Historique
Article de Périodique
Pregnancy and tobacco: Practice and knowledge of French midwives (2024)
Auteur(s) :
PIERROT, B. ;
LEGENDRE, G. ;
RIOU, J. ;
GENTIL, A. ;
MOLLE-GUILIANI, B. ;
PETIT, A.
Année
2024
Page(s) :
art. 103886
Langue(s) :
Anglais
Domaine :
Tabac / Tobacco / e-cigarette
Thésaurus géographique
FRANCE
Thésaurus mots-clés
SAGE-FEMME
;
GROSSESSE
;
TABAC
;
NIVEAU DE CONNAISSANCES
;
PRATIQUE PROFESSIONNELLE
;
SUBSTITUTS NICOTINIQUES
;
PRISE EN CHARGE
;
ENQUETE
;
PRESCRIPTION MEDICALE
Résumé :
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.
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.
Affiliation :
Service de Gynécologie-Obstétrique, Centre Hospitalier Universitaire d'Angers, Angers, France
École de Sages-Femmes, Centre Hospitalier Universitaire d'Angers, Angers, France
Unité de Coordination de Tabacologie, Département de Pneumologie, Centre Hospitalier Universitaire d'Angers, Angers, France
Irset, Inserm UMR 1085, Equipe Ester, UFR Santé, Département de Médecine, Angers, France
École de Sages-Femmes, Centre Hospitalier Universitaire d'Angers, Angers, France
Unité de Coordination de Tabacologie, Département de Pneumologie, Centre Hospitalier Universitaire d'Angers, Angers, France
Irset, Inserm UMR 1085, Equipe Ester, UFR Santé, Département de Médecine, Angers, France