'If you can have one glass of wine now and then, why are you denying that to a woman with no evidence’: knowledge and practices of health professionals concerning alcohol consumption during pregnancy

Article

Crawford-Williams, Fiona, Steen, Mary, Esterman, Adrian, Fielder, Andrea and Mikocka-Walus, Antonina. 2015. "'If you can have one glass of wine now and then, why are you denying that to a woman with no evidence’: knowledge and practices of health professionals concerning alcohol consumption during pregnancy." Women and Birth. 28 (4), pp. 329-335. https://doi.org/10.1016/j.wombi.2015.04.003
Article Title

'If you can have one glass of wine now and then, why are you denying that to a woman with no evidence’: knowledge and practices of health professionals concerning alcohol consumption during pregnancy

ERA Journal ID30465
Article CategoryArticle
AuthorsCrawford-Williams, Fiona (Author), Steen, Mary (Author), Esterman, Adrian (Author), Fielder, Andrea (Author) and Mikocka-Walus, Antonina (Author)
Journal TitleWomen and Birth
Journal Citation28 (4), pp. 329-335
Number of Pages7
Year2015
PublisherElsevier
Place of PublicationNetherlands
ISSN1871-5192
1878-1799
Digital Object Identifier (DOI)https://doi.org/10.1016/j.wombi.2015.04.003
Web Address (URL)http://www.sciencedirect.com/science/article/pii/S1871519215000463
Abstract

Background: 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.
Aims: 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.
Methods: 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.
Findings: 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 judgments were noted.
Conclusion: 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.

Keywordshalth promotion; pregnancy; alcohol drinking; prenatal education; foetal alcohol spectrum disorders
ANZSRC Field of Research 2020420499. Midwifery not elsewhere classified
321502. Obstetrics and gynaecology
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsUniversity of South Australia
University of York, United Kingdom
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q3qy4/-if-you-can-have-one-glass-of-wine-now-and-then-why-are-you-denying-that-to-a-woman-with-no-evidence-knowledge-and-practices-of-health-professionals-concerning-alcohol-consumption-during-pregnancy

Log in to edit

Download files

Submitted Version
FCW_submitted manuscript Women and Birth.pdf
File access level: Anyone

  • 1670
    total views
  • 474
    total downloads
  • 3
    views this month
  • 3
    downloads this month

