Safer Baby Bundle Element 1 Reduce Smoking In

Safer Baby Bundle Element 1: Reduce Smoking In Pregnancy All Local Health Districts that provide maternity care encouraged to embed the Safer Baby Bundle Elements into routine clinical care David Antcliff and Dr Christine Marsh June 2020 Inform women about the risks of smoking and support them to stop smoking during pregnancy

Safer Baby Bundle: Element 1 Clinical Excellence Commission 2

The Evidence: NSW Data Smoking 2018 Cigarettes Marijuana Smoking at some time in pregnancy: Narjeela Arghile Smoking in pregnancy is one of the main contributors of stillbirth Shisha 7. 5% of non-Aboriginal or Torres Strait Islander women reported smoking. • 43. 2% of Aboriginal or Torres Strait Islander women reported smoking, compared to 45. 2% in 2014. Smoking in the second half of pregnancy: Hookah Hubble Bubble • Goza e-cigarettes vapours • Greatest risk to the health of both mother and baby • 38. 5% of Aboriginal or Torres Strait Islander mothers reported smoking during this time. Clinical Excellence Commission 3

Position Statement This position statement forms part of the National ‘Safer Baby Bundle’. The purpose of this statement is to summarise what is known about the risks of smoking in pregnancy and how best to help pregnant women (and their partners) stop smoking. Position Statement: Smoking Clinical Excellence Commission 4

Actions For Implementation • Education and training e. Learning and face to face and focus on “the conversation” • • Offering and arranging prescription for Nicotine Replacement Therapy (NRT) Ask, Advise and Help model – early referral, personalised care and support • Provide resources for women • Carbon Monoxide (CO) monitors as part of routine care at first antenatal visit and at 28 -week visit. Clinical Excellence Commission 5

Smoking Cessation Care Pathway Clinical Excellence Commission 6

How will you know you are making a difference? e. Maternity/Cerner Maternity Surveys & Audits 1. Proportion of women who undertake exhaled breath carbon monoxide (CO) analysis at first antenatal assessment visit and at 28 weeks antenatal visit appointment 2. Proportion of women, identified as smoking, with documented referral to smoking cessation service e. g. Quitline 3. Proportion of women, identified as smoking, who are provided with information and/or resources about the risks associated with smoking and advised to quit smoking at first antenatal Assessment 4. Proportion of women, identified as smoking, who engage with a smoking cessation service. e. g. Quitline. Clinical Excellence Commission 7

Education & Resources • Safer Baby Bundle information and resources for maternity healthcare professionals: Smoking • Equipment: CO monitors plus consumables and video training in how to use and maintain them cessation brochure for women, posters • Position statement: Smoking – one of the most important things to prevent in pregnancy and beyond • Safer Baby Bundle educational program for maternity care providers (e. Learning): Smoking cessation chapter Clinical Excellence Commission 8

This presentation acknowledges the contribution of others who provided materially to the February 2020 Learning Sets for the NSW Safer Baby Bundle Research sites Contact Details Dr Christine Marsh Improvement Lead Clinical Excellence Commission Email: CEC-saferbabybundle@health. nsw. gov. au Web: http: //www. cec. health. nsw. gov. au/keep-patientssafe/Maternity-Safety-Program Clinical Excellence Commission 9