- Title
- Antenatal care for alcohol consumption during pregnancy: pregnant women's reported receipt of care and associated characteristics
- Creator
- Doherty, Emma; Wiggers, John; Tully, Belinda; Bennett, Nicole; Murray, Henry; Azzopardi, Carol; Kingsland, Melanie; Wolfenden, Luke; Anderson, Amy E.; Crooks, Kristy; Tsang, Tracey W.; Elliott, Elizabeth J.; Dunlop, Adrian J.; Attia, John; Dray, Julia
- Relation
- NHMRC.1113032 http://purl.org/au-research/grants/nhmrc/1113032
- Relation
- BMC Pregnancy and Childbirth Vol. 19, no. 299
- Publisher Link
- http://dx.doi.org/10.1186/s12884-019-2436-y
- Publisher
- BioMed Central
- Resource Type
- journal article
- Date
- 2019
- Description
- Background: Antenatal clinical guidelines recommend that during initial and subsequent antenatal visits all pregnant women: have their alcohol consumption assessed; be advised that it is safest not to consume alcohol during pregnancy and of the potential risks of consumption; and be offered referrals for further support if required. However, the extent to which pregnant women attending public antenatal services receive guideline recommended care at these visits, and the characteristics associated with its receipt, is unknown. The purpose of this study was to examine: 1) pregnant women's reported receipt of guideline recommended care addressing alcohol consumption during pregnancy; 2) characteristics associated with the receipt of care; and 3) pregnant women's acceptability of care. Methods: From July 2017 - February 2018 a survey (telephone or online) was undertaken with 1363 pregnant women who had recently visited a public antenatal service in one health district in Australia. Receipt and acceptability of recommended care were assessed via descriptive statistics and associations via logistic regression analyses. Results: At the initial antenatal visit, less than two thirds (64.3%) of pregnant women reported that they received an assessment of their alcohol consumption and just over one third (34.9%) received advice and referral appropriate to their self-reported level of alcohol consumption since pregnancy recognition. Less than 10% of women received such care at subsequent antenatal visits. Characteristics that significantly increased the odds of receiving all guideline elements at the initial antenatal visit included: less than university attainment (OR = 1.93; 95% CI:1.12, 3.34), not residing in an advantaged area (OR = 2.11; 95% CI:1.17, 3.79), first pregnancy (OR = 1.91; 95% CI:1.22, 2.99) and regional/rural service location (OR = 2.38; 95% CI:1.26, 4.48); and at subsequent visits: younger age (OR = 0.91; 95% CI:0.84, 0.99) and Aboriginal origin (OR = 3.17; 95% CI:1.22, 8.24). Each of the recommended care elements were highly acceptable to pregnant women (88.3-99.4%). Conclusions: Although care for alcohol consumption is both recommended by clinical guidelines and highly acceptable to pregnant women, its receipt in public antenatal services is suboptimal. There is a need and an opportunity for interventions to support antenatal care providers to routinely and consistently provide such care to all pregnant women.
- Subject
- maternal; alcohol consumption; pregnancy; antenatal care; implementation; evidence-based practice; quantitative methods
- Identifier
- http://hdl.handle.net/1959.13/1407811
- Identifier
- uon:35783
- Identifier
- ISSN:1471-2393
- Rights
- © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Language
- eng
- Full Text
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