An in-person and telephone-based counseling program for pregnant African-American women with the goal of reducing behavior-related risk factors during pregnancy and in the postpartum period. In addition to receiving standard prenatal care, pregnant women attend an average of four behavioral counseling sessions during pregnancy and one session after giving birth. The intervention significantly reduced health risks from baseline to 10 weeks postpartum. Early results from a study evaluating the program’s impact on birth weight and infant mortality are encouraging.
Topic: Tobacco Cessation
Clinical Effort Against Secondhand Smoke Exposure (CEASE) Program
In an effort to reduce children’s exposure to tobacco smoke, the Clinical Effort Against Secondhand Smoke Exposure program uses pediatric offices to provide smoking cessation assistance to parents who smoke, as well as to help families establish rules for a completely smoke-free home and car. Trained pediatricians and office staff consistently and systematically use a streamlined, three-step version of the traditional five-step (i.e., ask, advise, assess, assist, arrange) approach to smoking cessation and smoke-free home and car rule support. The program has led to an increase in the provision of cessation assistance and higher quit rates.
Baby & Me – Tobacco Free
Incentive based program to increase smoking cessation among women during and after pregnancy. Demonstrated quit rate of 60% at 6 months post-partum. Developed in New York, now implemented in 8 states. Mothers commit to quitting smoking while pregnant, and stay nonsmoking after the birth. Mothers must attend at least 4 smoking cessation counseling sessions, and agree to submit to breath tests. If mothers remain smoke free, they receive monthly vouchers for free diapers up until their baby’s first birthday.
CDC’s Information for Men on Preconception Health and Health Care
Men’s portion of the CDC’s information on preconception health and health care. Includes information on making a reproductive life plan for men, preventing and treating sexually transmitted diseases, tobacco and drug cessation, infertility, maintaining a healthy weight, learning about family history, getting help for violence, getting mentally healthy, and supporting one’s partner.
Alcohol/Drug Services Chronic Disease Depression Healthy Weight Intimate Partner Violence Partner Involvement Reproductive Life Planning/Family Planning STDs including HIV Tobacco Cessation
Smokefree MOM, women.smokefree.gov
Women.smokefree.gov includes resources for women at any stage hoping to quit smoking tobacco, and has an entire section devoted to pregnant women and mothers. Smokefree MOM is a free texting service that provides tips, advice, and support for pregnant mothers in the process of quitting smoking.
5A’s – Five Major Steps to Intervention
An easy-to-implement, evidence-based clinical counseling approach. The 5 A’s: Ask, Advise, Assess, Assist, and Arrange are 5 steps providers can use to identify appropriate interventions based on a patient’s willingness to quit.
1-800 Quit Now
Calling 1-800-QUIT-NOW will connect you directly to your state quitline. All states have quitlines in place with trained coaches who provide information and help with tobacco cessation. Specific services and hours of operation vary from state to state.