressed routinely, including giving advice to stop smoking.
IMPLICATIONS FOR PRACTICE:
midwives should be supported in learning effective intervention strategies to further strengthen their work. They are a target population to deliver brief smoking interventions. |
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Exemplaires (1)
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| TA 005353 | TA 0.3.4 THY M | Article/Périodique | Bibliothèque FARES | Tabac | Consultation sur place
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(2007)
| Titre : |
Possibilities for transparency and trust in the communication between midwives and pregnant woman : the case of smoking |
| Type de document : |
texte imprimé |
| Auteurs : |
Zaino Petersen, Auteur ; Maria Nilsson, Auteur ; Katherine Everett, Auteur |
| Editeur : |
Paris [France] : Elsevier |
| Année de publication : |
2007 |
| Importance : |
10 p. |
| Langues : |
Anglais (eng) |
| Catégories : |
[DIVERS] personne:par métier:professionnel de la santé:sage-femme
[DIVERS] personne:par sexe:femme:femme enceinte
[TABAC] étude
|
| Index. décimale : |
TA 0.3.4 Infirmiers,-ères |
| Résumé : |
Objective : to explore barriers to and possibilities for interactive communication between midwives and pregnant women regarding smoking behaviour during pregnancy.
Design : the study was based on a qualitative research design aiming at a Grounded Theory analysis of interviews with pregnant women.
Setting : public sector antenatal clinics in Cape Town, South Africa predominantly providing care to women of mixed ancestry.
Informants : in-depth interviews with 12 pregnant women purposively selected on the basis of smoking behaviour, age and marital status to reach maximum variation.
Findings : the findings indicated low levels of transparency and trust in antenatal visits. Lack of trust was related to categories such as conflicting personal capabilities and socio-cultural and medical expectations, combined with a didactic approach from caregivers. The unworthy woman was identified as the core category of the interviews describing how women feel in their relationship with midwives. A theoretical model illustrates possibilities for change in relation to an ideal situation where a supportive caregiver, congruent expectations and capabilities result in women feeling visible.
Key conclusions and implications for practice : culturally appropriate smoking cessation interventions should be of high priority. Training in patient-centred counselling for midwives is necessary for creating an open dialogue with pregnant mothers about their smoking habits. The time constraint experienced by midwives also suggests that other methods apart from midwife counselling should be investigated for inclusion in the clinical setting. |
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Exemplaires (1)
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| TA 005356 | TA 0.3.4 PET P | Article/Périodique | Bibliothèque FARES | Tabac | Consultation sur place
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(2005)
| Titre : |
Some lessons from Swedish midwes' experiences of appoaching women qmokers in antenatal care |
| Type de document : |
texte imprimé |
| Auteurs : |
Agneta Abrahamsson, Auteur ; Jane Springett, Auteur ; Leif Karlsson, Auteur ; Anders Hakansson, Auteur ; Torgny Ottosson, Auteur |
| Editeur : |
Paris [France] : Elsevier |
| Année de publication : |
2005 |
| Collection : |
Midwifery, ISSN 0266-6138 |
| Importance : |
p. 335-345 |
| Langues : |
Anglais (eng) |
| Catégories : |
[DIVERS] géographie:Europe:Europe du Nord:Suède
[DIVERS] personne:par métier:professionnel de la santé:sage-femme
[TABAC] sevrage tabagique:aide au sevrage:conseil de sevrage
[TABAC] tabagisme:risque:facteur associé:grossesse
[TABAC] tabagisme:tabagisme actif:tabagisme féminin:tabagisme durant la grossesse
|
| Index. décimale : |
TA 0.3.4 Infirmiers,-ères |
| Résumé : |
OBJECTIVE:
to describe the qualitatively different ways in which midwives make sense of how to approach women smokers.
DESIGN, SETTING AND PARTICIPANTS:
a more person-centred national project 'Smoke-free pregnancy' has been in progress in Sweden since 1992. Using a phenomenographic approach, 24 midwives who have been regularly working in antenatal care were interviewed about addressing smoking during pregnancy.
FINDINGS:
four different story types of how the midwives made sense of their experiences in addressing smoking in pregnancy were identified: 'avoiding', 'informing', 'friend-making', 'co-operating'.
KEY CONCLUSION:
the midwives' story types about how they approached women who smoke illustrated the difficulties of changing from being an expert who gives information and advice to being an expert on how to enable a woman in finding out why she smoked and how to stop smoking.
