Measure Status: Active
Evidence Level: Emerging. Aligns with MCHbest strategy "Counseling" (https://www.mchevidence.org/tools/strategies/14-1-1.php). Find other NPM 14 system/provider/patient-level strategies in MCHbest.
Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)
Service Type: Public health services and systems level of pyramid
Essential Public Health Services: 4. Support and mobilize partners
Service Recipient: Activities related to systems-building
Goal: To increase the proportion of women during pregnancy, childbirth and the puerperium in health care organizations providing recommended screening, education and referral for women who smoke during pregnancy
Numerator: Number of health organizations receiving information, technical assistance, and/or support for maternal and/or infant health care improvement annually through DSHS MCH programs to increase practices supportive of smoking cessation among women of chil
Significance: The American College of Obstetricians and Gynecologists document the importance of education, assessment, screening, and intervention for tobacco and nicotine use during pregnancy and in the interpregnancy period for reducing the percent of women who smoke during pregnancy and maintaining smoking cessation. Behavioral pharmacotherapy interventions, such as recommended by the U.S. Preventive Services Task Force , have demonstrated efficacy for smoking cessation. Screening for tobacco and nicotine use and providing resources and interventions for smoking cessation should be incorporated into routine maternal care as well as targeted care for women at risk of maternal morbidity, such as women with opioid use disorder.
Guerby, P., Garabedian, C., Berveiller, P., Legendre, G., Grangé, G., & Berlin, I. (2020). Tobacco and Nicotine Cessation During Pregnancy. Obstetrics and gynecology, 136(2), 428–429. https://doi.org/10.1097/AOG.0000000000004033
American College of Obstetricians and Gynecologists, & Society for Maternal-Fetal Medicine (2019). Obstetric Care Consensus No. 8: Interpregnancy Care. Obstetrics and gynecology, 133(1), e51–e72. https://doi.org/10.1097/AOG.0000000000003025
Siu AL. Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women: U.S. Preventive Services Task Force Recommendation Statement. U.S. Preventive Services Task Force. Ann Intern Med 2015;163:622–34.
Krans, E. E., Campopiano, M., Cleveland, L. M., Goodman, D., Kilday, D., Kendig, S., Leffert, L. R., Main, E. K., Mitchell, K. T., OʼGurek, D. T., DʼOria, R., McDaniel, D., & Terplan, M. (2019). National Partnership for Maternal Safety: Consensus Bundle on Obstetric Care for Women With Opioid Use Disorder. Obstetrics and gynecology, 134(2), 365–375. https://doi.org/10.1097/AOG.0000000000003381
Data Sources and Data Issues: Data Source: DSHS HTMB Program data, including but not limited to data from the TexasAIM Program and the High-Risk Maternal Care Coordination Services Pilot
Data Issues: None anticipated
Unit Type: Simple Count, Unit Number: 100