ASH Wales and the Royal College of Midwives call for action after figures reveal a third of pregnant teenagers in Wales smoke

[vc_row][vc_column][vc_single_image image=”13948″ img_size=”1200×600″ alignment=”center”][vc_column_text css=”.vc_custom_1579777940027{margin-bottom: 0px !important;}”]ASH Wales and the RCM are calling for urgent specialist support for pregnant Welsh teens after new figures showed that 30% are still smoking throughout their pregnancy – double the national average for mums-to-be in Wales.

The latest figures released by Welsh Government reveal teenage mums-to-be are the most likely to smoke and to continue to smoke whilst pregnant with 30% of 16 to 19-year-olds smoking at the time of their baby’s birth and 33% at their initial assessment. This compares to 16% of all pregnant women across Wales that smoke throughout pregnancy and 18%

that are recorded as being a smoker at their initial assessment.
Smoking rates were lowest among women aged 40 to 44, with just 9% smoking through pregnancy. Meanwhile 16% of 25 to 29-year-olds smoked at the time of their baby’s birth.

Smoking during pregnancy increases the risk of miscarriage by over 25%, doubles the chances of a stillbirth and increases the risk of the baby being born with a heart defect by 50%.

Despite campaigns to raise awareness of the dangers of smoking whilst pregnant, there has been limited change in prevalence figures over the past few years.
The tobacco action group, ASH Wales says these latest figures from the Maternity and Birth Statistics, Wales 2018, highlight the need for targeted support for teenage mums and increased education on the dangers of smoking whilst pregnant.

ASH Wales CEO Suzanne Cass, said: “It is clear that these young mums-to-be need more support to help them quit this highly addictive habit. We know quitting smoking can be very tough, particularly for vulnerable teenagers facing the challenge of pregnancy and motherhood at a young age.

“These pregnant teenagers need specialist stop smoking services, tailored to their needs and delivered in the communities in which they live. In addition, the life-threatening effects of smoking to an unborn child and the dangers of second-hand smoke should be embedded into the education of teenagers across Wales.”

The Royal College of Midwives (RCM) is backing ASH Wales’ call for more specialist stop smoking services to be available for pregnant women in Wales. Helen Rogers, the RCM’s Director for Wales, said: “Smoking in pregnancy can have a significant and serious impact on the developing baby. Babies born to those who smoke in pregnancy are more likely to be born prematurely and have a low birth weight.

“Stopping smoking in early pregnancy can almost entirely prevent adverse effects, yet too many maternity services are without a stop smoking specialist midwife in their team. Given that smoking is a marker of inequality, the RCM believes that specialist stop smoking services should reflect the local need and must be offered by all Health Boards with maternity services in Wales.”

Across Wales 9% of 15-to-16-year-olds smoke at least once a week, a figure that has remained unchanged since 2013-2014 and more than 11,000 children still take up smoking in Wales every year. Prevalence is highest among the poorest teens with 46% of year 11 students from the most deprived families first trying a cigarette aged 13 or younger compared to 34% of the most affluent.

ASH Wales is calling for more to be done to prevent young people from taking up the habit – a move that would mean less teenagers smoking during pregnancy.
“In Wales a classroom’s worth of young people continues to take up smoking every single day and those that take up the habit earlier in life are the most likely to become heavy smokers later in life and the least likely to quit,” said Ms Cass.

“It is crucially important that we break these cycles of health inequality by putting measures in place to stop the teenagers of today from becoming the hardened lifelong smokers of tomorrow and endangering the health of their families for generations to come.”

To read about a project in Swansea that has achieved a 25% success rate in helping pregnant teens to quit smoking  click here[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”13763″ img_size=”700×350″ alignment=”center” onclick=”custom_link” img_link_target=”_blank” link=”https://www.helpmequit.wales/”][/vc_column][/vc_row]

Project achieves 25% success rate in helping pregnant teens quit smoking

A PROJECT that supports vulnerable families in Swansea has helped hundreds of young mums-to-be to quit smoking.

Jig-so, has achieved a 25% success rate in helping pregnant young women to quit the habit – protecting babies from potentially life-threatening health risks.

The project set up in 2016 between Swansea Council and Swansea Bay University Health Board, provides early intervention and support to young families facing challenges such as anxiety and depression, poverty, domestic violence, drug and alcohol addiction and homelessness.

