1. WOW MUMS Women of Wirral Leena Sankla MFPH, FRSPH Project Director Samantha Thompson Regional Coordinator

2. Smoking in Pregnancy Health implications on unborn baby & expectant mother (Grey et al., 2002) Estimated cost to NHS between £20 – 87.5 million per year (Godfrey et al., 2010) Over 12% mothers smoke at time of delivery in England (Health & Social Care Information Centre, Statistical release 2012) Who? Young Low Socio-economic groups Areas of deprivation Low Educational achievements Lack of support Low Self Esteem (Infant Feeding Survey 2010; Ebert 2007; Frost 1994; Graham 1977; Graham 1996; Tappin 1996)

3. Wirral Figures YearNumber of Pregnancy Quits Quit Rate 2007/20081226% 2008/20092644% 2009/20106357% 2010/20113943% 2011/20122123% Figures source: Wirral DOH Returns

4. Increase the number of pregnant smokers quitting smoking throughout pregnancy and two months post partum Deliver an integrated service, with big focus on behaviour change, body image, physical activity, healthy eating, self esteem & smoking cessation. Increase self esteem of pregnant women who smoke using a recognised measuring tool such as the Rosenberg self esteem scale. Increase awareness and referrals to other appropriate lifestyle services such as sexual health, drugs and alcohol where a need is identified. Aims & Objectives

5. Accessible and Equitable Services Tranmere, Rock Ferry & Central Birkenhead Bidston, Beechwood & North Birkenhead Leasowe, Moreton East & Woodchurch Seacombe, Poulton, Egremont & Liscard Target most deprived and hard to reach groups in Wirral

6. Free 12 Week Course 1 hour 30 minutes per week First half of session – Smoking Cessation Second Half of session – Integrated topics Primarily held in local children's centres Crèche and Transport provided Access to many other support services; NHS services, Homestart, Forum Housing, Childrens Centres etc. Home Visit service offered as an alternative Referrals predominantly from Midwives Overview of MeTime

7. Risks of Smoking in Pregnancy/ Benefits of Quitting Smoking Direct supply of Nicotine Replacement Therapy (Including combination therapy) Weekly Behavioural Support at group Telephone contact / Home Visit throughout week. Weekly Carbon Monoxide readings Quit Voucher incentives offered at 4, 8 & 12 week quit. Smoking Cessation in Pregnancy

8. Healthy Eating / Weight Management/Body Image Exercise Guidance– delivered by qualified instructor Coping with Stress & Financial support An Introduction in to Breast Feeding Future Hopes and Dreams for mum Peer Pressure / Social Smoking Reflexology – delivered by qualified instructor Relaxation Techniques Holistic/Integrated Topics

9. Total 4 Week Quit = 60 % 2013/ 2014 Total Number Sign Ups 153 4 week Quits 92 12 Week Quits 64 * Based on reporting's up until 04/06/14 2013/2014 Key Findings

10. 60% 4 week Quit Rate 42% 12 Week Quit Rate 73% sign ups resided in 20% most deprived postcodes in Wirral 95% CO validated quits 97% of women completing post self esteem scale had increased their score, 3 % maintained the same score. 2013/2014 Key Findings

11. Wirral Smoking Cessation Statistics YearNumber of Pregnancy Quits Quit Rate% CO Validation 2007/20081226%66% 2008/20092644%73% 2009/20106357%52% 2010/20113943%56% 2011/20122123%48% 2012/20136954%87% 2013/20149260%95%

12. Laura* joined our Rock Ferry group with a CO reading of 25ppm and was a heavily dependent smoker smoking 20+ cigarettes a day. She has now quit for over 20 weeks and has had a lovely healthy baby. She says; ‘I have found the MeTime Stop Smoking group very good as I have managed to completely stop smoking. At first I found it difficult to deal with not smoking as it had become a habit after 8 years. My first quit date was unsuccessful but I gave it another go 2 days later and found it a lot easier with the patches. After 3 weeks I found I was able to come off the patches and have been fine on my own. Sammy and Amy have been brilliant throughout this whole process and I would recommend this group to all my friends and family!.’ Testimonials

13. Diane* struggled to give up her cigarettes in the first few weeks at our group but she used 16 hour patched to help her and is now nearing her due date, over 20 weeks quit, no longer using NRT, and confident she will never smoke again. She says; ‘I found the MeTime club extremely useful and had full support throughout the course. Not only was I able to stop smoking but I also enjoyed getting to know new people and learnt a lot of things I didn’t know already such as healthy eating, exercises and stress management. I really wish the course went on for longer as I will miss coming every week.’ Testimonials

14. For further information on the MeTime Pregnancy Programme, Please contact; Leena Sankla MFPH, FRSPH Project Director 0118 925 3325 | 07941 898810 Dr Asiya Kaiser Project Manager 0118 925 3325 | 07769 677917 Samantha Thompson Regional Coordinator 0118 925 3325 | 07824 806 132