[What public health measures could reduce antenatal exposure to smoking and improve the quality of perinatal care? The point of view of a public health physician].
From the population standpoint of public health, two domains of intervention, healthcare programs and good clinical practices, are concerned by the question of smoking cessation. These two domains imply different targets and methodology to achieve a common objective. To achieve improvement starting from an analysis of the existing situation, it is necessary to elaborate guidelines for good clinical practice and also carefully monitor their application in terms of training, evaluation and certification. Health promotion programs designed to help young women stop or not start smoking necessarily imply the use of recognized criteria of efficacy and predictability.
Blum-Boisgard
C
C
Faculté de Médecine, Université Paris 5, CANAM (Caisse Nationale d'Assurance Maladie des Professions Indépendantes), Centre Paris Pleyel, 93521 Saint-Denis Cedex.
Blanchon
B
B
D005260:Female; D006801:Humans; D018743:Perinatal Care / Q000592:standards*; D011247:Pregnancy; D011634:Public Health; D011787:Quality of Health Care; D000074606:Smoking Prevention