Pregnancy and tobacco: Practice and knowledge of French midwives.
Midwifery
; 129: 103886, 2024 Feb.
Article
de En
| MEDLINE
| ID: mdl-38041997
ABSTRACT
OBJECTIVES:
Evaluate the midwives' practices and knowledges with regard to the management of the smoking cessation in pregnant women and analyse the profile of midwives prescribing nicotine replacement therapy (NRT).METHODS:
A national practice survey amongst 23,541 French midwives was conducted from 1 September 2020 to 15 September 2021 using an online self-administered questionnaire.RESULTS:
The analysis of the 1,216 usable questionnaires (97, 7% women, mostly aged 30 to 49 years and non-smokers) showed that 93.4% of midwives frequently questioned pregnant women about their smoking consumption during pregnancy. The minimal counselling was known and practiced by 91% of midwives, the Fagerström test by 26.9% and the measurement of exhaled CO by 27.1%. Concerning NRT, 60% of the midwives prescribed them in a usual way and 36.8% were aware of the possibility of prescribing them to the pregnant woman's entourage. The profile of midwives prescribing NRT was significantly more concerned with smoking cessation in pregnant women; worked more frequently in a hospital; carried out 25% or more of antenatal monitoring consultations; and had significantly better knowledge of the evaluation tools, without influence of sex or smoking status.CONCLUSIONS:
Improving the training of midwives in the screening and management of smoking cessation during pregnancy seems necessary.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Complications de la grossesse
/
Arrêter de fumer
/
Profession de sage-femme
Limites:
Female
/
Humans
/
Male
/
Pregnancy
Langue:
En
Journal:
Midwifery
Sujet du journal:
ENFERMAGEM
/
OBSTETRICIA
Année:
2024
Type de document:
Article