Poole Nancy, Schmidt Rose A, Green Courtney, Hemsing Natalie
British Columbia Centre of Excellence for Women's Health, Vancouver, BC, Canada.
The Society of Obstetricians and Gynaecologists of Canada, Ottawa, ON, Canada.
Subst Abuse. 2016 May 5;10(Suppl 1):1-11. doi: 10.4137/SART.S34545. eCollection 2016.
Effective prevention of risky alcohol use in pregnancy involves much more than providing information about the risk of potential birth defects and developmental disabilities in children. To categorize the breadth of possible initiatives, Canadian experts have identified a four-part framework for fetal alcohol spectrum disorder (FASD) prevention: Level 1, public awareness and broad health promotion; Level 2, conversations about alcohol with women of childbearing age and their partners; Level 3, specialized support for pregnant women; and Level 4, postpartum support for new mothers. In order to describe the level of services across Canada, 50 Canadian service providers, civil servants, and researchers working in the area of FASD prevention were involved in an online Delphi survey process to create a snapshot of current FASD prevention efforts, identify gaps, and provide ideas on how to close these gaps to improve FASD prevention. Promising Canadian practices and key areas for future action are described. Overall, Canadian FASD prevention programming reflects evidence-based practices; however, there are many opportunities to improve scope and availability of these initiatives.
有效预防孕期危险饮酒所涉及的内容远不止提供关于儿童潜在出生缺陷和发育障碍风险的信息。为了对可能采取的举措的广度进行分类，加拿大专家确定了一个预防胎儿酒精谱系障碍（FASD）的四部分框架：一级，公众意识和广泛的健康促进；二级，与育龄妇女及其伴侣就饮酒问题进行沟通；三级，为孕妇提供专门支持；四级，为新妈妈提供产后支持。为了描述加拿大各地的服务水平，50名从事FASD预防领域工作的加拿大服务提供者、公务员和研究人员参与了一项在线德尔菲调查过程，以呈现当前FASD预防工作的概况，找出差距，并就如何弥补这些差距以改进FASD预防工作提供思路。文中描述了加拿大一些有前景的做法以及未来行动的关键领域。总体而言，加拿大的FASD预防计划反映了循证实践；然而，仍有许多机会来扩大这些举措的范围并提高其可及性。