Young pregnant women ranging in age from 14 to 25-years-old are referred to the service by their midwife and receive one-to-one home visits from the team throughout their pregnancy, attend group antenatal sessions then receive parenting support once their baby is born.

Meanwhile struggling young families, many of which rely on foodbanks for survival, are given crucial parenting support resulting in many children having been taken off the social services at risk register.

Giving advice on the benefits of quitting smoking is just one part of the team’s role, but it is one that midwife Julie Morgan feels is crucial, given both the health and financial benefits of giving up. She said: “We are very proud of what we have achieved in helping 25% of the young women we work with to give up smoking.

“When we meet them, we find that many of them are completely unaware of the harm it can cause to their babies. A lot of them come from homes where generations of their family still smoke and many of them buy and smoke contraband cigarettes because it’s cheaper and they get to buy twice as many.
“Many of them say they don’t want to give up because they want to have a small baby. Others say that if they try to quit it will stress the baby. But when we tell them what smoking can do to their health and their health of their babies they are shocked.”

According to Julie around 40% of the pregnant women the team supports smoke. They are given advice on quitting by their midwife throughout their pregnancy and regularly have their Carbon Monoxide levels monitored to see what progress they’ve made.

Smoking cessation advice also forms a key part of the group antenatal sessions the team provides, and they use a range of props to illustrate why it’s a good idea to quit, including a ‘chemical soup’ containing all the ingredients found in cigarettes, jars of tar, a set of smoker’s teeth and flipcharts of graphic images showing parts of the body affected by smoking.
The team also emphasises the cost of smoking to the women, many of whom are already facing challenging financial circumstances, made worse by their smoking habit.

The most effective tactic however is to build up trust with their clients, said Julie: “It’s a very gradual process. But visiting them at home means we have a real opportunity to build a relationship with them.

“To build up that level of trust, we can’t just go into the first appointment and start talking about smoking straight away. We have to approach the subject in a sensitive way and make sure they don’t feel judged.”

As well as supporting mums-to-be to stop smoking, the team also provide smoking cessation advice to the women’s partners and to the young families they support. Their aim is to encourage families to have smoke-free homes and to protect to their children from the effects of second-hand smoke in particular, the risk of sudden infant death syndrome in new-born babies.

Thanks to their efforts, says Julie, none of the young parents they visit in their homes smoke around their children and those that struggle to quit are encouraged to at least smoke outside the home.
For the young women that do manage to quit the habit, however, the effects can be powerful, not only on their health but on their self-esteem, as Julie explains:

“Lots of the girls we work with feel they have never achieved anything in life. They have seldom been praised or encouraged for anything they’ve done and they feel so proud of themselves for quitting for the sake of their baby’s health and proving to themselves that they can do it.”

Leading Welsh health experts urge smokers to quit in 2021

Leading Welsh health experts are urging smokers to quit the habit in 2021 as growing evidence shows they are more at risk from Covid-19.

They say quitting should be top of every smoker’s New Year Resolutions list with smokers up to three times more likely to be infected by Covid-19 according to the latest research by American scientists.

Smoking is already the biggest cause of avoidable disease and early death in Wales, killing more than 5,000 people a year. It places a huge burden on an already overstretched NHS in Wales, costing the organisation around £302 million a year.

Research has shown that smokers are more likely to suffer more severe symptoms if they catch the virus. Meanwhile a study by the University of California in Los Angeles has shown that smokers could be 2 to 3 times more likely to be infected by Covid-19 due to the damage smoking causes to the body’s lung tissue defences.

Fears over the increased risks from the virus added to the motivation of thousands of smokers to quit in 2020. NHS Wales’ Help Me Quit service saw a rise in calls and has made sure that all smokers are supported by expert advice over the phone and free medication.  Research carried out by ASH and University College London found that an estimated 33,000 Welsh smokers had quit smoking since the start of the Covid19 pandemic and that 41% of smokers surveyed across the UK cited Covid-19 as their main reason for giving up.

ASH Wales has launched its Any Age Any Stage campaign. ASH Wales CEO Suzanne Cass, said:

“Our message to smokers is that it really is never too late or too early to give up.

“No matter how long you’ve been smoking for the health benefits of quitting are huge. Within just 20 minutes of smoking your last cigarette, your body will start to recover and after a year you’re 50% less likely to have a heart attack or stroke.

