title: National Survey of Smoking and Smoking Cessation Education Within UK Midwifery School Curricula.
abstract: BACKGROUND
  Smoking in pregnancy in the United Kingdom remains prevalent (11%). To encourage and support pregnant smokers to quit, midwives must be adequately trained to do so. Substantial curricular gaps have been identified in the smoking cessation training of medical, nursing, and optometry schools. This study aimed to identify the extent of smoking cessation training and assessment in UK midwifery schools.
  
  
  METHODS
  All UK undergraduate midwifery schools (n = 53) were invited to complete a web-based survey of their curricular coverage and assessment related to smoking cessation, and perceived barriers to delivering smoking cessation training.
  
  
  RESULTS
  Twenty-nine (55%) midwifery schools responded. Most teaching was completed in the initial year of study. All reported teaching the harmful effects of tobacco use. The majority of respondents (83%) reported training students in brief intervention delivery and ways to assist quit attempts. Only 24% of schools in this study included relapse prevention in their curriculum. The most frequently reported barriers to teaching smoking cessation were "lack of knowledge amongst staff" (17%), "no space in a crowded curriculum" (17%), and "administrative problems" (13%).
  
  
  CONCLUSIONS
  Midwifery schools are teaching the harmful effects of smoking and providing training on brief interventions. However, in some schools student midwives are not being sufficiently trained on relapse prevention or assessed in the practical skills necessary for delivering evidence-based interventions.
  
  
  CONCLUSIONS
  Midwifery schools should revise the content and delivery of smoking cessation training to ensure midwives are equipped with the necessary knowledge and skills to contribute to the challenge of smoking cessation in pregnancy.
authors.affiliation: Faculty of Health, Social Care and Education (HSCE) St Georges, University of London/ Kingston University, London, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: Forman
authors.affiliation: Florence Nightingale Faculty of Nursing and Midwifery, King's College London, London, UK.
authors.forename: James M
authors.initials: JM
authors.lastname: Harris
authors.affiliation: Centre for Health Services Research, School of Health Sciences, City University London, London, UK.
authors.forename: Fabiana
authors.initials: F
authors.lastname: Lorencatto
authors.affiliation: National Centre for Smoking Cessation and Training, London, UK.
authors.forename: Andy
authors.initials: A
authors.lastname: McEwen
authors.affiliation: Department of Postgraduate Research, Florence Nightingale Faculty of Nursing and Midwifery, King's College London, London, UK.
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Duaso
mesh_terms: D003430:Cross-Sectional Studies; D003479:Curriculum; D005260:Female; D006801:Humans; D008880:Midwifery / Q000193:education*; D011247:Pregnancy; D012579:Schools, Nursing; D012907:Smoking; D016540:Smoking Cessation; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder; D006113:United Kingdom