Smoking cessation during pregnancy Benefits of increasing % of women going to Stop Smoking Wales • NICE Guidance PH26 • Recommendations: • Maternity service: identify and refer pregnant women who smoke to NHS Stop Smoking Services. • Stop smoking service: contact pregnant women who smoke and provide them with help to quit. How well is this implemented in Wales? • The pathfinder identified some • clear areas to address: • Need to establish consistent data recording and collection • Improve referral systems and processes • CO monitoring is not used in all health boards • Need to review the model for smoking cessation delivery to pregnant smokers 1. Assumes current uptake is 11% - no data to verify this in Wales 2. Does not take into account costs NICE Costing template PH26 • What’s next? • Pilot work is due to begin shortly in four health boards to evaluate various models for delivery of smoking cessation service to pregnant women. • A modelling project will estimate the wider public health impacts of smoking cessation during pregnancy. The model will allow us to explore the effect of smoking on birth outcomes and predict where an increase in uptake of smoking cessation services would have the most effect. • New approaches are required. We need to look at the potential for using financial incentives, pharmacist interventions, interventions at preconception stage and better targeting of services. Effectiveness of interventions: small effects Lumley et al Cochrane Database of Systematic Reviews 2009.