Jane I would love a copy of the implications for practice and the guidelines
as I am looking at this area at present.  Thanks Joan
----- Original Message -----
From: Jane Meltzer <[log in to unmask]>
To: <[log in to unmask]>
Sent: 20 October 1999 00:42
Subject: Re: smoking in pregnancy


> Hello Philomena
>
> My masters dissertation, 'Smoking Pregnancy and Disadvantage: An
> Issue of Empowerment' sought to understand smoking and health care
> support to quit from the woman's perspective. I conducted in depth
> interviews with 20 women in their own homes and at an antenatal
> clinic (in Queensland, Australia) and documented the meanings of
> smoking in their lives, their experience with midwives and doctors
> who try to get them to quit and the women's attempts to make sense of
> the complex and conflicting forces to quit and to smoke.
>
>
> The study shows that it is important to understand the perspectives
> of particular individuals and groups. The well meaning intervention
> by health practitioners may be reinterpreted by the women according
> to her own  experience and understanding or as a response to
> unconscious material. Health professionals also bring to the
> interaction a range of personal, social and cultural knowledges,
> assumptions and prejudices that may inhibit effective communication.
> The data indicated that the incompatibility between the health care
> practitioner's rationality and the woman's rationality can leave both
> sides feeling powerless, frustrated, misunderstood or angry.
>
> Issues of power in health care delivery and smoking as a means of
> asserting/maintaining control, suggest that power a central issue in
> smoking in pregnancy and delivery of cessation support.
>
> I wrote about the implications for practice and guidelines for
> smoking in pregnancy support in antenatal care which I can send if
> you like.
>
> Jane
>
>
> >Hi
> >I  am setting up an educational programme for midwives and early
> >childhood nurses re Smoking in Pregnancy----A BRIEF INTERVENTION
> >STRATEGY that can be incorporated into routine antenatal and
> >postnatal care that will encourage smoking cessation in pregnant
> >mothers and other family members as well as reducing the exposure of
> >infants to environmental tobacco smoke.
> >       Any advice, information, programmes available that are
> >effective would be appreciated so I do not have to reinvent the
> >wheel.
> >
> >                                                          Philomena
> >
> >
>
> Jane Meltzer
> 41 Dell Road
> St Lucia Q4067
> Australia
>
> Phone +617 3870 2090
> Fax +617 3870 9997
>




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