Tobacco Cessation Counseling in Antenatal Clinic (ANC): The Role and Challenges of Nurses
Keywords:
Tobacco consumption, Tobacco Cessation Counseling, Pregnant woman, Nurses’ roleAbstract
The consumption of tobacco products and exposure to secondhand smoke during pregnancy have serious negative impacts on the pregnant woman, the baby, the family, and society. Asking about the use of all forms of tobacco products is a crucial step in obtaining important information and providing immediate support to pregnant women in quitting tobacco use. Nurses in prenatal care should possess the knowledge and skills necessary to provide tobacco cessation counseling to help pregnant women quit using tobacco products. Nurses can consider using the WHO’s 5A model as a guideline for tobacco cessation counseling, which includes Ask, Advise, Assess, Assist, and Arrange, along with Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT). Additionally, the 5R principles can be applied to enhance motivation for quitting tobacco use and to identify barriers when a pregnant woman is not ready or lacks the motivation to quit. These principles consist of Relevance, Risks, Rewards, Roadblocks, and Repetition. Support from health organizations is another crucial factor in enhancing the effectiveness of tobacco cessation counseling by nurses. Therefore, organizations should promote training for nurses to improve their knowledge and skills, build confidence, develop expertise in counseling, and foster a positive attitude toward helping pregnant women quit using tobacco products.
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