“If you’re a young smoker you may think you’ll give up when you’re older. But the damage has already started with every 15 cigarettes you smoke leading to a mutation in your cells that could later cause cancer.

“This is not something you can delay. For every smoker out there, old and young, quitting should be an urgent priority.”

Ashley Gould Consultant in Public Health at Public Health Wales. He said: “

“New year is a time when many people decide to quit smoking and with free NHS support smokers are four times more likely to quit for good compared to trying on their own.

“Covid-19 has brought about added risks to smokers and as a result, we have seen more and more smokers trying to quit. There really has never been a more important time to quit smoking, and the best way is to search ‘Help Me Quit’ or call 0800 085 2219 today. Let 2021 be the year you stop smoking for good!”

Keir Lewis who is Professor of Respiratory Medicine at Swansea University and Respiratory Lead at Hywel Dda University Health Board, said:

“My experience in respiratory and general medicine has shown me first hand that smoking destroys so many lives directly and maims others. There has never been a more important time to quit smoking to protect and improve your health. Smokers certainly get worse COVID disease as well as so many other avoidable cancers, heart disease and lung problems.

“We know giving up this highly addictive drug isn’t easy. But there is free support available across Wales and if you work with a specialist, you will increase your chances of quitting long-term by 300%!

Dr Brigitte Gomperts is Professor of Pulmonary Medicine at UCLA and co-author of the research claiming smokers are three times more likely to catch Covid-19 and that they are at higher risk of suffering more severe symptoms. She said:

 “My message to smokers is that smoking puts you at increased risk for more severe COVID-19 and this is therefore a great time to stop smoking. There are many new products available to help you stop smoking and I would suggest that you contact your GP to find out more.”

Case study: Sarah Wray, a 45-year-old mum of three and support worker from Carmarthenshire, recently recovered from Covid-19. She gave up smoking in 2019. Here she describes her experience of quitting and her relief at having given up before contracting Covid-19.

She said: “I smoked for 20 years and finally decided to quit in November 2019 after suffering a chest infection.

“Once I decided to quit, I had one to one help from my GP and used champix. To help with cravings I changed my mindset and used nicotine spray.

“Quitting made a big difference to my life. I feel more confident, I’m not coughing as much. I sleep better and I have more energy so I can walk further with my dog. My family being proud of me makes a big difference, especially my children as I did not realise the effect it had on them.

“I was recently diagnosed with Covid-19. I had mild symptoms the worst one being shortness of breath. In the end I was ill for 10 days. I’m just so glad I gave up smoking because I know it would have been much worse if I hadn’t and it would have taken a lot longer to get over.

“We all have different reasons for quitting but my message to smokers would be to please give it a go.”

Expert quit smoking tips

The start of a new year is the most popular time to embark on a quit smoking attempt. To help you to get started, we’ve put together a list of top quit tips from our brilliant team of smoking cessation experts.

“All the evidence we have suggests vaping is much safer than smoking. Make sure you use a regulated product sold from a retailer you trust, and if you can, also get support from a stop smoking advisor.” Jamie Hartmann-Boyce Senior Researcher at the University of Oxford’s Nuffield Department of Primary Care Health Sciences.

“Simply staying away from situations where you would normally smoke can limit cravings. When cravings strike it is very important to do something positive – not just wait them out. Simple breathing exercises can help and so can going for a walk or finding something interesting to occupy the mind. Cravings are often worst in the evenings and going to bed early is something a lot of smokers do.”  Robert West professor of Psychology at University College London and author of The Stop Smoking Formula.

“Choosing the right support is really important. Cutting down just makes cigarettes seem more precious – so our advice is always to carry on smoking as normal until you stub out your final cigarettes. Advice differs for other methods – so my number one advice would be to follow the instructions of whatever method you use.” John Dicey, CEO of Allen Carr’s Easyway stop smoking method.

