Randomized controlled trial of a midwife-delivered brief smoking cessationintervention in pregnancy

Objective. To evaluate the efficacy of a brief smoking cessation interventi on with pregnant women practicable routinely by midwives. Design. Midwives were randomized to deliver the experimental intervention or usual care. The 10-15-minute intervention was based on brief counselling, written material s, arrangements for continuing self-help support and feedback on expired-ai r carbon monoxide levels. The intervention was tailored to the women's need s: those who did not want to stop smoking received a brief motivational int ervention, those who wanted to stop received an intervention designed to as sist them and those that had stopped recently (recent ex-smokers) received a relapse prevention intervention. Setting. Booking interviews with pregnan t women in nine hospital and community trusts. Subjects. A total of 1120 pr egnant women in the third month of pregnancy (249 recent ex-smokers and 871 current smokers). Main outcome measures. Three indicators of biochemically validated abstinence were collected. Continuous abstinence for at least 3 months prior to delivery, point prevalence abstinence immediately post-deli very, and continuous abstinence from 3 months pre-delivery to 6 months post -delivery. Results. Only a small proportion of the women who would have bee n eligible to take part in the trial were actually recruited by 178 recruit ing midwives, with lack of time being cited as the main barrier. The interv ention and usual care groups differed in post-delivery point prevalence abs tinence rates for recent ex-smokers (65% vs. 53%, p<0.05, one-tailed), but not in other outcome measures. Overall, 54% of 'recent ex-smokers' at booki ng and 7% of 'current smokers' at booking had been abstinent for at least 3 months at the time of delivery, and 23% and 3%, respectively, were still a bstinent by the time the child was 6 months old (i.e. 12 months post-interv ention). Smoking status at follow-up was predicted by dependence indexed by time to first cigarette in the morning. Conclusions. A brief 'one-off' smo king cessation intervention by midwives does not seem to be a practicable o r effective method of helping pregnant smokers to stop. Other options such as tailored self-help materials and telephone counselling and other special ist treatments should be examined. Current smoking cessation rates in pregn ancy are very low.