Prenatal Smoking Cessation Training

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• This learning module was designed to empower clinicians, health educators and counselors to provide the best behavioral modification strategy for smoking cessations with prenatal clients using The Robert Wood Johnson Foundation's Smoke Free Families: Innovations to Stop Smoking During and Beyond Pregnancy.

• 3 contact hours are available for this activity. See nursing contact hours information below for more on how to obtain credit for this activity.

Content Related Independant Material Start Here Introduction Background Statistics Effects of Tobacco The Five A's Counseling Aids Systems Approach Hand Outs References Post Test Evaluation The Five A's - Ask, Advise, Assess, Assist, Arrange Ask Advise Assess - Includes the Five R's: Relevance Risks Rewards Roadblocks Repetition Assist   Developing a plan with your client: Eight steps to assisting your client develop a successful quitting plan 1. Discuss reasons to stop smoking 2. Determine the type of smoker 3. Identify trigger situations 4. Identify barriers to quitting 5. Discuss past cessation attempts 6. Choose a cessation method 7. Discuss withdrawal symptoms 8. Reward program Arrange The Five A's quick reference for 15 minute counseling session

1. Introduction
Health care providers are very effective change agents for smoking women. A fifteen minute, one-on-one smoking cessation session is accepted better by patients than most other methods of non-pharmaceutical cessation methods (Health Education Research: Theory and Practice).

It has been found that a higher percentage of women stop smoking during pregnancy, both spontaneously and with assistance, than at other times in their lives. Researchers have found that women who quit smoking before or during pregnancy reduce the risk for adverse reproductive outcomes, including conception delay, infertility, and pre-term premature rupture of membranes, pre-term delivery, and low birth weight infants (SGR at a glance).

Pregnancy specific programs increase smoking cessation rates, which benefit the infant's health and are cost effective (American Journal of Obstetric Gynecology). Currently, there is an 11% reduction in the incidence of low birth weight deliveries due to increased rates of prenatal smoking cessation (ACOG). Also, every dollar invested in smoking cessation for pregnant women equates to six dollars saved in neonatal intensive care costs and long term care associated with low birth weight deliveries (Marks JS, Koplan JP, Houge CJR, Dalmat ME. A cost benefit/cost effectiveness analysis of smoking cessation for pregnant women. American Journal of Preventative Medicine 1990; 6:282-89).

Sponsored by
The Region V Training Project of Health Care Education and Training, Inc. - HCET (more about us).

HCET offers regional and on-site training, individual assistance and consultation either through training grants or as fee-for-service. For further information on how we can serve your training needs, contact (317) 247-9008.

Nursing Contact Hours (more on our Services page)
In order to obtain nursing contact hours for this activity, the participant must read each section of this module. This may be at the participant's own pace. Once the participant has read the information, he/she may answer the post test questions either on-line or in print at the end of this material.

Once the participant's answers have been graded, and a passing score of 75% has been achieved, the participant will receive a contact hour record in the mail. We must have your nursing license number in order to send a contact hour record along with a check for $10. Please see the post test for more information on how to receive contact hours for this activity.

3 contact hours are available for this activity.

Please also see Prenatal Smoking Cessation Training of Trainers: Leaders Guide 2002 - Using the 5 A's

Begin the training: Section 2 >