Pierrot Béatrice, Legendre Guillaume, Riou Jérémie, Gentil Alexandra, Molle-Guiliani Brigitte, Petit Audrey
Service de Gynécologie-Obstétrique, Centre Hospitalier Universitaire d'Angers, 4 rue Larrey, 49933 ANGERS cedex 9, France; École de Sages-Femmes, Centre Hospitalier Universitaire d'Angers, 4 rue Larrey, 49933 ANGERS cedex 9, France; Unité de Coordination de Tabacologie, Département de Pneumologie, Centre Hospitalier Universitaire d'Angers, 4 rue Larrey, 49933 ANGERS cedex 9, France; Irset, Inserm UMR 1085, Equipe Ester, UFR Santé, Département de Médecine, Rue Haute de Reculée 49045 Angers Cedex, France.
Service de Gynécologie-Obstétrique, Centre Hospitalier Universitaire d'Angers, 4 rue Larrey, 49933 ANGERS cedex 9, France; École de Sages-Femmes, Centre Hospitalier Universitaire d'Angers, 4 rue Larrey, 49933 ANGERS cedex 9, France.
Midwifery. 2024 Feb;129:103886. doi: 10.1016/j.midw.2023.103886. Epub 2023 Nov 15.
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).
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.
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.
Improving the training of midwives in the screening and management of smoking cessation during pregnancy seems necessary.
评估助产士在孕妇戒烟管理方面的实践和知识，并分析开具尼古丁替代疗法（NRT）的助产士的特征。
2020年9月1日至2021年9月15日，通过在线自填问卷对23541名法国助产士进行了一项全国性实践调查。
对1216份有效问卷（97.7%为女性，大多年龄在30至49岁之间且不吸烟）的分析显示，93.4%的助产士在孕期经常询问孕妇的吸烟情况。91%的助产士了解并实施了最低限度的咨询，26.9%了解法格斯特龙测试，27.1%了解呼出一氧化碳测量。关于NRT，60%的助产士以常规方式开具，36.8%的助产士知道可以给孕妇的随行人员开具。开具NRT的助产士特征更关注孕妇戒烟；更多在医院工作；进行25%或更多的产前监测咨询；对评估工具的了解明显更好，且不受性别或吸烟状况影响。
似乎有必要加强助产士在孕期戒烟筛查和管理方面的培训。