Export as

Related outputs

The Supportive Care Needs of Regional and Remote Cancer Caregivers
Stiller, Anna, Goodwin, Belinda C., Crawford-Williams, Fiona, March, Sonja, Ireland, Michael, Aitken, Joanne F., Dunn, Jeff and Chambers, Suzanne K.. 2021. "The Supportive Care Needs of Regional and Remote Cancer Caregivers." Current Oncology. 28 (4), pp. 3041-3057. https://doi.org/10.3390/curroncol28040266
Information needs and preferences among rural cancer survivors in Queensland, Australia: a qualitative examination
Crawford-Williams, Fiona, Goodwin, Belinda C., Chambers, Suzanne K., Aitken, Joanne F., Ford, Martelle and Dunn, Jeff. 2022. "Information needs and preferences among rural cancer survivors in Queensland, Australia: a qualitative examination." Australian and New Zealand Journal of Public Health. 46 (1), pp. 81-86. https://doi.org/10.1111/1753-6405.13163
Survivorship care plans and information for rural cancer survivors
Rowe, Arlen, Crawford-Williams, Fiona, Goodwin, Belinda C., Myers, Larry, Stiller, Anna, Dunn, Jeff, Aitken, Joanne F. and March, Sonja. 2023. "Survivorship care plans and information for rural cancer survivors." Journal of Cancer Survivorship. 17 (2), pp. 441-448. https://doi.org/10.1007/s11764-022-01204-0
The quality of life of regional and remote cancer caregivers in Australia
Goodwin, Belinda C., Crawford-Williams, Fiona, Ireland, Michael, March, Sonja, Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2022. "The quality of life of regional and remote cancer caregivers in Australia." European Journal of Cancer Care. 31 (4), pp. 1-12. https://doi.org/10.1111/ecc.13587
A Cochrane review of superficial heat or cold for low back pain
French, Simon D., Cameron, Melainie, Walker, Bruce F., Reggars, John W. and Esterman, Adrian J.. 2006. "A Cochrane review of superficial heat or cold for low back pain." Spine. 31 (9), pp. 998-1006. https://doi.org/10.1097/01.brs.0000214881.10814.64
Are National Cancer Control Indicators for patient experiences being met in regional and remote Australia? A cross-sectional study of cancer survivors who travelled for treatment
Dunn, Jeff, Goodwin, Belinda, Aitken, Joanne F., March, Sonja, Crawford-Williams, Fiona, Ireland, Michael, Ralph, Nicholas, Zajdlewicz, Leah, Rowe, Arlen and Chambers, Suzanne. 2021. "Are National Cancer Control Indicators for patient experiences being met in regional and remote Australia? A cross-sectional study of cancer survivors who travelled for treatment." BMJ Open. 11 (2), pp. 1-10. https://doi.org/10.1136/bmjopen-2020-042507
Cancer-related help seeking in cancer survivors living in regional and remote Australia
Goodwin, Belinda C., Chambers, Suzanne, Aitken, Joanne, Ralph, Nicholas, March, Sonja, Ireland, Michael, Rowe, Arlen, Crawford-Williams, Fiona, Zajdlewicz, Leah and Dunn, Jeff. 2021. "Cancer-related help seeking in cancer survivors living in regional and remote Australia." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 30 (7), pp. 1068-1076. https://doi.org/10.1002/pon.5643
Online physical activity and sedentary behavior information for cancer survivors
Goodwin, Belinda C., Crawford-Williams, Fiona, Castro, Oscar, Rowe, Arlen and De Cocker, Katrien. 2020. "Online physical activity and sedentary behavior information for cancer survivors." Journal of Cancer Survivorship. 14 (5), pp. 677-688. https://doi.org/10.1007/s11764-020-00881-z
Superficial heat or cold for low back pain
French, Simon D., Cameron, Melainie, Walker, Bruce F., Reggars, John W. and Esterman, Adrian J.. 2006. "Superficial heat or cold for low back pain." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004750.pub2
Geographical Disparities in Screening and Cancer-Related Health Behaviour
Goodwin, Belinda C., Rowe, Arlen K., Crawford-Williams, Fiona, Baade, Peter, Chambers, Suzanne K., Ralph, Nicholas and Aitken, Joanne F.. 2020. "Geographical Disparities in Screening and Cancer-Related Health Behaviour." International Journal of Environmental Research and Public Health. 17 (4), pp. 1-12. https://doi.org/10.3390/ijerph17041246
Geographic variations in stage at diagnosis and survival for colorectal cancer in Australia: a systematic review
Crawford-Williams, Fiona, March, Sonja, Goodwin, Belinda C., Ireland, Michael J., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2019. "Geographic variations in stage at diagnosis and survival for colorectal cancer in Australia: a systematic review." European Journal of Cancer Care. 28 (3), pp. 1-16. https://doi.org/10.1111/ecc.13072
Strategies for increasing participation in mail-out colorectal cancer screening programs: a systematic review and meta-analysis
Goodwin, Belinda C., Ireland, Michael J., March, Sonja, Myers, Larry, Crawford-Williams, Fiona, Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2019. "Strategies for increasing participation in mail-out colorectal cancer screening programs: a systematic review and meta-analysis." Systematic Reviews. 8 (1), pp. 1-11. https://doi.org/10.1186/s13643-019-1170-x
