Identifying hazardous alcohol consumption during pregnancy: implementing a research‐based model in real life

Abstract

We confirm previous findings that alcohol use during pregnancy is more extensive in Sweden than has generally been realized. Systematic screening using AUDIT and TLFB detects hazardous use in a manner which regular antenatal care does not. This remains true under naturalistic conditions, following minimal training of regular antenatal care staff, and can be achieved with minimal resources. The proposed strategy appears attractive for broad implementation.

Health Professionals Addressing Alcohol Use with Pregnant Women in Western Australia: Barriers and Strategies for Communication

“…These results support the recommendation that a standardized tool, such as AUDIT, AUDIT-C, T-ACE, or TWEAK be used to screen for alcohol use before and during pregnancy (Bradley et al, 2007;Chang et al, 1999). These tools are quick to administer, are effective in detecting alcohol misuse amongst women, and are more effective in identifying alcohol misuse than alcohol consumption assessment conducted without a tool (Chang et al, 1999;Goransson, Magnusson, and Heilig, 2006). Furthermore, recording of the results of alcohol consumption screening efforts may assist health professionals at a later stage in identifying and evaluating children requiring follow-up for developmental assessment.…”

Adolescents’ and school nurses’ perceptions of using a health and lifestyle tool in health dialogues

“…Questionnaires have been shown to detect important aspects of an individual’s health in other health care settings as well (Bigrigg et al. 2005, Göransson et al. 2006, Olson et al.…”

Alcool pendant la grossesse : pourquoi et comment en parler ?

“…Même si la question est presque toujours abordée, ils déclarent manquer de temps, de connaissances sur le sujet (85 %) ou d'outils appropriés (65 %), ou même d'une compensation financière pour effectuer convenablement le dépistage [20]. L'apport d'une formation spécifique peut permettre d'augmenter significativement la performance du dépistage au sein des équipes [21]. L'entretien prénatal du 4 e mois réalisé dans plus de 80 % des cas par une sage-femme permettrait égale-ment de ménager un temps adapté au dépistage, mais seules 20 % des parturientes y ont actuellement accès selon d'ENP 2010 [1].…”