IMPLICATIONS FOR PRACTICE:
health education about smoking that is built on co-operation and dialogue was seen by the midwives as a productive way of working. The starting point should be the lay perspective of a woman, which means that her thoughts about smoking cessation are given the space to grow while she talks. |
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Exemplaires (1)
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| TA 005349 | TA 0.3.4 ABR S | Article/Périodique | Bibliothèque FARES | Tabac | Consultation sur place
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(2005)
| Titre : |
The attitude of maternity staff to, and smoking cessation interventions with, childbearing women in London |
| Type de document : |
texte imprimé |
| Auteurs : |
Leona Condliffe, Auteur ; Andy Mcewen, Auteur ; Robert West, Auteur |
| Editeur : |
Paris [France] : Elsevier |
| Année de publication : |
2005 |
| Collection : |
Midwifery, ISSN 0266-6138 |
| Importance : |
p. 233-240 |
| Langues : |
Anglais (eng) |
| Catégories : |
[DIVERS] géographie:Europe:Europe occidentale:Royaume-Uni:Angleterre
[DIVERS] personne:par métier:professionnel de la santé:sage-femme
[DIVERS] personne:par sexe:femme:femme enceinte
[TABAC] étude
[TABAC] sevrage tabagique
|
| Index. décimale : |
TA 0.3.4 Infirmiers,-ères |
| Résumé : |
OBJECTIVES:
To explore the self-reported smoking-cessation interventions of maternity staff with pregnant smokers, and their attitudes towards smoking in pregnancy.
DESIGN AND SETTING:
Postal survey of all 137 maternity staff (clinical grades A-H) at a large acute hospital in London; 78 questionnaires were completed (response rate: 57%).
FINDINGS:
Over two-thirds of respondents (71%) reported not advising any pregnant women to give up smoking within the previous 7 days. However, nearly two-thirds (64%) felt that women should not be left to make up their own minds about whether or not to smoke during pregnancy, and even more (81%) agreed or strongly agreed that many pregnant women would like to give up smoking but need help and advice on how to succeed. Helping a pregnant woman to give up smoking was seen as being one of the most important things a midwife can do by 73% of the respondents.
CONCLUSIONS:
Although the reported attitudes were supportive of the midwife's role in smoking cessation, they did not translate into practice. The level of smoking cessation interventions was low.
IMPLICATIONS FOR PRACTICE:
The findings from this study indicate some deficits in knowledge among maternity staff that training may address. Raising awareness of the local smoking-cessation service, and how to refer women to it, may increase the number of referrals maternity staff make. |
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Exemplaires (1)
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| TA 005354 | TA 0.3.4 CON A | Article/Périodique | Bibliothèque FARES | Tabac | Consultation sur place
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(2006)
| Titre : |
The effects of smoking cessation counseling by midwives on Dutch pregnant women and their partners |
| Type de document : |
texte imprimé |
| Auteurs : |
Hein de Vries, Auteur ; Martijnje Bakker, Auteur ; Patricia Dolan Mullen, Auteur |
| Editeur : |
Paris [France] : Elsevier |
| Année de publication : |
2006 |
| Importance : |
p. 177-187 |
| Langues : |
Anglais (eng) |
| Catégories : |
[DIVERS] géographie:Europe:Europe occidentale:Pays-Bas
[DIVERS] personne:par métier:professionnel de la santé:sage-femme
[DIVERS] personne:par sexe:femme:femme enceinte
[TABAC] sevrage tabagique:aide au sevrage:conseil de sevrage
|
| Index. décimale : |
TA 0.3.4 Infirmiers,-ères |
| Résumé : |
METHODS:
Four provinces with 42 practices including 118 midwives were randomly assigned to the experimental or control condition. Midwives in the experimental group provided brief health counseling, self-help materials on smoking cessation during pregnancy and early postpartum, and a partner booklet. Controls received routine care. The main outcome measures were 7-day abstinence, continuous abstinence, and partner smoking at 6 weeks post-intervention (T1) and 6 weeks postpartum (T2).
RESULTS:
Multi-level analysis revealed significant differences between both conditions at T1 and T2 using intention-to-treat analysis. Nineteen percent of the experimental group reported 7-day abstinence compared to 7% of the control group at T1, and 21 and 12%, respectively, at T2. For continuous abstinence these percentages were 12% in the experimental group and 3% in the control group. The partner intervention was not successful.
CONCLUSION:
The intervention resulted in significant effects on smoking behavior for pregnant women, but not for partner smoking.
PRACTICE IMPLICATIONS:
The program realized short-term effects. An important precondition is that midwives need a proper training. |
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| TA 005357 | TA 0.3.4 DEV E | Article/Périodique | Bibliothèque FARES | Tabac | Consultation sur place
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| 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 : |
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