“When we experience cravings and they are intense, it can be a good tactic to remind ourselves of the consequences if we pick up a cigarette once more. One good way to support this may to make two lists.
1 – What will life be like 5 years from now if I continue to smoke – maybe include “I’ll be less fit, I’ll have more health issues, I’ll have less money…”
2 – What will life be like in 5 years if I stop smoking? – maybe include “I’ll be healthier, I’ll be fitter, I’ll have more money, my clothes will be fresher…” Steve Clarke is clinical and therapy services manager for The Priory Group

“Smoking is a powerful addiction so why not get medical help. I don’t see any difference between smoking addiction and a physical illness. If you had diabetes for instance you would think nothing of seeking medical help. There is plenty of support out there so why make life difficult for yourself when giving up smoking is the most important thing you can do for your health.” Dr Alex Bobak, GP and smoking cessation specialist

“The key to success is about people being in the right frame of mind. I try to avoid starting people on the stop smoking programme if they are going through a particularly stressful time in their life or if they have a holiday or big celebration coming up. If people are really struggling I’ve learnt to say ‘let’s draw a line under this. Don’t beat yourself up’. I give them a handshake and say well done for trying.”
Gwawr Davies Jones, pharmacist who provides smoking cessation support.

Superstar quitters – 5 celebrities who have given up smoking

If you need inspiration to quit smoking this New Year. Then read about five superstars who have successfully kicked the habit.

Robbie Williams

Robbie Williams finally quit smoking at the start of this year after several failed attempts. The 44-year-old singer, said he quit because he wanted to be around longer for his wife and two children. He said that since giving up he’s been working out more and making healthier life choices.

Keith Richards

Rock star Keith Richards said he found cigarettes harder to give up than heroin when he quit aged 75. The Rolling Stone said at the time: “Quitting heroin is like hell, but it’s a short hell. Cigarettes are just always there and you’ve always done it. I just pick ‘em up and light ‘em without thinking about it.”

Jennifer Anniston

Friends actress quit smoking 7 years ago after two decades of lighting up. She credits the power of yoga for her successful quit attempt. According to Anniston, relaxing yoga exercises helped to keep her cravings at bay.

Barack Obama

It was the influence of his wife Michele Obama that proved instrumental in the former US president’s decision to quit smoking. At a UN meeting in 2013 he was overheard telling a delegate he has given up smoking because he was scared of his wife Michelle Obama. He originally started smoking as a teenager and tried to give up during the 2008 presidential campaign.

Adele

Adele gave up smoking 4-years ago over fears of dying as a result of her habit. According to media reports the Hello singer turned to hypnosis to help her deal with her nicotine cravings.  She had been told by doctors to give up smoking or face losing her singing career, after losing her voice completely and having to cancel concerts as a result of her 20-a-day habit.

The New Year quit smoking survival guide

THE start of a new year is traditionally a time when many smokers decide to give up the habit. For some it will be the first time they embark on a quit attempt. For others, it will be the latest in a long line of quit attempts.

Whether you’re a first-time quitter, or someone who is determined to crack it this time round, you’ll probably be filled with trepidation about the journey you’re about to embark on. This is perfectly understandable. It’s not easy giving up an addiction like smoking and the thought of living without cigarettes fills many people with dread.

However, it’s important to remember that there are multiple benefits to giving up – benefits that far outweigh any negative side effects. And while the cravings and irritability you may experience are merely temporary, you will enjoy the positive benefits of giving up for the rest of your life.

There is no one size fits all approach when it comes to stopping smoking. Some people prefer using nicotine replacement therapy, whilst others benefit from behavioural support. What we do know however is that going ‘cold turkey’ and quitting using will power alone, are three times less likely to successfully quit compared to those who use a combination of nicotine replacement therapy and behavioural support to give up the habit.

It’s very important therefore to find out what support is available to help you to quit smoking. The best way to do that is to contact Help Me Quit, the free smoking cessation service that is available from NHS Wales by calling 0800 085 2219.

For those who have attempted to quit smoking before, it may be worth considering using a different method this time around and to think about avoiding the triggers that derailed your quit attempt last time.

Before embarking on your New Year quit smoking mission, it could beneficial to tell close family, friends and colleagues what you are about to do so they understand in advance why you may be feeling grumpy or avoiding certain social occasions. It’s particularly important to ask smokers not to light up around you.

Have a plan in advance for how to distract yourself once cravings start. Some people find exercise very helpful or mindful activities that focus the mind, such as cooking, gardening or completing a puzzle.

Most importantly, once you stub out what will hopefully be your last cigarette, you put away any smoking paraphernalia you have lying around your home, such as lighters, ash trays and packets of cigarettes. Anything left around could lead to temptation and it only takes one cigarette to break your resolve completely.

Lastly, we at ASH Wales want to wish you a huge good luck. And if you do manage to quit we’d love to hear your story. Get in touch by emailing communications@ashwales.org.uk