This document summarizes a meeting for the First Breath and My Baby & Me programs in Wisconsin. In 2012, over 1,200 women enrolled in First Breath and 56 in My Baby & Me. For First Breath, 65% of participants quit, cut back on, or abstained from tobacco. For My Baby & Me, 98% of participants abstained from alcohol during pregnancy. New program elements include updated training materials, online support groups, and financial incentives for postpartum smoking cessation. Evaluation findings show that prenatal quit rates are around 30% for First Breath and postpartum quit rates are around 38%. Providers request shorter surveys and more training.

1. First Breath
My Baby & Me
Statewide Meeting
Stevens Point, WI
March 28, 2013

2. Welcome
• Welcome!
• Agenda
• Conference Map
• Mileage Reimbursement
• Materials
• Thank You!

3. Program Updates
Kristine Alaniz, MPH
Perinatal Health Program Manager

4. Overview
• First Breath - 2012 Recap
• My Baby & Me – 2012 Recap
• What’s New?
• On the Horizon

5. First Breath
Mission: Improve maternal and child health in Wisconsin
through perinatal tobacco cessation programming .
Objectives:
The First Breath program aims to:
1. Help participants quit or significantly reduce their tobacco
use throughout the perinatal period.
2. Provide comprehensive tobacco-related training and
technical assistance to healthcare providers.
3. Disseminate the best practices in maternal smoking
research, resources, tools, and continuing education
opportunities.

6. My Baby & Me
Mission: Improve maternal and child health in Wisconsin
through alcohol education and FASD prevention programming .
Objectives:
The My Baby & Me program aims to:
1. Help participants quit or significantly reduce their prenatal
alcohol use
2. Provide comprehensive FASD and alcohol reduction
training and technical assistance to healthcare providers.
3. Disseminate the best practices in FASD and alcohol
reduction research, resources, tools, and continuing
education opportunities.

8. First Breath 2012 Recap
Enrollment
• 1,261 women enrolled in First Breath in 2012
• 13,180 women have participated since 2000
Participant Outcomes
• 65% of participants abstained, quit, or cut back on their
tobacco use*
• 35% remained smoke-free or quit
• 30% reduced their tobacco usage
Sites
• 32 new sites in 2012
• 139 active First Breath sites
* Percent of participants who completed all three surveys

9. My Baby & Me 2012 Recap
Enrollment
• 56 women enrolled in My Baby & Me in 2012
• 370 women have enrolled since 2006
Participant Outcomes
• 98% of participants who completed the MBM surveys
abstained from alcohol use during pregnancy
Sites
• 30 new My Baby & Me sites in 2012
• 50 active My Baby & Me sites

10. What’s New?
1. Updated Training Materials
• Flowcharts
• Training Videos
• Provider Manual
• Refresher Trainings:
• First Breath
• My Baby & Me
• Program Tools
• Motivational Interviewing - Basic and Advanced

11. What’s New?
2. Provider Counseling Tools
• Action Plan
• Assessment Rulers
• Decisional Balance

12. What’s New?
2. Enhanced Support Programs
• Private Facebook Support Group
• Text.Connect.Quit

13. What’s New?
3. Online Support ~ Firstbreathmoms.org

14. What’s New?
4. Postpartum Support - Striving To Quit
• Grant from CMS studying the impact of financial incentives
on smoking cessation for BadgerCare Plus members
• Smoking cessation and relapse prevention counseling with
an experienced STQ Health Educator (birth to one year
postpartum)
• Carbon Monoxide (CO) breath tests
• Significant financial incentives

15. What’s New?
Striving To Quit Target Counties
Northeast (June 2013)
West (June 2013) • Brown
• Chippewa • Outagamie
• Eau Claire • Winnebago
• La Crosse
Southeast
Central (June 2013) • Dodge
• Marathon • Kenosha
• Wood • Milwaukee
• Ozaukee
South Central • Racine
• Dane • Washington
• Rock • Waukesha

16. What’s New?
5. Updated online resources: wwhf.org/programs/first -
breath

17. On The Horizon
• April 2013: Site-specific report distribution
• June 2013: Striving To Quit expansion
• June 2013: My Baby & Me program updates
• Summer/Fall 2013: Regional Sharing Sessions
• Fall 2013: My Baby & Me annual report
• Winter 2013/Spring 2014: Online survey option (tentative)

18. EVALUATION UPDATES
Leah Kokinakis Childress, Phd.
Program Evaluation Manager

19. Evaluation
• Why do we do it?
• How do we use the information?
• What we have learned?

20. What have we learned?
80
Cessation Goals
70
Percent want to quit for good
60
Percent want to quit until baby is born
50
Percent want to cut down
40
Percent don't want to quit
30
Percent don't know what I want
20
10
0
Enrollment visit cessation goals

21. What Have we Learned?
80
Smoking Status
70
Percent not smoking
60
Percent smoking some, not every day
50
Percent smoking 1-5 cigarettes
Percent smoking 6+ cigarettes
40
30
20
10
0
1 Month Prior to Enrollment Prenatal Follow-Up Postpartum
Pregnancy*

22. What Have we Learned?
5
Harm Reduction
4
3
Average self-reported smoking
2
1
3 mo. prior to pregnancy Enrollment Prenatal Follow-Up Postpartum

23. What Have we Learned?
• 2012 First Breath Prenatal Quit
Rate
• 30% quit smoking or abstained from smoking
• 2012 First Breath Postpartum Quit
Rate
• 38% quit smoking or abstained from smoking

24. What Have we Learned?
•Provider profiles
• 52% are public health nurses
• 56% work at health departments
• 49% provide both WIC and PNCC services
• 40% work at clinics that see more than 80
pregnant women/year
• 34% say 10-20% of the pregnant women
they see are tobacco users

25. What Have we Learned?
•Provider needs
•Shorter client surveys
•More training
•Electronic data entry

26. 2013 Evaluation Updates
• Shorter surveys
• Program checklist
• Pre/post training surveys
• Annual provider survey

27. Questions? Contact Us!
Phone:
800-448-5148 or
608-251-1675
Email:
kalaniz@wwhf.org
coliver@wwhf.org
cstover@wwhf.org
hwhitehorse@wwhf.org
Online:
www.wwhf.org or
firstbreathmoms.org