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Table 2 Organisation of English Stop Smoking Services for Pregnant women

From: Provision of smoking cessation support for pregnant women in England: results from an online survey of NHS stop smoking services for pregnant women

  Percentage n Total*
Service configuration
Support for pregnant women offered via:** Generic Stop Smoking Service 57 69 121
  Specialist SSSP 55 67
  Midwives employed by maternity unit 12 15
  Healthy lifestyles’ service 2 2
Funded by “payment by results” 7 8 121
Specific pregnancy budget 31 34 109
Have current specialist pregnancy advisor in post 76 92 121
Ever had a specialist pregnancy advisor in post 59 17 29†
Substantial changes have taken place at SSSP since March 2011 59 61 104
Identification and referral
Identification of smokers:** Self-reported smoking status only 39 46 118
  Exhaled CO only 27 32
  Combination of exhaled CO and self-report 18 21
  No policy exists/Not sure 9 11
Referral of smokers:** Opt-in 55 44 118
  Opt-out 37 65
  No single policy/Not sure 8 9
  Combined exhaled CO and opt-out 20 24 118
Most common referring group: Community midwife 76 89 118
  Hospital midwife 17 20
  Self-referral 3 4
  Family doctor 2 2
  Other 2 2
  Clinician 1 1
  Nurse 0 0
  Health visitor 0 0
  Children’s centre staff 0 0
  Pregnancy outreach workers 0 0
Engaging with pregnant women
Staff member initially engaging with referred women: Specialist stop smoking in pregnancy advisor 45 53 118
  Administrative staff 25 29
  Specialist stop smoking in pregnancy manager/lead 13 15
  Stop Smoking manager/advisor 12 14
  Any staff member 3 3
  Other 3 3
  Midwife 1 1
  Nurse 0 0
  Pharmacist 0 0
Mode of contact for engaging with referred women: Telephone call 88 104 118
  Letter 6 7
  Text message 3 3
  Face-to-face in clinic 2 2
  No standard contact method 2 2
  Email 0 0
  Home visit 0 0
  Referred women establish contact 0 0
Stage of pregnancy referrals most commonly received in: First trimester 86 61 71††
  Second trimester 10 7
  Third trimester 4 3
Service promotion
Setting in which smoking in pregnancy training provided:** Mandatory training for maternity services midwives 58 68 118
  Optional training for maternity services midwives 58 68
  Other 33 39
  University training for student midwives 25 29
  None 6 7
Type of service promotion:** Posters in antenatal clinics 93 100 108
  Training for midwives/Family doctor practice staff 91 98
  Posters/flyers in community 82 89
  Flyers etc. in maternity booking packs 70 76
  Television/radio/local press 32 35
  Obstetrician meetings 32 34
  Other 30 32
  Internet including social networking sites 19 20
  None 2 2
  1. SSSP, Stop Smoking Service for Pregnant Women; CO, carbon monoxide; NRT, nicotine replacement therapy.
  2. *total relates to number of SSSPs answering any part of that question. **question type allowed for multiple responses. †question was only asked of the 29 SSSP who said they did not have a specialist smoking in pregnancy advisor in post during 2010–11. ††this question was only asked of the 71 SSSP who said women were referred more commonly during a particular stage of their pregnancy.