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Baby and Me: Tobacco Free

Oregon chapter

"Baby & Me: Tobacco Free" is an incentive-based program utilizing the 5'As counseling approach to assist pregnant women in quitting smoking and to help them stay tobacco-free after the birth of their baby. The population served was economically disadvantaged smoking women receiving prenatal and postpartum services through Douglas County Public Health Programs (Prenatal Clinic Care, Family Planning, Maternity Case Management, Babies First, Healthy Start, WIC).

This program involved:

  • Conducting 5'As cessation counseling training for participating public health program staff and local health care providers.
  • Enrolling and collecting baseline data on participants.
  • Providing four or more prenatal cessation counseling sessions for each participant. Participants who test smoke-free at each session receive a $10 gift certificate and are entered into a drawing for a Baby Me gift basket.
  • Using carbon monoxide (CO) testing to determine smoke free status during pregnancy and after delivery.
  • Conducting monthly visits with participants for 6 months following delivery to monitor smoking status, providing support and incentives. Participants who remain smoke-free after the birth of their babies receive a $20 diaper voucher each month for up to 6 months postpartum.
  • Compiling class attendance records, number of vouchers issued/redeemed, quit status during pregnancy and at 3 and 6 months postpartum.

The results included:

  • Nineteen professional staff were trained on the 5'As method.
  • Fifty-three women received services.
  • Seventy-nine percent were smoke-free during pregnancy.
  • One-hundred percent of the women who delivered during the term of the project were smoke-free at the time of delivery.
  • Fifty percent of the women who were smoke-free during pregnancy remained smoke free during the postpartum period.
  • Upon request by program participants, carbon monoxide testing was also provided for husbands/partners of the pregnant women receiving services.
  • Parents of pregnant teens agreed to quit smoking to support their daughters' quit attempt.

Lessons learned:

  • Recruitment of participants was surprisingly difficult. To address this issue, a program flyer was developed and marketing was broadened. Enrollment increased as a result.
  • Increased cost of tobacco products is an incentive to quitting. Having participants determine the amount of money they spend on tobacco products each month is a good exercise.

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Frequently Asked Questions

How can my organization apply for local March of Dimes funding?

Contact your local March of Dimes chapter to ask for a Request for Proposal (RFP). Each year chapters award community grants to support projects that address local perinatal needs in line with the chapter’s strategic plan. Proposals or Letters of Intent are usually due to the chapter in the late summer.

What March of Dimes events are happening near me?

The March of Dimes has been conducting special events for more than 60 years. These activities - formal balls, signature chef auctions and dinners, motorcycle rides, golf tournaments and March for Babies - help the March of Dimes fund cutting-edge research and innovative programs to save babies. With a wide variety to choose from, there is something for everyone! Contact your local chapter for a March of Dimes Special Event near you!

What programs does my local March of Dimes fund?

March of Dimes chapters support local projects aimed at helping women have healthier pregnancies. Funding from community grants enhances the availability and quality of health care and prevention services for women and their babies. For a list of specific programs funded in your state, please contact your local March of Dimes chapter.

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