Lyn Maxine Ebert, Lesa Freeman, Kathleen Fahy, Pamela van der Riet

British Journal of Midwifery, Vol. 17, Iss. 1, 08 Jan 2009, pp 24 - 29

This article presents the findings from a study examining midwives’ interactions with women who smoke in pregnancy. The aim of this study was to find out how midwives currently interact with women who smoke in pregnancy, in relation to the women’s health and wellbeing. The study used an interpretive interactionism design. There were two major findings: there is incongruity between midwives’ internal discourses and expressed discourses when working with women who smoke in pregnancy and smoking cessation advice interactions typically do not involve a dialogue. Smoking cessation advice interactions are predictable, monotonous and non-productive. This type of interaction is best understood as a game with set rules and roles. Midwives need a woman-centred discourse from which to engage in an effective dialogue with women who smoke in pregnancy. Recommendations for practice and education are discussed.

Why purchase a paper only subscription?

  • Read high quality peer-reviewed articles such as this and many more covering all aspects of midwifery in a way which is clear, easy-to-read and useful to your daily practice.
  • British Journal of Midwifery contains the best clinical reviews, original research and evidence-based articles available and ensures that all midwives working or with an interest in midwifery are kept fully up to date with the latest developments taking place in clinical practice.
  • Get British Journal of Midwifery delivered regularly to your door, subscribe online now and receive an exclusive discount on your subscription!
  • Subscribe to British Journal of Midwifery

Alternatively, download this article now!

The full-text of this article is available to download at is the UK’s largest archive of midwifery articles containing the online archives of British Journal of Midwifery and African Journal of Midwifery and Women’s Health.