2. This new service is: FreeConfidential One to one counselling provided by a PHN Personalized

3. Our Practice Initial meeting: approx. 45 min long Initial meeting: approx. 45 min long Client’s smoking history, mental and physical history are discussed. Depending on the client’s readiness, the PHN would explore the development of a quit plan with client. Client’s smoking history, mental and physical history are discussed. Depending on the client’s readiness, the PHN would explore the development of a quit plan with client.

4. Our Practice Follow-up Meetings Approx. 30 min. An opportunity to follow-up on quit plan, work with client to explore new coping strategies, discuss environment, behaviour and the option of NRT.

5. Pharmacological Interventions for Pregnant Smokers Behavioural therapy should be encouraged before pharmacological intervention. NRT can be used with women who are unable to quit during pregnancy, under the supervision of their primary health care provider. Breastfeeding while using NRT provides the same level-or less-of nicotine to the infant, without the other chemicals in smoke. (Dragonetti, R. Selby, P. 2007)

6. Pregnant Women Between 50% and 60% of women who quit during pregnancy relapse to smoking within 6 months postpartum. (Dragonetti,R., Selby, P., 2007) Approach needs to be women centered Focus on individual’s support system (her partner and other family members who smoke)

7. Working together… Can refer clients by calling the Health Unit at 743-1000 ext. 330 Fax referral option (available as a pdf on our website) Self referral “Pragmatic Strategies to Help Pregnant Smokers Quit” Peter Selby and Rosa Dragonetti available on the internet at: www.smokingcessationrounds.ca www.smokingcessationrounds.ca