Evaluation of a midwife- and nurse-delivered 5 A's prenatal smoking cessation program

Journal of Midwifery & Women's Health
Ilana R Azulay Chertok, Stacey Haynes Archer

Abstract

West Virginia has the highest rate of prenatal smoking in the United States. The aim of this pilot study was to evaluate the implementation of the American College of Obstetricians and Gynecologists' 5 A's smoking cessation intervention among pregnant women being cared for by 5 A's-trained midwives working with a team of nurse researchers in an effort to reduce prenatal smoking exposure. The evidence-based 5 A's smoking cessation program has been recommended for use in prenatal care by health care providers. A pilot study was conducted evaluating the implementation of the 5 A's prenatal smoking cessation program for 35 women who smoked during pregnancy. The women received consistent messages to quit or reduce smoking from the midwives and were followed by the nurse research team via telephone with continued support, guidance, and strategic planning for tobacco exposure reduction. Among the 35 women who enrolled in the study, 32 (91.4%) decreased smoking and 3 (8.6%) quit smoking by one month after the intervention. For those who continued to smoke, the average number of cigarettes smoked was reduced from 10 cigarettes per day at baseline to 8 cigarettes per day at one month, 7 cigarettes per day at 2 months, and 6 cigarettes pe...Continue Reading

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Citations

Dec 10, 2015·Maternal and Child Health Journal·Mary Katherine Mohlman, David T Levy
May 25, 2016·Journal of Midwifery & Women's Health·Cynthia NypaverElizabeth Niederegger
Feb 17, 2018·Journal of Clinical Psychology in Medical Settings·Adeya Richmond, Jessica Jackson
Jan 20, 2017·Maternal and Child Health Journal·Ilana R Azulay Chertok, Zelalem T Haile

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