Compared with other Dutch regions, women living in the North of the Netherlands are significantly more classified in the lowest socio-economic status (SES) quartile, and are more likely to have adverse lifestyle behaviors (e.g. smoking behavior).
To support these women to quit smoking during and after pregnancy, healthcare professionals (e.g. midwives, gynecologist, general practitioners) can support women using the Trimbos Guideline Addendum Treatment of tobacco addiction and smoking cessation support to pregnant women (Trimbos Guideline). A successful implementation of the Trimbos Guideline in daily practice will lead to a more tailored support of low SES and with that, a decrease in the prevalence of smoking during pregnancy and after childbirth. Not smoking during or after pregnancy will reduce the risks of complications during pregnancy, and other future health problems of the baby. Quitting smoking will also benefit woman’s long-term health since risk factors will be reduced for e.g. cardiovascular diseases, cancer and respiratory diseases.
The project aims to optimize the implementation of the Trimbos Guideline in daily practice of healthcare professionals regarding low SES pregnant women who smoke during and/or after pregnancy living in Groningen, Friesland and Drenthe and with that to reduce the number of low SES women that smoke during and after pregnancy.
The relevance of this project is substantive given the lack of a quit smoking guideline that is implemented in such a way that low SES pregnant women benefit from it. The fact that the adherence of health care professionals to (parts of) the Trimbos guideline is low, indicates that research focusing on optimal implementation of the guideline is needed by health care professionals and required to support women in quitting smoking.