In Ohio, 1 in 5 women report continued use of tobacco products during pregnancy. Maternal smoking is a modifiable risk that can have a direct impact on birth outcome and infant mortality. Tobacco use during pregnancy can lead to increased rates of miscarriage, preterm birth, low birth weight and birth defects. However, women who quit using tobacco before or during pregnancy can significantly decrease these risks.
In partnership with the Ohio Department of Health (ODH) and the Ohio Department of Medicaid (ODM), the Ohio Smoke Free Families Perinatal Learning Collaborative seeks to reduce the use of tobacco among Medicaid women during pregnancy and subsequently improve birth outcomes for their babies. The Smoke Free Families-Perinatal project will build on the accomplishments of previous tobacco cessation initiatives and expand resources and interventions for pregnant women. Through the project, Cincinnati Children’s Hospital Medical Center – Ohio Perinatal Quality Council will seek to recruit high volume OB-GYN sites for participation in a quality improvement learning collaborative alongside ODH funded program sites and Federally Qualified Health Centers (FQHCs). Participating sites will receive training on the Ohio Smoke Free Families provider toolkit, "5 A's", "5 R's" and motivational interviewing as well as implementing tools and interventions at their site.
To reduce the use of tobacco among women postpartum and the exposure to secondhand smoke of their infants and other family members, the Ohio Smoke Free Families program will use evidence-based practices in pediatric settings to address women postpartum and their families. The specific goals of the project include:
- Reduction of self-reported exposure to infants in the home measured in number of packs or vapes smoked per day
- More than 90% of caregivers presenting to primary care providers screened for smoking in home setting
- More than 90% of those who screen positive for smoking in the home setting receive the "5 A's" plan to quit smoking
- At least 25% reduction in the number of children exposed to second hand smoke based on evidence of cessation efficacy
In collaboration with the Ohio Chapter of the American Academy of Pediatrics, the Ohio Colleges of Medicine Government Resource Center will develop a data collection tool to track interventions and tobacco cessation progress. Participating sites will also receive training on the Ohio Smoke Free Families provider toolkit, the "5 A's", the "5 R's", motivational interviewing and one-on-one counseling, as well as effectively implementing these tools and interventions at their sites.
Provider toolkits are available for download at www.ohiosmokefreefamilies.org
This project is funded by Ohio Department of Health and Ohio Department of Medicaid.