'My midwife said that having a glass of red wine was actually better for the baby': a focus group study of women and their partner’s knowledge and experiences relating to alcohol consumption in pregnancy

Article


Crawford-Williams, Fiona, Steen, Mary, Esterman, Adrian, Fielder, Andrea and Mikocka-Walus, Antonina. 2015. "'My midwife said that having a glass of red wine was actually better for the baby': a focus group study of women and their partner’s knowledge and experiences relating to alcohol consumption in pregnancy." BMC Pregnancy and Childbirth. 15 (79). https://doi.org/10.1186/s12884-015-0506-3
Article Title

'My midwife said that having a glass of red wine
was actually better for the baby': a focus group
study of women and their partner’s knowledge
and experiences relating to alcohol consumption
in pregnancy

ERA Journal ID15812
Article CategoryArticle
AuthorsCrawford-Williams, Fiona (Author), Steen, Mary (Author), Esterman, Adrian (Author), Fielder, Andrea (Author) and Mikocka-Walus, Antonina (Author)
Journal TitleBMC Pregnancy and Childbirth
Journal Citation15 (79)
Number of Pages11
Year2015
Place of PublicationUnited Kingdom
ISSN1471-2393
Digital Object Identifier (DOI)https://doi.org/10.1186/s12884-015-0506-3
Web Address (URL)http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0506-3
Abstract

Background: While it is well established that alcohol can cross the placenta to the foetus and can affect an infant’s development, many women continue to drink during pregnancy. For this reason it is important to determine what information is being provided, what information may be missing, and the preferred sources of information on this issue. In order to improve prevention strategies, we sought to understand the knowledge and experiences of
pregnant women and their partners regarding the effects of alcohol consumption during pregnancy.
Methods: The current study utilised a qualitative study design in order to gain insight into the views and
experiences of pregnant women, newly delivered mothers and their partners. Focus groups examined the
participant’s knowledge about the effects of alcohol consumption during pregnancy, the sources of information on this issue, and the psycho-social influences on their drinking behaviour. Five focus groups were conducted involving a total of 21 participants (17 female). A six-stage thematic analysis framework was used to analyse all focus group discussions in a systematic way.
Results: Seven major themes were identified from the focus group data: 1) knowledge of Foetal Alcohol Spectrum
Disorders; 2) message content and sources; 3) healthcare system; 4) society and culture; 5) partner role; 6)
evaluation of risk; and 7) motivation. The findings indicated that although the majority of participants knew not to drink alcohol in pregnancy they had limited information on the specific harmful effects. In addition, routine enquiry and the provision of information by health care professionals were seen as lacking.
Conclusions: The findings of this research provide important insights in to the relationship between pregnant women, their partners, and their healthcare providers. Several recommendations can be made on the basis of these findings. Firstly, public health messages and educational materials need to provide clear and consistent information about the effects of alcohol consumption on the developing baby. Additionally, more thorough and consistent routine enquiry for alcohol consumption in pregnant women needs to occur. Finally, it is important to ensure ongoing education for health professionals on the issue of alcohol consumption during pregnancy.

Keywordspregnancy, alcohol, fetal alcohol spectrum disorders, health education
ANZSRC Field of Research 2020420499. Midwifery not elsewhere classified
Byline AffiliationsUniversity of South Australia
University of York, United Kingdom
Institution of OriginUniversity of Southern Queensland
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