What:



Specialist Groups - Pregnant and Postpartum WomenThis is a training standard developed for the National Training Service (NTS) Alliance. This standard has been developed in consultation with subject matter experts. This standard is not designed to be prescriptive of how, when or in what format training is delivered although some guidelines are included. The purpose of the standard is to provide benchmarks for knowledge and skill that need to be adhered to in training to ensure that consistent training outcomes are achieved throughout the sector. Training Standard: Specialist GroupsPregnant and Postpartum WomenThe following information outlines benchmarks or competencies for practitioners working directly with pregnant or post partum women. These standards are additional to the core competencies and seen as an advanced set of competencies.These practitioners are required to offer services that align with the specific needs of pregnant and postpartum women.What:The need for Pregnant and Post-partum training standards for smoking cessationMulti-sessional support to pregnant and post partum clients is offered by a broad range of people working in the health and social sector. Those offering the services must successfully facilitate the process using evidence based approaches.Who: The intended audience.Stop smoking practitioners and others who will provide multi-sessional support for pregnant and post partum clients. Where:The location of services.Wherever the services are offered – in clinics, home appointments, telephone, online or digitally. When: The time the services are offered.At the point of contactHow: The way the sessions are delivered.Face to face, by telephone, online or digitally at the point of contact.Benchmarks:KNOWLEDGE:The service provider / professional is able to:Describe the hesitancy many women have to discuss smoking including but not limited to:Fear of Stigmatisation and not wanting to be criticisedFeeling guilty for doing harmPreviously failed in attempts to quit and disempoweredDescribe the prevalence (including ethnic differences) and cessation rates in pregnant womanDescribe the factors related to smoking in pregnancy including but not limited to: Barriers to cessationRisks in pregnancyRisks to the foetus Describe the effects of second hand smoke on the foetus and on children which include but are not limited to: Low birth weight and preterm birthSudden Infant Death SyndromeAsthma cases as well as more frequent or severe asthma symptomsMiddle ear infections and diseases as well as tympanostomy tube insertions, tonsillectomies and adenoidectomiesAllergiesSleep problems including trouble falling asleep and sleep-disordered breathingReduced lung capacityColicDescribe the benefits of quitting for the baby including, but not limited to: Increase in oxygen intake More likely to have a normal birth weightMore likely to be born at termDescribe the importance of partner/family involvement and support Describe the supports available to help pregnant and post partum women who want to stop smokingGroup based therapyOne on one therapyOnline/digital supportIdentify the roles in a wraparound service and the continuum of careDescribe how to use a CO monitor accuratelyDescribe the smoking cessation medicines appropriate for pregnant clients Describe the smoking cessations medicines that should not be used by pregnant clients including:Bupropion (Zyban)Nortriptyline (Norpress)Varenicilne (Champix)Describe strategies to reduce/eliminate second hand smoke including:Asking others not to smoke around her, before, during and after the pregnancyAsking others not to smoke around the baby or other childrenMaking the home and car smoke free (no one is allowed to smoke in the home or the car etc)Remove all ashtrays or paraphernalia from the homeHave her leave any room if someone smokesEncourage others to choose smoke free places to meetDescribe myths associated with removing second hand smoke Benchmarks:SKILL:The professional is able to:Motivate the client to make a quit attempt by explaining the benefitsfor the individual for the unborn childfor others in the family Provide at least 4 sessions of support following a quit dateUse appropriate incentives incorporated into treatment offeredDescribe the risks and benefits of using NRT to the clientDiscuss and advise about the use of other products the client may use (e.g. Ecigs)Use a CO monitor accuratelyExplain the risks related to smoking in pregnancy Provide information about the risks of smoking, benefits of quitting, and cover myths (e.g. Small baby = easier delivery)Discuss basic relapse prevention techniques to prevent post-partum relapse Encourage clients to utilise cessation supports Encourage discussion for the client to determine strategies to reduce/eliminate second hand smokeDiscuss with the partner/family, if possible, the importance of partner/family involvement and support Determine the smoking cessation medicines appropriate for pregnant clients and monitor care the client will require Existing training:Considerations:Good relationships with the groups providing cessation support to whom clients are referred is advantageous.Training and assessment consideration:Some things to consider could include:Design an add on module to the current online modules:what to say and how to say it – (includes a series of mini scenarios in which professionals have to select and justify the correct options. ................
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