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Is Questionnaire-Based Alcohol Counseling More Effective for Pregnant Women Than Standard Maternity Care?
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. 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. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Department of Medical Specialist.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences.
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2010 (English)In: JOURNAL OF WOMENS HEALTH, ISSN 1540-9996, Vol. 19, no 1, 161-167 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To compare current standard maternity care in Sweden concerning provision of alcohol advice with a more comprehensive questionnaire-based counseling model. Methods: The study population included pregnant women in Linkoping who were registered at a maternity care center during a 2-year period and whose pregnancies resulted in liveborn infants without birth defects, representing 93% of all pregnant women. Anonymous questionnaires were mailed to the women. The first cohort (registered April 2005 1, to March 31, 2006) received standard care according to a procedure that is common practice in Sweden. The second cohort (April 1, 2006 to March 31, 2007) received alcohol advice based on a comprehensive counseling model, incorporating the use of the three-item Alcohol Use Disorders Identification Test (AUDIT-C) questionnaire and tailored counseling based on the AUDIT-C score. Results: The response rate was 61% in the first cohort (standard care) and 70% in the second cohort (questionnaire-based counseling). The cohorts were similar in sociodemographic variables and prepregnancy drinking characteristics. The proportion of women who continued drinking alcohol during the pregnancy was 6.0% in cohort 1 and 5.8% in cohort 2. Women in cohort 2 were more favorable to the advice and, to a larger extent, perceived the main message to be abstinence from drinking during pregnancy. Conclusions: The questionnaire-based counseling model was more favorably perceived than the standard care model, but the new model was not more effective in terms of its impact on the proportion of women who abstained from drinking during pregnancy.

Place, publisher, year, edition, pages
2010. Vol. 19, no 1, 161-167 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-53818DOI: 10.1089/jwh.2009.1417ISI: 000273776500022OAI: oai:DiVA.org:liu-53818DiVA: diva2:292222
Available from: 2010-02-05 Created: 2010-02-05 Last updated: 2010-05-10

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Nilsen, PerHolmqvist, MarikaBendtsen, PrebenCedergren, Marie

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Division of Preventive and Social Medicine and Public Health ScienceFaculty of Health SciencesDepartment of Medical SpecialistObstetrics and gynecology Department of Gynecology and Obstetrics in Linköping
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