The effects of smoking cessation counseling by midwives on Dutch pregnant women and their partners

H. de Vries*, M, Bakker, P. Mullen, G.J.P. van Breukelen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Objective: Smoking during pregnancy is,an important problem in the Netherlands. We tested the effectiveness of a health counseling method by midwives using a RCT. Methods: Four provinces with 42 practices including 118 midwives were randomly assigned to the experimental or control condition. Midwives in the experimental group provided brief health counseling, self-help materials on smoking cessation during pregnancy and early postpartum, and a partner booklet. Controls received routine care. The main outcome measures were 7-day abstinence, continuous abstinence, and partner smoking at 6 weeks post-intervention (T1) and 6 weeks postpartum (T2). Results: Multi-level analysis revealed significant differences between both conditions at T1 and T2 using intention-to-treat analysis. Nineteen percent of the experimental group reported 7-day abstinence compared to 7% of the control group at T1, and 21 and 12%, respectively, at T2. For continuous abstinence these percentages were 12% in-the experimental group and 3% in the control group. The partner intervention was not successful. Conclusion: The intervention resulted in significant effects on smoking behavior for pregnant women, but not for partner smoking. Practice implications: The program realized short-term effects. An important precondition is that midwives need a proper training.
Original languageEnglish
Pages (from-to)177-187
JournalPatient Education and Counseling
Issue number1-2
Publication statusPublished - 1 Jan 2006

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