A qualitative investigation of alcohol use advice during pregnancy: Experiences of Dutch midwives, pregnant women and their partners

Wulp, N.Y. van der; Hoving, Ciska; Vries, Hein de

doi:10.1016/j.midw.2012.11.014

Cited by 60 publications

(87 citation statements)

References 48 publications

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“…It has been used to study the psychosocial factors that predict eating in moderation, resulting from an awareness of the risk behaviour of individuals [57]. It has also been used to study the skills and knowledge of nurses and provide them to pregnant women and their partners who are concerned about alcohol consumption during pregnancy [58]. In addition, ICM has been used to study behavioural interventions that explore motivation and changes in the risk behaviour of people with Familial Hypercholesterolemia (FH) based on a control group and an intervention group.…”

Section: I-change Modelmentioning

confidence: 99%

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The Influence of Social Media Lifestyle Interventions on Health Behaviour: A Study on Patients with Major Depressive Disorders and Family Caregivers

Jattamart¹,

Leelasantitham²

2019

TOPHJ

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Background: The World Health Organisation (WHO) predicts that depression will be the second leading cause of diseases by 2020. If depression is not properly treated, it can develop into a depressive disorder and increase the risk of suicide.Besides biopsychosocial factors, lifestyle is said to be a major cause of this disease and has led to an increase in its prevalence. Objective: The objective of this study was to study the intentions of patients with major depressive disorders and family caregivers to change their health behaviour and lifestyle through social media influences. Methods: This was a cross-sectional study. Participants were invited to take part in the research and give their informed consent. The sample consisted of 157 patients diagnosed with major depressive disorders, aged 18 years and over, and 110 family caregivers. Data were collected from the questionnaires designed according to the I-Change Model (ICM). Statistical results to confirm causal relationships were analysed based on Structural Equation Modelling (SEM) and by using the SmartPLS 3 software. Results: Patients and family caregivers were questioned about their perspectives on health matters and the influence on their motivations and intentions to change patients’ health behaviour and lifestyle, particularly social media interventions. The patients received information and counselling about health matters, health awareness, motivation and their intentions to change their health behaviour. The family caregivers were presented with the same information and counselling to motivate them to influence the depressive patients’ intentions to change their health behaviour. Conclusion: It is possible that lifestyle interventions on social media can influence the intention to change health behaviour in both patients and caregivers. However, if the patient lacks interest in participating in the treatment and does not have a good relationship with the clinician or provide relevant information to the experts; this can be an obstacle to changing their health behaviour. Therefore, future research should be conducted to ascertain which interventions are appropriate for patients and to study the long-term effects of any risks from using social media in patients with major depressive disorders.

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Section: I-change Modelmentioning

confidence: 99%

“…H1a Adapted from [58,61,71,72] AWN2 'I acknowledge that joining a secret group and seeking health information about depressive diseases by interacting on social media helps me to contact and exchange information with other participants. '…”

Section: Information Factors Awareness Factors Motivation Factors Barmentioning

confidence: 99%

The Influence of Social Media Lifestyle Interventions on Health Behaviour: A Study on Patients with Major Depressive Disorders and Family Caregivers

Jattamart¹,

Leelasantitham²

2019

TOPHJ

View full text Add to dashboard Cite

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“…Qualitative studies have investigated the role of midwives as communicators of information about alcohol consumption, finding that both women and midwives were comfortable talking about alcohol consumption but such conversations did not routinely take place [18, 19]. However, there has been no research that expressly investigates the emotional dimensions of women’s experiences of receiving information about abstaining from alcohol during pregnancy, whether from healthcare professionals or through other social or media networks.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing women’s decisions to drink alcohol during pregnancy: findings of a qualitative study with implications for health communication

