To investigate approaches to assist pregnant women to stop smoking and remain smoke free after giving birth - New Zealand, Canada, UK

Marion is a passionate advocate for justice. Issues of particular concern to Marion are gender equality and tobacco control. She has worked for the last 20 years in the community sector focusing on women’s health.

Marion is a mother of five children and in the midst of a never ending house renovation. If she is not travelling with her magnificent husband Andrew, you will find her reading a book in the garden.



My six week fellowship included visits to programs that support women to have smoke free pregnancies in:
• New Zealand
• Canada
• UK
• Sweden
• Italy


The biggest differences I noted between Australia and those countries, was the prevalence of really active, innovative, targeted outreach based support for pregnant women to become smoke free.
In Australia, I believe, we have great legislation – we lead the world in legislative reforms such as Plain Packaging, but we fall down in our provision of innovative and flexible support for people to become smoke free. The particular needs of pregnant women in tobacco cessation are not adequately addressed in Australia, nor are specific cultural needs.
My fellowship has led me to formulate the following list of promising approaches that I think need strong consideration in Tasmania.
• The use of Carbon Monoxide Monitors in routine ante natal care
• Ongoing training for midwives in: o Risks of smoking in pregnancy
• Solution focused, strengths based, motivational interviewing
• Smoke free language
• An Incentives Pilot.
• Incorporation of strategies focused on social justice into our work with young people.
• Establishment of pregnancy specific smoke free Non-Governmental Organisation (NGO) with an outreach focus.
• Strategies that support partners of pregnant women who smoke.