SMOKING DURING PREGNANCY MECOSTA COUNTY Abby Fish, Sam Fries, Josh Gibson, Kathryn Kaufman, Jacqueline Mulder (DeBoer), Corrin Simon, Sara Staffen, Jenna Winters
SMOKING DURING PREGNANCY
MECOSTA COUNTYAbby Fish, Sam Fries, Josh Gibson, Kathryn
Kaufman, Jacqueline Mulder (DeBoer), Corrin Simon, Sara Staffen, Jenna Winters
MECOSTA COUNTY Population of 43,300 Demographic breakdown:
93% White 3.1% Black 1.9% Hispanic 1.6% Asian or Native
American Median Household Income
is $37,677 ($48,669 statewide)
9.1% Unemployed 23.6% below poverty 88.7% graduated high
school 21.6% have a Bachelor’s
degree
WhiteBlackHispanicOther
STRENGTHS & WEAKNESSES
The Good: Large healthcare
facility complex Plenty of open space Lower than state
average regarding some issues
The Not-So-Good High poverty rate Large number of
uninsured Large number of
jobless individuals Relatively low level of
education Limited
transportation High rates of other
morbidities
Nearly one-third of women smoked during pregnancy Statewide rate is 19%
Many factors predispose the women of Mecosta Poverty Level of education Occupational status 23.3% uninsured
SMOKING FOR TWO…
PROBLEMS IDENTIFIED
Risk for delayed growth and development 6.2% infants have low
birth weight 9.1 infant mortality rate
7.3 statewide
Risk-prone health behaviors
Risk for ineffective respiratory function related to second-hand smoke
GOALS AND OBJECTIVES
The rate of pregnant smokers living in Mecosta County will decrease from 31.4% to 25% after a 5 year period through educational teaching regarding fetal and maternal risks of tobacco use
The rates of respiratory infections and chronic respiratory disease in children born to smoking mothers will be reduced by 10% by 2020 as a result of a reduction in second-hand smoke exposure
INTERVENTIONS
The first intervention is to provide specialized counseling along with support Provided by certified personnel who specialize in
addictions Provides understanding through the
Transtheoretical Model & its stages of change Hosted at the local Health Department Available to women at any stage in pregnancy Attendance requirements
INTERVENTIONS
The second intervention for women who smoke while pregnant involves the barriers to access, health, and wellness.
The client’s definitions of health and wellness and major barriers to health and wellness related to smoking while pregnant will be assessed, and physical therapy will be used to aid in tobacco cessation.
EVALUATION
All members involved will meet to evaluate the program and the mothers who participated
Goal: advertise program and refer smoking mothers The program’s popularity will be tracked and
the attendance measured to determine if the goal was met.
Goal: patient teaching regarding the effects of smoking on the fetus Efficacy will be measured by
annually tracking the number of low birth weight infants born to mothers who use tobacco
If our numbers are not reached but our program seemed successful, we will determine what other barriers are standing in the way of the community
EVALUATION
If the percentage of women who smoke drop from 31.4% to 25%, then the goal will be achieved
If the goal is only partially met, then other barriers will be considered and the intervention altered
If the rates of respiratory infections and chronic respiratory disease in children born to smoking mothers are reduced by no less than 10% by 2020, then the educational intervention was a success
EVALUATION
REFERENCES
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Cunningham, Matt. (2011). 10 reasons people start smoking. Discovery Health. Discovery. Retrieved Sept 18, 2013 from http://health.howstuffworks.com/
District Health Department #10. (2012). Mecosta county health summary profile: 2012. DHD. Retrieved Sept, 20,2013 from http://dhd10.org/
Fahy, K. (2007). Why do women continue to smoke in pregnancy? Women Birth. 20(4):161-8. Retrieved Sept,18, 2013 from http://www.ncbi.nlm.nih.gov/pubmed/
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REFERENCES
Michigan Department of Community Health. 2012. Health Profile Chart Book Mecosta County. Retrieved from http://dhd10.org/images/Mecosta_Chartbook_2012_ April_2_2013.pdf
Oral Cancer Foundation. (2010). Demographics of tobacco use. Retrieved Sept 18, 2013 fromhttp://oralcancerfoundation.org/tobacco/
demographics_tobacco.htm The National Partnership to help Pregnant Smokers Quit. (2013). Retrieved
Sept 18, 2013 from http://www.helppregnantsmokersquit.org/ Nursing Theories. (2012). Health Belief Model. Retrieved Sept 18, 2013
from http://currentnursing.com/nursing_theory/health_belief_model.html
Röske, K., Thyrian, J. R., & Hapke, U. (2010, December 24). An intervention to support postpartum women to quit smoking or remain smoke-free. Journal of Midwifery & Women's Health, 51(1), 45-50. doi:10.1016/j.jmwh.2005.07.002. Retrieved from CINAHL.
Yu, S. M., Park, C. H., & Schwalberg, R. H. (2002, June). Factors associated with smoking cessation among U.S. pregnant women. Maternal
and Child Health Journal, 6(2), 89-97. Retrieved September 10, 2013, from CINAHL.
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