Alcohol messages disseminated to pregnant women by midwives

Olusanya, Olufunto A.; Olokunlade, Temitope; Rossheim, Matthew E.; Greene, Kaylin M.; Barry, Adam E.

doi:10.1080/00952990.2020.1836187

Cited by 2 publications

(3 citation statements)

References 36 publications

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“…Approved by the American College of Obstetricians and Gynaecologists, these screeners are the best tools currently available to identify prenatal alcohol use by clinicians. Although the effectiveness of these measures varies somewhat across populations, one study found that the sensitivity rates for T‐ACE and TWEAK were 70% and 79% whereas specificities for T‐ACE and TWEAK were 85% and 83%, respectively [11]. Familiarising midwives with these useful tools will be an important step in increasing their uptake.…”

Section: Discussionmentioning

confidence: 99%

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Midwives' knowledge and perceived barriers to screening alcohol use among pregnant women in a southwestern US state

Olusanya

Greene

Rossheim

et al. 2022

Drug and Alcohol Review

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Introduction: Alcohol consumption during pregnancy can produce multiple damaging outcomes to the foetus, commonly referred to as fetal alcohol spectrum disorders (FASD). FASD represents the leading non-genetic cause of preventable birth defects in the United States where alcohol guidelines recommend pregnant woman abstain from alcohol use. This study examined: (i) midwives' knowledge, attitude and intent to screen for prenatal alcohol use; and (ii) assessed perceived barriers to communicating alcohol-related information.Methods: Using an online questionnaire, data were obtained from midwives (n = 61) in a southwestern US state between March and May 2018. Descriptive statistics were used to describe midwives' knowledge, attitude, intent and perceived barriers. Results: Several midwives considered one alcoholic beverage per occasion to be safe for the foetus (20.3%), some thought alcohol was safe during the 3rd trimester (14.8%) only and few thought it was safe in all trimesters. Many midwives (63.3%) were unaware that the TWEAK and T-ACE were validated alcohol screening tools for pregnant women. Furthermore, most midwives (>50%) agreed that limited time with patients, a need for additional training and lack of information on referral resources interfered with their sharing of alcohol abstinence guidelines. Midwives reported highly favourable attitudes and intentions toward sharing alcohol abstinence messages with their pregnant patients. Discussion and Conclusions: More in-depth research and larger samples are needed to explore barriers (knowledge gaps, limited time with patients, need for additional training) that hinder midwives' dissemination of abstinence messages to pregnant women and limit the uptake of validated alcohol screening tools.

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Section: Discussionmentioning

confidence: 99%

“…In addition, most midwives (88.3%) self-identified as non-Hispanic White and provided services to around 30.61 (SD = 24.87) pregnant women weekly. Additional methodological details have been described previously [10,11].…”

Section: Methodsmentioning

confidence: 99%

Midwives' knowledge and perceived barriers to screening alcohol use among pregnant women in a southwestern US state

Olusanya

Greene

Rossheim

et al. 2022

Drug and Alcohol Review

Self Cite

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“…The majority of the articles focused on the challenges to healthcare providers implementing screening and brief interventions including knowl edge of FASD and the effects of alcohol use in preg nancy, [81][82][83] workloads and competing priorities, [84][85][86] availability and implementation of screening tools and alcohol use guidelines, 82,84,85 a lack of continuity of care 84 and/or capacity to refer to supports follow ing screening, 81,82 (in)adequate support and train ing, 84,85 healthcare provider perceptions of alcohol use, 85,87 underreporting or nondisclosure of sub stance use on the part of women, 85,86 and confidence and competence to conduct screening and brief interventions. 82,83 The challenges with implementation related to stigma 88 and unrecognized social determinants of health 89 were further described.…”

Section: Implementation Of Screening and Brief Interventionsmentioning

confidence: 99%

At a Juncture: Exploring Patterns and Trends in FASD Prevention Research from 2015 – 2021 Using the Four-Part Model of Prevention

Wolfson

Poole

Harding

et al. 2022

Journal of Fetal Alcohol Spectrum Disorder

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Background and Objective: FASD prevention efforts have been expanded in the last 25 years to go beyond the moral panic that guided early public awareness campaigns and policy responses. In Canada, a Four-Part Model of FASD Prevention has been developed and used that describes a continuum of multi-sectoral efforts for women, girls, children, and their support networks, including broad awareness campaigns, safe and respectful conversations around pregnancy and alcohol use, and holistic and wraparound support services for pregnant and postpartum women with alcohol and other health and social concerns. The purpose of this article is to describe the state of the evidence on FASD prevention from 2015 – 2021, including the prevalence and influences on alcohol use during pregnancy, interventions at each of the four levels of the Four-Part Model, as well as systemic, destigmatizing, and ethical considerations. Materials and Methods: Using EBSCO Host, seven academic databases were annually searched for articles related to FASD prevention from 2015 – 2021. English language articles were screened for relevance to alcohol use in pregnancy and FASD prevention. Using outlined procedures for thematic analysis, the findings were categorized within the following key themes: prevalence and influences on women’s drinking; Level 1 prevention; Level 2 prevention; Level 3 prevention; Level 4 prevention; and systemic, destigmatizing, and ethical considerations. Results: From January 2015 – December 2020 n = 532 articles were identified that addressed the prevalence and influences on alcohol use during pregnancy, interventions at each of the four levels, and systemic, destigmatizing, and ethical considerations. The most recent research on FASD prevention published in English was generated in the United States (US; n = 216, 40.6%), Canada (n = 91, 17.1%), the United Kingdom (UK; n = 60, 11.3%), and Australia (n = 58, 10.9%). However, there was an increase in studies published from other countries over the last six years. The literature heavily focused on prevalence and influences on alcohol use during pregnancy (n = 182, 34.2%), with an increase of prevalence research from countries outside of Canada, the US, Australia, and the UK, and on Level 2 prevention efforts (n = 174, 32.7%), specifically around the efficacy and implementation of brief interventions. Across Level 1 and Level 2 prevention efforts, there was an increase in literature published on the role of technology in supporting health promotion, education, screening, and brief interventions. Attention to Levels 3 and 4 demonstrated nuanced multi-service, trauma-informed, relational, and holistic approaches to supporting women and their children. However, efforts are needed to address stigma, which acted as a systemic barrier to care across each level of prevention. Conclusion: Research and practice on FASD prevention has continued to expand. Through our generated deductive themes, this review synthesized the findings and demonstrated how the work on FASD prevention has been amplified in recent years and how efforts to support women and children’s health are complex and interconnected. The findings highlight opportunities for prevention through research and evidence-informed policy and practice.

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Alcohol messages disseminated to pregnant women by midwives

Cited by 2 publications

References 36 publications

Midwives' knowledge and perceived barriers to screening alcohol use among pregnant women in a southwestern US state

Midwives' knowledge and perceived barriers to screening alcohol use among pregnant women in a southwestern US state

At a Juncture: Exploring Patterns and Trends in FASD Prevention Research from 2015 – 2021 Using the Four-Part Model of Prevention

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