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Alcohol prevention in Swedish antenatal care: effectiveness and perceptions of the Risk Drinking project counseling model
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. Linköping University, Department of Medical and Health Sciences, Health Technology Assessment and Health Economics.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Health Technology Assessment and Health Economics. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Health Sciences.
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2012 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 91, no 6, 736-743 p.Article in journal (Refereed) Published
Abstract [en]

Objective. To compare an earlier Swedish antenatal care counseling routine concerning alcohol consumption with an expanded model in terms of effectiveness in achieving abstinence in pregnancy. A further objective was to assess the womens perceptions of the alcohol counseling. Design. Cohort study. Setting. Antenatal care center in a provincial Swedish university town. Population. Women who received alcohol counseling; 1533 in cohort 1 (routine counseling) and 1476 in cohort 2 (expanded model). Approximately 93% of all pregnant women in Linkoping are registered at this center. Methods. Data were collected by means of an anonymous questionnaire. Thirteen questions in the questionnaire were analysed for this study. Main outcome measures. Replies from three questions concerning pre-pregnancy drinking and three questions on drinking during pregnancy. Results. The response rate was 60% for cohort 1 and 64% for cohort 2. Perceptions of the advice from the antenatal care center were generally favorable. Similar proportions of women, approximately 6%, in both cohorts drank at least once during the pregnancy (after pregnancy recognition). There were four predictors for drinking during pregnancy: older age; having previously given birth to a child; frequency of pre-pregnancy drinking; and perceiving the message from antenatal care as small amounts of alcohol during pregnancy dont matter.Conclusions. An expanded counseling model implemented in Swedish antenatal care did not reduce the proportion of women who continued drinking during pregnancy in comparison with a previous counseling model, although the advice provided in the new model was perceived more favorably.

Place, publisher, year, edition, pages
Informa Healthcare / Wiley-Blackwell , 2012. Vol. 91, no 6, 736-743 p.
Keyword [en]
Antenatal care, pregnancy, alcohol consumption, advice, counseling, implementation
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-78266DOI: 10.1111/j.1600-0412.2012.01402.xISI: 000304087500014OAI: oai:DiVA.org:liu-78266DiVA: diva2:531847
Available from: 2012-06-08 Created: 2012-06-08 Last updated: 2017-12-07Bibliographically approved

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Nilsen, PerSkagerström, JannaRahmqvist, MikaelBlomberg, Marie

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Nilsen, PerSkagerström, JannaRahmqvist, MikaelBlomberg, Marie
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Social Medicine and Public Health ScienceFaculty of Health SciencesHealth Technology Assessment and Health EconomicsDepartment of Medical and Health SciencesObstetrics and gynecologyDepartment of Gynaecology and Obstetrics in Linköping
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Acta Obstetricia et Gynecologica Scandinavica
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