abstract: 'Problem: The majority of South Australian pregnant women who smoke do

  not quit during pregnancy. Addi-tionally, the prevalence of smoking is

  higher among pregnant women living in socially disadvantaged

  areas.Background: Understanding challenges in midwives'' provision of

  smoking cessation care can elucidate oppor-tunities to facilitate

  women''s smoking cessation.Aim: We aimed to understand midwives''

  perspectives on current practices, perceived barriers and facilitators

  to delivery of smoking cessation care, and potential improvements to

  models of smoking cessation care.Methods: An exploratory qualitative

  research methodology and thematic analysis was used to understand the

  perspectives of midwives in five focus groups. Findings: Four themes

  were generated from the data on how midwives perceived their ability to

  provide smoking cessation care: Tensions between providing smoking

  cessation care and maternal care; Organisational barriers in the

  delivery of smoking cessation care; Scepticism and doubt in the

  provision of smoking cessation care; and Opportunities to enable

  midwives'' ability to provide smoking cessation care.Discussion: A

  combination of interpersonal, organisational and individual barriers

  impeded on midwives'' ca-pacities to approach, follow-up and prioritise

  smoking cessation care. Working with women living with disad-vantage and

  high rates of smoking, the midwife''s role was challenging as it balanced

  delivering smoking cessation care without jeopardising antenatal

  care.Conclusion: Providing midwives with resources and skills may

  alleviate the sense of futility that surrounds smoking cessation care.

  Provision of routine training and education could also improve

  understandings of the current practice guidelines.'
affiliation: 'Smithers, LG (Corresponding Author), Univ Wollongong, Sch Hlth \& Soc,
  Wollongong, NSW 2500, Australia.

  Kalamkarian, Anna; Hoon, Elizabeth; Chittleborough, Catherine R.; Lynch, John W.;
  Smithers, Lisa G., Univ Adelaide, Sch Publ Hlth, Adelaide, SA 5005, Australia.

  Hoon, Elizabeth, Univ Adelaide, Discipline Gen Practice, Adelaide, SA 5005, Australia.

  Chittleborough, Catherine R.; Dekker, Gustaaf; Lynch, John W.; Smithers, Lisa G.,
  Univ Adelaide, Robinson Res Inst, Adelaide, SA 5005, Australia.

  Dekker, Gustaaf, Lyell McEwin Hosp, Dept Obstet \& Gynaecol, Adelaide, SA 5005,
  Australia.

  Dekker, Gustaaf, Univ Adelaide, Fac Hlth \& Med Sci, Adelaide Med Sch, Adelaide,
  SA 5005, Australia.

  Lynch, John W., Univ Bristol, Populat Hlth Sci, Bristol, England.

  Smithers, Lisa G., Univ Wollongong, Sch Hlth \& Soc, Wollongong, NSW 2500, Australia.'
author: Kalamkarian, Anna and Hoon, Elizabeth and Chittleborough, Catherine R. and
  Dekker, Gustaaf and Lynch, John W. and Smithers, Lisa G.
author-email: lsmithers@uow.edu.au
author_list:
- family: Kalamkarian
  given: Anna
- family: Hoon
  given: Elizabeth
- family: Chittleborough
  given: Catherine R.
- family: Dekker
  given: Gustaaf
- family: Lynch
  given: John W.
- family: Smithers
  given: Lisa G.
da: '2023-09-28'
doi: 10.1016/j.wombi.2022.03.005
earlyaccessdate: JAN 2023
eissn: 1878-1799
files: []
issn: 1871-5192
journal: WOMEN AND BIRTH
keywords: 'Smoking cessation; Pregnancy; Midwifery; Australia; Qualitative

  research; Focus groups'
keywords-plus: 'TOBACCO-SMOKE; WOMEN; INTERVENTIONS; EXPERIENCES; OPPORTUNITIES;

  GUIDELINES; SERVICES; EXPOSURE; SUPPORT'
language: English
month: FEB
number: '1'
number-of-cited-references: '37'
orcid-numbers: Smithers, Lisa/0000-0002-6585-7836
pages: 89-98
papis_id: ab3777ab3e57c4c7267644d8a5f65401
ref: Kalamkarian2023smokingcessation
researcherid-numbers: Smithers, Lisa/D-1605-2009
times-cited: '0'
title: 'Smoking cessation care during pregnancy: A qualitative exploration of midwives''
  challenging role'
type: article
unique-id: WOS:000925590500001
usage-count-last-180-days: '1'
usage-count-since-2013: '3'
volume: '36'
web-of-science-categories: Nursing; Obstetrics \& Gynecology
year: '2023'