wow mums women of wirral leena sankla mfph, frsph project director samantha thompson regional...
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WOW MUMSWomen of Wirral
Leena Sankla MFPH, FRSPHProject Director
Samantha ThompsonRegional Coordinator
Smoking in Pregnancy
• Health implications on unborn baby & expectant mother (Grey et al., 2002)
• Estimated cost to NHS between £20 – 87.5 million per year (Godfrey et al., 2010)
• Over 12% mothers smoke at time of delivery in England (Health & Social Care Information Centre, Statistical release 2012)
Who?
• Young • Low Socio-economic groups• Areas of deprivation• Low Educational achievements• Lack of support• Low Self Esteem
(Infant Feeding Survey 2010; Ebert 2007; Frost 1994; Graham 1977; Graham 1996; Tappin 1996)
Wirral Figures
Year Number of Pregnancy Quits
Quit Rate
2007/2008 12 26%
2008/2009 26 44%
2009/2010 63 57%
2010/2011 39 43%
2011/2012 21 23%
Figures source:Wirral DOH Returns
• Increase the number of pregnant smokers quitting smoking throughout pregnancy and two months post partum
• Deliver an integrated service, with big focus on behaviour change, body image, physical activity, healthy eating, self esteem & smoking cessation.
• Increase self esteem of pregnant women who smoke using a recognised measuring tool such as the Rosenberg self esteem scale.
• Increase awareness and referrals to other appropriate lifestyle services such as sexual health, drugs and alcohol where a need is identified.
Aims & Objectives
Accessible and Equitable Services
Tranmere, Rock Ferry & Central BirkenheadBidston, Beechwood & North BirkenheadLeasowe, Moreton East & Woodchurch Seacombe, Poulton, Egremont & Liscard
Target most deprived and hard to reach groups in Wirral
• Free 12 Week Course
• 1 hour 30 minutes per week
• First half of session – Smoking Cessation
• Second Half of session – Integrated topics
• Primarily held in local children's centres
• Crèche and Transport provided
• Access to many other support services; NHS services, Homestart, Forum Housing, Childrens Centres etc.
• Home Visit service offered as an alternative
• Referrals predominantly from Midwives
Overview of MeTime
Risks of Smoking in Pregnancy/ Benefits of Quitting Smoking
Direct supply of Nicotine Replacement Therapy(Including combination therapy)
Weekly Behavioural Support at group
Telephone contact / Home Visit throughout week.
Weekly Carbon Monoxide readings
Quit Voucher incentives offered at 4, 8 & 12 week quit.
Smoking Cessation in Pregnancy
Healthy Eating / Weight Management/Body Image
Exercise Guidance– delivered by qualified instructor
Coping with Stress & Financial support
An Introduction in to Breast Feeding
Future Hopes and Dreams for mum
Peer Pressure / Social Smoking
Reflexology – delivered by qualified instructor
Relaxation Techniques
Holistic/Integrated Topics
Total 4 Week Quit = 60 %
2013/ 2014Total Number Sign Ups 1534 week Quits 9212 Week Quits 64
* Based on reporting's up until 04/06/14
2013/2014 Key Findings
• 60% 4 week Quit Rate
• 42% 12 Week Quit Rate
• 73% sign ups resided in 20% most deprived postcodes in Wirral
• 95% CO validated quits
• 97% of women completing post self esteem scale had increased their score, 3 % maintained the same score.
2013/2014 Key Findings
Wirral Smoking Cessation Statistics
Year Number of Pregnancy Quits
Quit Rate % CO Validation
2007/2008 12 26% 66%
2008/2009 26 44% 73%
2009/2010 63 57% 52%
2010/2011 39 43% 56%2011/2012 21 23% 48%
2012/2013 69 54% 87%2013/2014 92 60% 95%
Laura* joined our Rock Ferry group with a CO reading of 25ppm and was a heavily dependent smoker smoking 20+ cigarettes a day. She has now quit for over 20 weeks and has had a lovely healthy baby. She says;
‘I have found the MeTime Stop Smoking group very good as I have managed to completely stop smoking. At first I found it difficult to deal with not smoking as it had become a habit after 8 years. My first quit date was unsuccessful but I gave it another go 2 days later and found it a lot easier with the patches. After 3 weeks I found I was able to come off the patches and have been fine on my own. Sammy and Amy have been brilliant throughout this whole process and I would recommend this group to all my friends and family!.’
Testimonials
Diane* struggled to give up her cigarettes in the first few weeks at our group but she used 16 hour patched to help her and is now nearing her due date, over 20 weeks quit, no longer using NRT, and confident she will never smoke again. She says;
‘I found the MeTime club extremely useful and had full support throughout the course. Not only was I able to stop smoking but I also enjoyed getting to know new people and learnt a lot of things I didn’t know already such as healthy eating, exercises and stress management. I really wish the course went on for longer as I will miss coming every week.’
Testimonials