Although there have been declines in the overall prevalence of pregnant smokers in the United States, smoking rates in the 3rd trimester can still be unacceptably high among certain populations. Data from the National Center for Health Statistics estimated that maternal smoking at any time during pregnancy ranged from 1.8% in California to 27.1% in West Virginia. A significant number of women smoke throughout the entire pregnancy. Health educators, nurses, physicians and tobacco treatment specialists—anyone who counsels pregnant smokers—need effective, proven techniques with which to motivate and counsel pregnant women who smoke.
This session is designed to teach participants how to use motivational interviewing and how to counsel pregnant smokers. The Cochrane Review (2017) found “moderate-to-high” quality evidence demonstrating that psychosocial interventions increase the quit rate among pregnant smokers.
This session will describe how to use counseling and patient-centered materials with pregnant smokers. It will build upon and extends the framework of the 5As tobacco counseling: Ask, Advise, Assess, Assist, and Arrange. The session will also discuss the basics of motivational interviewing and provide attendees an opportunity to practice motivational interviewing. Through demonstration, small group discussion and role-play, attendees will have the opportunity to practice their motivational interviewing and counseling skills.
Clinicians will be able to apply the information and skills they learn in this session to assess and assist pregnant smokers with smoking cessation. They will be able to help pregnant smokers set a quit date, fight cravings and break habits, and teach them how to quit for good.
This session will also address how to raise the issue of maternal smoking in a group setting, such as a childbirth education class or group prenatal care (Centering Pregnancy). Participants will learn how to introduce the subject of maternal smoking and how to guide the group into providing helpful support and suggestions to a pregnant smoker. In addition, participants will learn how to make the subject of smoking relevant to every member of the group, regardless of whether they smoke or not.
- Track: Compassion
- Presentation Level: Intermediate/Advanced
- Describe the Stages of Change model and how it applies to smoking cessation
- Describe why pregnancy is an ideal time for a smoker to attempt to quit
- List 3 reasons a pregnant smoker might give for quitting
- List 10 strategies a pregnant smoker can use to successfully quit
As a childbirth educator and birth doula, Liz Marshall has engaged over 1,000 pregnant women in their own health education in a variety of settings, including health department prenatal clinics and community classes. She has successfully implemented the Business Case for Breastfeeding, Centering Pregnancy, and Baby Basics Moms Club. In 2011, she was named Advocate of the Year by the Consortium for Infant and Child Health (CINCH) in Norfolk, Virginia. She currently manages the Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) program for the Society for Public Health Education. She received her Master of Public Health degree from The Ohio State University and lives in Takoma Park, Maryland with her husband and her youngest child.