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Smoke-free Pregnancy and Families. AHCSA Workshop July 2008. Aim: ‘To increase the incidence of smoke-free pregnancies and smoke-free families, thereby reducing the adverse health outcomes for mothers, babies and their families’. Commenced March 2004 Department of Health SA (2004).

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Pregnancy and Families

AHCSA Workshop

July 2008

smoke free pregnancy project

‘To increase the incidence of smoke-free pregnancies and smoke-free families, thereby reducing the adverse health outcomes for mothers, babies and their families’.

Commenced March 2004

Department of Health SA (2004)

Smoke-free Pregnancy Project
2006 SA Aboriginal pregnant Women 54.2%

Over 50% of the adult Aboriginal pop are current smokers

National Perinatal Statistics Unit (2006)

Government of SA, Pregnancy Outcome in SA 2006

ABS 2004-05

4,000 chemicals including carcinogens

Toxic and Mutagenic

More Indigenous people in SA die from smoking tobacco than from any other single cause

Almost half of Indigenous people who die due to smoking tobacco die before the age of 55 years, compared to about 10% of non Indigenous deaths

Reference 4.5

why is tobacco a problem
Smoking is a major contributor of

Heart Disease.

Respiratory problems

Diabetes complications

Reference 43

Why is tobacco a problem?
pregnancy is an ideal time to quit smoking
Pregnancy is an ideal timeto quit smoking
  • A woman is more likely to quit smoking during pregnancy than any other time in her life.
  • Dual (2 for 1 benefit).
  • Increased contact with health care providers.
  • Hugh health and economic return on investment.

References 15,16,17

smoking and reproductive outcomes
Smoking and reproductive outcomes
  • Delayed conception.
  • Infertility

References 20

maternal outcomes smoking and pregnancy
Maternal outcomes smoking and pregnancy
  • Bleeding from the Placenta
  • Premature labour
  • Waters break early
  • More complicated births
  • More miscarriages.

References 2,9,20

baby outcomes smoking and pregnancy
Baby outcomes smoking and pregnancy
  • Baby’s can die*
  • Prematurity*
  • Low birth weight *
  • SIDS
  • Poor lung function
  • Admissions to special care nurseries
  • Neonatal nicotine withdrawal

References 2,4,9,16,25

2 3 of atsi children 0 14 live in house with at least one reg smoker
2/3 of ATSI children 0-14 live in house with at least one reg smoker
  • Colds
  • SIDS
  • Asthma
  • Ear infections
  • Respiratory disease
  • More likely to be smokers

References 4,24

smoking and breastfeeding
Smoking and breastfeeding

Smokers choose bottle feeding more frequently.

Breastfeeding women who smoke are:.

  • Less likely to start breastfeeding.
  • Breastfeed for a shorter time.

References 24,32,33,44

the role of partners families
The role of partners/families
  • Strong influence
  • Women 4 times more likely to smoke when pregnant if partner smokes
  • Support

Barriers to quitting:

  • Unaware of risk to fetus
  • Lack of motivation
  • Stress induced/complex issues at home
  • Is accepted as the “norm”

References 20,24

health workers can help
Health workers can help

You are highly respected within the


  • You are a respected source of information and support.
  • You have a duty of care to pregnant women and their family
  • Your advice is an important motivator in attempts to quit.
  • You have opportunities to give brief advice/support.

References 42

support assists women in not taking it up again
Support assists women in NOT taking it up again
  • Extremely common:55-60% within 6 months of birth70% if partner smokes at 12 months.

References 41

ask and advise
Ask and Advise

Benefits of quitting:

  • Woman and partner
  • Pregnancy
  • Baby
  • Breastfeeding
  • Family

References 37,45,49

assist arrange
Assist / arrange
  • Recently quit
  • Preparing to quit
  • Thinking about quitting
  • Not interesting in quitting
  • Relapse/slip up
  • Partners
  • Refer to:Quitline 13 7848 or 1300 889 010

References 37,49,50

responsibility duty of care
Responsibility – Duty of Care

It is not the health workers responsibility to make pregnant women quit smoking or to stay quit.

It is their responsibility to ‘ask’ and then provide information and support tailored to her readiness to quit.

References 43

quitline 13 7848
Quitline: 13 7848

Confidential telephone advisory service at the cost of a

Local call. Provides:

  • Support for smokers planning to quit.
  • Information on quitting aids and methods.
  • Strategies for coping with withdrawal and getting past cravings/difficult situations.
  • Tips on managing stress and weight gain.
  • Information on quit courses.
  • Written resources, video/DVD.
  • Call back service.
harm minimization
Cut back on smokes and smoke outside

Don’t smoke around babies and children

Don’t give smokes to children

Support smoke free health


Encourage a cultural shift

? SA Tobacco Control Strategy

Harm minimization
concluding key messages
Concluding key messages
  • Educating Health workers as they play a pivotal role in addressing smoking
  • It is their responsibility to ask and then provide information and support (duty of care).
  • Support health workers to address their own smoking
  • Have smoke free areas (Health services)
  • Have information and practical help available.
  • Pilot project proposal with Lifestyle coordinators

References 43

QuitSA is committed to assist in “Closing The Gap”

For more information contact:

Kathryn McKenzie

(08) 8291 4173


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