(精选)NHS临床指南 Health inequalities, infant mortality and stillbirth教学课件.pptVIP

;What do we know about the impact on still birth, infant mortality and health inequalities? What are the drivers and challenges? What is the evidence for action and how do we make it work in practice? Who needs to take action?;Smoking is an important modifiable risk factor in pregnancy;Smoking in pregnancy accounts for:;Smoking in pregnancy accounts for: ;Deaths by age group;Infant mortality rates;Low birthweight;Reduce the number of women of child bearing age who smoke. Increase the number of women who stop prior to pregnancy or in very early pregnancy. Increase the number of women accessing stop smoking advice and support. Increase the number of women who set a quit date and the percentage who go on to have a smokefree pregnancy. Decrease the number of women who relapse back to smoking in the post natal period. Decrease the number of partners or other household members who continue to smoke during a woman’s pregnancy. Consider how we can better support those who choose to self quit.;Reducing smoking in pregnancy: what needs to be done;2014/15 Maternities 622,643SATOB 79,717 *SATOD 70,879SQD 18,887 (23.7% of SATOB)Quit at 4 weeks 8,838 (11.1% of SATOB)Quit (covalidated) 5,199 (6.5% of SATOB) 2015/16 (Q1/2/3) Maternities 478,906SATOB 56,445*SATOD 50,717SQD 12,529 (22% of SATOB)Quit at 4 weeks 5,728 (10.1% of SATOB)Quit (covalidated) 3,457 (6.1% of SATOB) * No accurate data so using SATOD and quits ;NICE guideline PH26 How NHS professionals and others working in the public, community and voluntary sectors can identify women (including teenagers) who smoke when they attend an appointment or meeting. How to refer them to NHS Stop Smoking Services (or the equivalent). How NHS Stop Smoking Services staff (and staff from equivalent, non-NHS services) should contact and support all women who have been referred for help. How to help their partners or ‘significant others’ who smoke. When and how nicotine replacement therapy and o