Crawford-Williams Fiona, Steen Mary, Esterman Adrian, Fielder Andrea, Mikocka-Walus Antonina
School of Nursing and Midwifery, University of South Australia, Frome Road, Adelaide, SA, Australia.
School of Nursing and Midwifery, University of South Australia, Frome Road, Adelaide, SA, Australia.
Women Birth. 2015 Dec;28(4):329-35. doi: 10.1016/j.wombi.2015.04.003. Epub 2015 May 4.
Alcohol consumption during pregnancy has the potential to cause significant harm to the foetus and the current Australian guidelines state that it is safest not to drink alcohol while pregnant. However, conflicting messages often appear in the media and it is unclear if the message to avoid alcohol is being effectively conveyed to pregnant women.
This research aims to explore the advice that health professionals provide to pregnant women about alcohol consumption; the knowledge of health professionals regarding the effects of alcohol consumption; and their consistency with following the Australian guidelines.
Ten semi-structured face to face interviews were conducted with health professionals who regularly provide antenatal care. These include midwives, obstetricians, and shared care general practitioners. A six-stage thematic analysis framework was used to analyse the interview data in a systematic way to ensure rigour and transparency. The analysis involved coding data extracts, followed by identifying the major themes.
Health professionals displayed adequate knowledge that alcohol can cause physical and mental difficulties that are lifelong; however, knowledge of the term FASD and the broad spectrum of difficulties associated with alcohol consumption during pregnancy was limited. Although health professionals were willing to discuss alcohol with pregnant women, many did not make this a routine part of practice, and several concerning judgements were noted.
Communication between health professionals and pregnant women needs to be improved to ensure that accurate information about alcohol use in pregnancy is being provided. Further, it is important to ensure that the national guidelines are being supported by health professionals.
孕期饮酒有可能对胎儿造成严重伤害，澳大利亚现行指南指出，孕期不饮酒最为安全。然而，媒体上常常出现相互矛盾的信息，对于避免饮酒这一信息是否有效地传达给了孕妇并不明确。
本研究旨在探究健康专业人员就饮酒问题向孕妇提供的建议；健康专业人员关于饮酒影响的知识；以及他们遵循澳大利亚指南的一致性。
对定期提供产前护理的健康专业人员进行了十次半结构化面对面访谈。这些人员包括助产士、产科医生和参与共享护理的全科医生。采用六阶段主题分析框架对访谈数据进行系统分析，以确保严谨性和透明度。分析包括对数据摘录进行编码，随后确定主要主题。
健康专业人员具备足够的知识，了解酒精会导致终身的身心问题；然而，对胎儿酒精谱系障碍（FASD）一词以及与孕期饮酒相关的广泛问题的了解有限。尽管健康专业人员愿意与孕妇讨论饮酒问题，但许多人并未将此作为常规工作内容，并且发现了一些令人担忧的判断。
需要改善健康专业人员与孕妇之间的沟通，以确保提供有关孕期饮酒的准确信息。此外，确保国家指南得到健康专业人员的支持非常重要。
