To ask the Scottish Government what proportion of pregnant women has been identified as (a) smokers, (b) drug users and (c) alcohol users at the time of their first appointment in each year since 2007-08, broken down by NHS board.
The proportion of pregnant women identified as (a) smokers, (b) drug users and (c) alcohol users at the time of their first appointment in each year since 2007-08, broken down by NHS board, is shown in the following tables:
(a) Proportion of Women1 Smoking at Booking2 Recorded on SMR02 by NHS Board of Residence3; Year Ending 31 March
|
% smoking
|
% not known
|
% smoking
|
% not known
|
% smoking
|
% not known
|
NHS Ayrshire and Arran
|
26.8
|
1.6
|
26.4
|
1.3
|
26.2
|
1.9
|
NHS Borders
|
23.5
|
2.2
|
22.7
|
5.2
|
23.2
|
5.9
|
NHS Dumfries and Galloway
|
24.2
|
5.1
|
24.7
|
6.1
|
22.3
|
4.2
|
NHS Fife
|
24.3
|
2.2
|
25.4
|
0.7
|
24.8
|
1.3
|
NHS Forth Valley
|
21.9
|
8.4
|
18.6
|
19.0
|
19.9
|
2.6
|
NHS Grampian
|
20.3
|
2.6
|
17.7
|
1.6
|
17.5
|
0.7
|
NHS Greater Glasgow and Clyde
|
15.5
|
33.2
|
16.6
|
25.8
|
18.0
|
8.4
|
NHS Highland
|
23.0
|
5.6
|
21.8
|
3.6
|
22.2
|
3.7
|
NHS Lanarkshire
|
18.3
|
21.1
|
18.9
|
19.9
|
19.4
|
8.0
|
NHS Lothian
|
14.8
|
4.7
|
8.0
|
23.0
|
10.7
|
41.8
|
NHS Orkney
|
18.0
|
2.1
|
9.9
|
4.9
|
9.0
|
2.1
|
NHS Shetland
|
15.0
|
7.5
|
17.9
|
3.6
|
14.5
|
7.8
|
NHS Tayside
|
22.0
|
16.6
|
24.9
|
1.6
|
23.0
|
1.0
|
NHS Western Isles
|
5.3
|
54.1
|
15.7
|
9.9
|
15.6
|
11.0
|
Other4
|
16.3
|
18.6
|
8.9
|
32.2
|
10.9
|
28.1
|
Scotland
|
19.2
|
14.1
|
18.1
|
14.2
|
18.8
|
10.7
|
PProvisional.
Notes:
1. Excludes home births and births at non-NHS hospitals.
2. In recent years there have been concerns about the completeness and quality of the SMR02 data. There is considerable pressure on women not to smoke during pregnancy and it is anticipated that some women may not be completely truthful when describing their smoking behaviour at the booking clinic.
3. Scotland data includes births where NHS board of residence is unknown or outside Scotland.
4. Patients resident outwith Scotland or Scottish residents who cannot be assigned to a NHS board.
(b) Proportion of Women1 with Drug Misuse During Pregnancy2 Recorded on SMR02 by NHS Board Of Residence3; Year Ending 31 March
|
% using drugs
|
% not known
|
% using drugs
|
% not known
|
% using drugs
|
% not known
|
NHS Ayrshire and Arran
|
2.4
|
5.5
|
2.2
|
13.9
|
2.0
|
3.6
|
NHS Borders
|
*
|
99.8
|
*
|
99.7
|
0.6
|
77.9
|
NHS Dumfries and Galloway
|
1.2
|
23.3
|
1.3
|
7.7
|
1.2
|
6.9
|
NHS Fife
|
1.5
|
55.8
|
1.4
|
36.9
|
1.0
|
4.9
|
NHS Forth Valley
|
1.1
|
76.6
|
1.1
|
64.0
|
0.0
|
99.1
|
NHS Grampian
|
0.4
|
76.8
|
1.6
|
4.6
|
1.4
|
4.8
|
NHS Greater Glasgow and Clyde
|
0.3
|
96.7
|
0.2
|
96.1
|
1.3
|
79.8
|
NHS Highland
|
0.8
|
87.8
|
0.9
|
87.1
|
1.1
|
57.2
|
NHS Lanarkshire
|
0.5
|
99.1
|
0.4
|
98.8
|
0.4
|
96.1
|
NHS Lothian
|
0.4
|
99.4
|
0.2
|
99.5
|
3.3
|
49.0
|
NHS Tayside
|
1.0
|
65.5
|
1.3
|
57.8
|
2.2
|
34.5
|
NHS Island boards4
|
*
|
55.5
|
*
|
61.8
|
*
|
71.8
|
Other5
|
0.0
|
93.0
|
0.0
|
90.6
|
1.8
|
65.1
|
Scotland
|
0.7
|
80.0
|
0.8
|
69.8
|
1.5
|
52.6
|
Notes:
1. Excludes home births and births at non-NHS hospitals.
2. Recording of Drug misuse during this pregnancy became mandatory in April 2011.
Definition
Drug misuse at any time during the current pregnancy. Includes use of illegal drugs, solvents and gases, drugs prescribed for someone else’s use (i.e. “street use”). Also included are drugs which are prescribed to the woman by a doctor as a substitute for the drug(s) of addiction (e.g. prescribed methadone) or to alleviate the symptoms of withdrawal (e.g.prescribed diazepam). Excludes tobacco, alcohol or “over the counter” medicines.
3. Scotland data includes births where NHS board of residence is unknown or outside Scotland.
4. NHS Orkney, Shetland and Western Isles.
5. Patients resident outwith Scotland or Scottish residents who cannot be assigned to a NHS board.
*Indicates values that have been suppressed due to the potential risk of disclosure.
(c) Proportion of Women1 Recorded as Consuming Alcohol2 on SMR02 by NHS Board of Residence3; Year Ending 31 March
|
% using alcohol
|
% not known
|
% using alcohol
|
% not known
|
% using alcohol
|
% not known
|
|
NHS Ayrshire and Arran
|
21.9
|
6.9
|
8.7
|
11.2
|
14.9
|
7.1
|
NHS Borders
|
5.0
|
50.6
|
12.9
|
46.1
|
15.5
|
28.6
|
NHS Dumfries and Galloway
|
*
|
99.0
|
*
|
99.3
|
*
|
99.5
|
NHS Fife
|
1.0
|
75.8
|
1.6
|
69.0
|
5.8
|
24.0
|
NHS Forth Valley
|
0.8
|
77.3
|
0.8
|
58.8
|
*
|
98.8
|
NHS Grampian
|
2.6
|
77.3
|
14.7
|
4.5
|
22.0
|
2.3
|
NHS Greater Glasgow and Clyde
|
0.1
|
97.0
|
0.2
|
92.4
|
2.5
|
79.0
|
NHS Highland
|
2.7
|
63.9
|
3.9
|
49.5
|
3.7
|
39.4
|
NHS Lanarkshire
|
*
|
99.5
|
*
|
99.0
|
0.1
|
96.4
|
NHS Lothian
|
0.3
|
98.8
|
0.4
|
92.8
|
8.6
|
44.1
|
NHS Tayside
|
2.5
|
67.7
|
1.9
|
58.9
|
1.2
|
37.5
|
NHS Island boards4
|
*
|
74.8
|
2.6
|
63.8
|
5.5
|
71.8
|
Other5
|
1.7
|
77.9
|
5.6
|
78.4
|
6.7
|
53.9
|
Scotland
|
2.4
|
81.8
|
3.1
|
68.9
|
6.5
|
53.6
|
Source: SMR02, ISD Scotland, Date extracted: September 2011. Ref: IR2012-01694.
Notes:
1. Excludes home births and births at non-NHS hospitals.
2. Reporting of Typical Weekly Alcohol Consumption on SMR02 became mandatory on 1 April 2011.
Definition: Number of units of alcohol consumed in the course of a typical week.
3. Scotland data includes births where NHS board of residence is unknown or outside Scotland.
4. NHS Orkney, Shetland and Western Isles.
5. Patients resident outwith Scotland or Scottish residents who cannot be assigned to a NHS board.
*Indicates values that have been suppressed due to the potential risk of disclosure.
The data in the tables above is based on information provided in the Scottish Woman Held Maternity Record (SWHMR). The collection of data on alcohol, smoking and drugs was not mandatory until April 2011, therefore the information was not always collated.
The latest figures for financial year 2010-11 will be published in the next few months.
The Scottish Woman Held Maternity Record (SWHMR), was updated in 2011, and is part of a range of actions underway to support NHS boards’ implementation of the Refreshed Framework for Maternity Care (2011), to ensure that care in Scotland is person centred, safe and effective. As set out in the framework, it is the responsibility of NHS boards to ensure that Maternity Services gather, record and report on a wide range of information for both local and national purposes, and have IT systems that comply with nationally identified data requirements.
NHS boards received funding in early June 2012, for 2012-13, outlining the government’s continued support with implementation of recommendations in the framework, and this specifically includes data collection. NHS boards recently provided an update on their progress with this, which indicated that they are planning to move towards electronic systems for information collection and analysis.
The Refreshed Framework for Maternity Care in Scotland states that health boards are expected to have evidence that their IT systems comply with nationally identified data requirements.
Work is also currently ongoing on improving the quality of data collected.