General practitioner endorsement of mail-out colorectal cancer screening: The perspective of nonparticipants
Goodwin, Belinda C., Crawford-Williams, Fiona, Ireland, Michael J., March, Sonja, Goodwin B.C., Crawford-Williams F., Ireland M.J. and March S.. 2020. "General practitioner endorsement of mail-out colorectal cancer screening: The perspective of nonparticipants." Translational Behavioral Medicine. 10 (2), pp. 366-374. https://doi.org/10.1093/tbm/ibz011
Geographic variation in compliance With FOBT colorectal cancer screening programs: the role of attitudes toward health and help seeking
Goodwin, Belinda C., March, Sonja, Ireland, Michael, Crawford-Williams, Fiona, Manski, Donna, Ford, Martelle and Dunn, Jeff. 2019. "Geographic variation in compliance With FOBT colorectal cancer screening programs: the role of attitudes toward health and help seeking." Rural and Remote Health. 19 (3), pp. 1-10. https://doi.org/10.22605/RRH4957
'I’m not doing that.' An in-depth examination of nonparticipation in mail-out bowel cancer screening programs
Goodwin, Belinda C., March, Sonja, Crawford-Williams, Fiona, Chambers, Suzanne K. and Dunn, Jeff. 2020. "'I’m not doing that.' An in-depth examination of nonparticipation in mail-out bowel cancer screening programs." Translational Behavioral Medicine. 10 (6), pp. 1515-1524. https://doi.org/10.1093/tbm/ibz096
Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage
Goodwin, Belinda C., March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Ng, Shu-Kay, Baade, Peter D., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00372
Interventions for prostate cancer survivorship: a systematic review of reviews
Crawford-Williams, Fiona, March, Sonja, Goodwin, Belinda C., Ralph, Nicholas, Galvao, Daniel A., Newton, Robert U., Chambers, Suzanne K. and Dunn, Jeff. 2018. "Interventions for prostate cancer survivorship: a systematic review of reviews." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 27 (10), pp. 2339-2348. https://doi.org/10.1002/pon.4888
Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review
Crawford-Williams, Fiona, March, Sonja, Ireland, Michael J., Rowe, Arlen, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00116
Cancer care in regional Australia from the health professional's perspective
Crawford-Williams, Fiona, Goodwin, Belinda, March, Sonja, Ireland, Michael J., Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Cancer care in regional Australia from the health professional's perspective." Supportive Care in Cancer. 26 (10), pp. 3507-3515. https://doi.org/10.1007/s00520-018-4218-x
Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis
Sun, Jiandong, March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis." Australian and New Zealand Journal of Public Health. 42 (1), pp. 92-97. https://doi.org/10.1111/1753-6405.12722
A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia
Ireland, Michael J., March, Sonja, Crawford-Williams, Fiona, Cassimatis, Mandy, Aitken, Joanne F., Hyde, Melissa K., Chambers, Suzanne K., Sun, Jiandong and Dunn, Jeff. 2017. "A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia." BMC Cancer. 17 (1). https://doi.org/10.1186/s12885-017-3067-1
Alcohol consumption and protective behavioural strategy use among Australian young adults
Crawford-Williams, Fiona M., Roberts, Rachel M. and Watts, David. 2013. "Alcohol consumption and protective behavioural strategy use among Australian young adults." International Journal of Adolescence and Youth. 21 (1), pp. 119-133. https://doi.org/10.1080/02673843.2013.831363
'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
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
A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women
Crawford-Williams, Fiona., Fielder, Andrea, Mikocka-Walus, Antonina and Esterman, Adrian. 2015. "A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women." Drug and Alcohol Review. 34 (2), pp. 154-161. https://doi.org/10.1111/dar.12152
A public health intervention to change knowledge, attitudes and behaviour regarding alcohol consumption in pregnancy
Crawford-Williams, Fiona, Fielder, Andrea, Mikocka-Walus, Antonina, Esterman, Adrian and Steen, Mary. 2016. "A public health intervention to change knowledge, attitudes and behaviour regarding alcohol consumption in pregnancy." Evidence Based Midwifery. 14 (1), pp. 4-10.
Does the poor quality of Australian health education documentation undermine the message? A review of documents informing pregnant women about alcohol
Crawford-Williams, Fiona, Fielder, Andrea, Mikocka-Walus, Antonina, Esterman, Adrian and Steen-Greaves, Mary. 2015. "Does the poor quality of Australian health education documentation undermine the message? A review of documents informing pregnant women about alcohol." Evidence Based Midwifery. 13 (2), pp. 40-46.