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Approaches to assessment of alcohol intake during pregnancy in Swedish maternity care-a national-based investigation into midwives' alcohol-related education, knowledge and practice
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science.
2010 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 26, no 4, 430-434 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: to evaluate how much education midwives in Sweden have undertaken to help them assess alcohol intake during pregnancy, and what tools they use to identify women who may be at risk of drinking during pregnancy. DESIGN: a national survey was conducted in March 2006, using a questionnaire constructed by a Swedish team of researchers and clinicians. SETTING: maternity health-care centres in Sweden. PARTICIPANT: 2106 midwives. FINDINGS: nearly all midwives stated that they had excellent or good knowledge concerning the risks associated with drinking during pregnancy. They considered themselves less knowledgeable about detecting pregnant women with risky alcohol consumption before pregnancy. The majority of the midwives had participated in some education in handling risky drinking. Almost half of the midwives assessed women's alcohol intake before pregnancy. Important facilitators for increased activity concerned recommendations and decisions at different levels (national, local and management) on how to address alcohol with expectant parents and work with risky drinkers. KEY CONCLUSIONS: more education was associated with more common use of a questionnaire for assessment of women's alcohol intake before pregnancy, and more frequent counselling when identifying a pregnant woman whose pre-pregnancy consumption was risky.

Place, publisher, year, edition, pages
2010. Vol. 26, no 4, 430-434 p.
Keyword [en]
Maternity health care; Risk consumption; Alcohol intervention; Addressing alcohol
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-16813DOI: 10.1016/j.midw.2008.10.009ISI: 000279742400009PubMedID: 19185397OAI: oai:DiVA.org:liu-16813DiVA: diva2:174203
Available from: 2009-02-19 Created: 2009-02-19 Last updated: 2010-08-20Bibliographically approved
In thesis
1. Addressing Alcohol: Alcohol Prevention in Swedish Primary and Maternity Health Care and Occupational Health Services
Open this publication in new window or tab >>Addressing Alcohol: Alcohol Prevention in Swedish Primary and Maternity Health Care and Occupational Health Services
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Att tala om alkohol
Abstract [en]

Alcohol consumption in Sweden has reached its highest levels of the past 100 years in the wake of the country’s entry into the European Union in 1995. Increased alcohol prevention efforts in Swedish health care settings have been given high priority by the authorities. The Swedish parliament’s national action plan up to 2010 emphasises that public health must be protected by achieving reductions in alcohol consumption and limiting the negative physical, psychological, and social effects of alcohol.

This thesis aims to investigate various aspects related to the current alcoholpreventive activity in 2006 among health care professionals in three important health care settings: primary health care (PHC), occupational health services (OHS), and maternity health care (MHC). The thesis includes four studies based on a total population mail questionnaire survey.

Results from the studies show that alcohol issues in both PHC and OHS were addressed less frequently than all other lifestyle issues, i.e. smoking, physical activity, overweight, and stress. Important barriers to alcohol-preventive activity in these settings were perceived lack of time, scepticism regarding the effectiveness of addressing the issue of alcohol, fear of potentially negative patient responses, uncertainty about how to ask, uncertainty about how to give advice regarding alcohol, and uncertainty concerning where to refer the patient.

OHS professionals generally considered themselves more skilful than their PHC counterparts in achieving change in patients’ alcohol habits and more knowledgeable about providing advice to patients with risky alcohol consumption. The overall frequency of initiating discussions about alcohol with patients in PHC and OHS was positively associated with self-assessed skills, knowledge, and education for all professional categories.

Slightly more than one-third of the MHC midwives used a questionnaire to assess the woman’s alcohol intake before the pregnancy; AUDIT was the most commonly used questionnaire. Their perceived knowledge concerning alcohol and pregnancy matters was generally high, but the midwives considered themselves less proficient at detecting pregnant women with risky alcohol consumption before the pregnancy.

MHC midwives had participated in more continuing professional education in handling risky drinking than all other categories investigated. PHC nurses was the category that had the highest proportion of professionals who lacked education in handling risky drinking. Professionals in PHC, OHS, and MHC to a large extent believed that provision of more knowledge about counselling techniques to use when alcohol-related symptoms are evident could facilitate increased alcohol intervention activity.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2009. 97 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1094
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-16815 (URN)978-91-7393-714-6 (ISBN)
Public defence
2009-03-06, Hälsans hus, ingång 16, Campus US, Linköpings Universitet , Linköping, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2009-02-19 Created: 2009-02-19 Last updated: 2009-04-17Bibliographically approved

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Holmqvist, MarikaNilsen, Per

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