The Poole approach to a smoke-free pregnancy.

Smoking tobacco is both a pharmacological addiction and a serious social and public health issue. Smoking cessation services for pregnant women save babies' lives and have the potential to improve the health of families and communities. Engaging with pregnant smokers and their households towards quitting smoking requires a whole-team approach. Protected time for the specialist smoking in pregnancy team and freedom to develop the service improvement approach has been key in the setting described in this paper. The approach to smoking cessation described in this paper is of the quality improvement arm within the 'Saving babies' lives' bundle of interventions in Poole Hospital NHS Foundation Trust. The 'plan, study, do, act' model is described with a description of its implementation using sequential learning, enquiry, testing and being open to new ideas and approaches. The main driver questions have been: 'how do we reach pregnant smokers who are not motivated to quit?' and 'what approaches will potentiate success for this group?' [ABSTRACT FROM AUTHOR]