Meurk

Broom

Adams

et al. 2014

BMC Pregnancy Childbirth

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BackgroundDespite Australian guidelines advising abstinence from alcohol during pregnancy, a relatively high number of Australian women continue to drink alcohol while pregnant. While some call for greater advocacy of the need for abstinence, others have expressed concern that abstinence messages may be harmful to pregnant women and their unborn babies due to the anxiety they could provoke. We present findings on women's deliberations over drinking alcohol during pregnancy, particularly their emotional dimensions, to inform debates about public health messages and practitioner-patient discussions regarding alcohol use during pregnancy.MethodsSemi-structured face-to-face interviews were conducted with 40 women in their homes. Our sample comprised women aged 34–39, drawn from the Australian Longitudinal Study on Women’s Health, living in the Greater Brisbane Area who were pregnant, or had recently given birth, in 2009. An inductive qualitative framework analysis approach was used to identify and interpret themes explaining why pregnant women choose to drink or not.ResultsWomen generally described drinking small amounts of alcohol during pregnancy as being a low risk activity and talked about the importance of alcohol to their social lives as a reason for continuing to drink or finding abstinence a burden; sensitisation to the judgements of others was not widespread. Women predominantly assessed the risk of their drinking in terms of the kinds of alcoholic beverages consumed rather than alcohol content. In reflecting on the advice they recalled receiving, women described their healthcare practitioners as being relaxed about the risks of alcohol consumption.ConclusionsThe significance of alcohol to women’s identity appeared to be an important reason for continued alcohol use during pregnancy among otherwise risk averse women. Anxiety about alcohol consumption during pregnancy was not widespread. However, obstetricians were an important mediator of this. Health messages that dispel the notion that wine is a “healthy” choice of alcoholic beverage, that provide women with strategies to help them avoid drinking, that advise the broader public not to pressure women to drink if they do not want to, and educate women about the effects of ethanol on maternal and fetal bodies, should be considered.

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“…Although alcohol abstinence is recommended during pregnancy, more than 20% of pregnant women worldwide continue to abuse alcohol (van der Wulp et al, 2013). In these cases, a wide range of abnormal neurological outcomes can arise from FAS, including excessive neuron apoptosis (Genetta et al, 2007;Maffi et al, 2008), the risk of neuronal disorders (RNDs), and brain malformations during early embryonic development that affect neural crest and neural tube development (Wentzel and Eriksson, 2009;Zhou et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Fetal Alcohol Syndrome, Chemo-Biology and OMICS: Ethanol Effects on Vitamin Metabolism During Neurodevelopment as Measured by Systems Biology Analysis

Feltes

Poloni

Nunes

et al. 2014

OMICS: A Journal of Integrative Biology

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Fetal alcohol syndrome (FAS) is a prenatal disease characterized by fetal morphological and neurological abnormalities originating from exposure to alcohol. Although FAS is a well-described pathology, the molecular mechanisms underlying its progression are virtually unknown. Moreover, alcohol abuse can affect vitamin metabolism and absorption, although how alcohol impairs such biochemical pathways remains to be elucidated. We employed a variety of systems chemo-biology tools to understand the interplay between ethanol metabolism and vitamins during mouse neurodevelopment. For this purpose, we designed interactomes and employed transcriptomic data analysis approaches to study the neural tissue of Mus musculus exposed to ethanol prenatally and postnatally, simulating conditions that could lead to FAS development at different life stages. Our results showed that FAS can promote early changes in neurotransmitter release and glutamate equilibrium, as well as an abnormal calcium influx that can lead to neuroinflammation and impaired neurodifferentiation, both extensively connected with vitamin action and metabolism. Genes related to retinoic acid, niacin, vitamin D, and folate metabolism were underexpressed during neurodevelopment and appear to contribute to neuroinflammation progression and impaired synapsis. Our results also indicate that genes coding for tubulin, tubulinassociated proteins, synapse plasticity proteins, and proteins related to neurodifferentiation are extensively affected by ethanol exposure. Finally, we developed a molecular model of how ethanol can affect vitamin metabolism and impair neurodevelopment.

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A qualitative investigation of alcohol use advice during pregnancy: Experiences of Dutch midwives, pregnant women and their partners

Cited by 60 publications

References 48 publications

The Influence of Social Media Lifestyle Interventions on Health Behaviour: A Study on Patients with Major Depressive Disorders and Family Caregivers

The Influence of Social Media Lifestyle Interventions on Health Behaviour: A Study on Patients with Major Depressive Disorders and Family Caregivers

Factors influencing women’s decisions to drink alcohol during pregnancy: findings of a qualitative study with implications for health communication

Fetal Alcohol Syndrome, Chemo-Biology and OMICS: Ethanol Effects on Vitamin Metabolism During Neurodevelopment as Measured by Systems Biology Analysis

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