Smoking in Pregnancy - e-Learning for Healthcare
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This programme is in partnership with...
  • Public Health England - Partnership Logo
  • Health Education England

About the Smoking in Pregnancy programme

This e-learning programme focuses on the delivery of very brief advice (VBA) on smoking to pregnant women, including carbon monoxide (CO) screening.

NICE guidance recommends that all women are CO screened at antenatal appointments, with those having elevated levels referred for specialist support to stop smoking.

Smoking during pregnancy is the largest modifiable risk factor for a range of adverse pregnancy outcomes and VBA is a proven intervention that has the potential to improve the health, and even save the life, of both mother and baby.

Although rates have been declining, there are still around 70,000 babies born each year in England to mothers who have smoked during pregnancy.

All staff coming into contact with pregnant women have a role to play in triggering quit attempts and delivering very brief advice on smoking.

This course is aimed at helping members of the midwifery team to deliver very brief advice (VBA) on smoking to their patients.

More information

The e-learning programme consists of eight short sections and will enable you to:

  • Describe the main effects of smoking upon the health of mother and baby
  • Understand the patterns and prevalence of smoking among pregnant women
  • Provide an overview of VBA (ASK, ADVISE, ACT) and where this fits into the care pathway
  • Establish smoking status (ASK), including CO screening
  • Advise women on the best way of stopping smoking or managing their exposure to smoke (ADVISE)
  • Support women to quit or manage their exposure to smoke (ACT)
  • Deal with issues as they arise

There are a series of short film clips demonstrating each of the key elements and how to respond to situations or questions that may arise.  Information is provided on the harms of smoking, the importance of having a brief meaning conversation about smoking and how to integrate this into routine practice. There are also links to further information and resources, and a self-assessment to check learning.

A certificate is available for completion of the entire e-learning programme. To obtain the certificate learners will need to pass the final self-assessment.

Meet the team

  • Jo Locker

    Jo Locker

    Senior Tobacco Control Programme Manager, Public Health England
  • Martyn Willmore

    Martyn Willmore

    Tobacco Control Programme Manager, Public Health England
  • Andy McEwen

    Andy McEwen

    Chief Executive, National Centre for Smoking Cessation & Training
  • Jonathan Guy

    Senior Project Manager, HEE e-LfH programme
  • e-LfH staff - Steve Hewitt

    Steve Hewitt

    Instructional Designer, HEE e-LfH programme

How to access

In order to access any e-LfH programme, you will need an e-LfH account. If you do not have one, then you can register by selecting the Register button below.

Register >

If you already have an account with e-LfH, then you can enrol on to the Smoking in Pregnancy programme by logging in to the e-LfH Hub, selecting My Account > Enrolment and selecting the programme. You can then access the programme immediately in the My e-Learning section.

NHS healthcare staff in England

The Smoking in Pregnancy programme is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this e-Learning via ESR means that your completions will transfer with you throughout your NHS career.

Further details are available here.

e-LfH is a Health Education England Programme in partnership with the NHS and Professional Bodies