Carson George, Cox Lori Vitale, Crane Joan, Croteau Pascal, Graves Lisa, Kluka Sandra, Koren Gideon, Martel Marie-Jocelyne, Midmer Deana, Nulman Irena, Poole Nancy, Senikas Vyta, Wood Rebecca
Regina, SK.
Elsipogtog, NB.
J Obstet Gynaecol Can. 2017 Sep;39(9):e220-e254. doi: 10.1016/j.jogc.2017.06.005.
To establish national standards of care for the screening and recording of alcohol use and counselling on alcohol use of women of child-bearing age and pregnant women based on the most up-to-date evidence.
Published literature was retrieved through searches of PubMed, CINAHL, and the Cochrane Library in May 2009 using appropriate controlled vocabulary (e.g., pregnancy complications, alcohol drinking, prenatal care) and key words (e.g., pregnancy, alcohol consumption, risk reduction). Results were restricted to literature published in the last five years with the following research designs: systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no language restrictions. Searches were updated on a regular basis and incorporated in the guideline to May 2010. Grey (unpublished) literature was identified through searching the websites of health technology assessment (HTA) and HTA-related agencies, national and international medical specialty societies, clinical practice guideline collections, and clinical trial registries. Each article was screened for relevance and the full text acquired if determined to be relevant. The evidence obtained was reviewed and evaluated by the members of the Expert Workgroup established by the Society of Obstetricians and Gynaecologists of Canada. The quality of evidence was evaluated and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care.
The quality of evidence was rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table 1).
The Public Health Agency of Canada and the Society of Obstetricians and Gynaecologists of Canada.
These consensus guidelines have been endorsed by the Association of Obstetricians and Gynecologists of Quebec; the Canadian Association of Midwives; the Canadian Association of Perinatal, Women's Health and Neonatal Nurses (CAPWHN); the College of Family Physicians of Canada; the Federation of Medical Women of Canada; the Society of Rural Physicians of Canada; and Motherisk.
RECOMMENDATIONS.
基于最新证据，制定针对育龄期女性及孕妇酒精使用筛查、记录以及酒精使用咨询的国家标准照护方案。
2009年5月通过检索PubMed、CINAHL和Cochrane图书馆获取已发表文献，使用了适当的受控词汇（如妊娠并发症、饮酒、产前护理）和关键词（如妊娠、酒精消费、风险降低）。结果仅限于过去五年发表的具有以下研究设计的文献：系统评价、随机对照试验/对照临床试验和观察性研究。无语言限制。检索定期更新，并纳入截至2010年5月的指南。通过搜索卫生技术评估（HTA）及与HTA相关机构、国家和国际医学专业协会、临床实践指南汇编以及临床试验登记处的网站，识别灰色（未发表）文献。对每篇文章进行相关性筛选，若确定相关则获取全文。加拿大妇产科学会成立的专家工作组的成员对获得的证据进行审查和评估。根据加拿大预防性医疗保健工作组制定的指南评估证据质量并提出建议。
使用加拿大预防性医疗保健工作组描述的标准对证据质量进行评级（表1）。
加拿大公共卫生署和加拿大妇产科学会。
这些共识指南已得到魁北克妇产科医生协会、加拿大助产士协会、加拿大围产期、妇女健康和新生儿护士协会（CAPWHN）、加拿大家庭医生学院、加拿大女医生联合会、加拿大农村医生协会以及母婴健康风险评估机构（Motherisk）的认可。
建议。
