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Women’s experiences of messages relating to alcohol consumption,received during their first antenatal care visit: An interpretative phenomenological analysis
Institution:1. Griffith University, School of Applied Psychology, Parklands Drive, Southport, 4215, Australia;2. The University of Queensland, Child Health Research Centre, 62 Graham Street, South Brisbane, Queensland, 4101, Australia;1. Faculty of Medicine-Benha University, El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt;2. Madinet Kafr Shokr, Kafr Shokr, Al Qalyubia Governorate, Egypt;3. El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt;4. Research coordinator at the Faculty of Egyptian Society of Royal College of Obstetrics and Gynaecology, (ERC-RCOG), 42 Abdel Monem Road, Mohandseen, Cairo, 11231, Egypt;1. University of Newcastle, Faculty of Health and Medicine, School of Nursing and Midwifery, University Drive, Callaghan, NSW, 2308, Australia;2. University of Newcastle, Faculty of Health and Medicine, School of Medicine and Public Health, University Drive, Callaghan, NSW, 2308, Australia;3. Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia;4. University of Newcastle, Priority Research Centre for Health Behaviour, Australia;5. Hunter New England Health Nursing, Midwifery Research Centre, Australia;6. University of Canberra, ACT Government Health Directorate, Australia;7. University of Newcastle, Priority Research Centre for Brain and Mental Health, Australia;1. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health. 1 W. Wilson St., Madison, WI, 53704, United States;2. Department of History and Social Sciences, Faculty of Liberal Arts, Universidad Adolfo Ibáñez, Diagonal Las Torres, Peñalolén, Santiago, 2640, Chile;3. Birth Place Lab., University of British Columbia, BC Women’s Hospital Shaughnessy Building E418 4500 Oak Street, Vancouver, BC V6H 3N1, Canada;1. Faculty of Nursing, Mutah University, Jordan;2. School of Medicine, University Centre for Rural Health, The University of Sydney, NSW Australia;1. School of Nursing, Queen’s University, Kingston, ON, Canada;2. Community Midwives of Kingston, Kingston, ON, Canada;3. Family Midwifery Care, Guelph, ON, Canada;4. Department of Family Medicine, Guelph, ON, Canada;5. Department of Psychology, University of New Brunswick, Fredericton, NB, Canada;6. Department of Psychology, Queen’s University, Kingston, ON, Canada
Abstract:BackgroundDespite greater awareness of fetal alcohol spectrum disorder, there has not been similar attention paid to research regarding effective strategies for prevention.AimsTo explore and interpret the messages women receive during their first antenatal care visit, relating to alcohol consumption.MethodsParticipants were 12 females who had attended an initial antenatal care visit within the previous two years. They participated in semi-structured interviews about their experiences of the health messages they recalled receiving during their first antenatal care visit, with emphasis on messages relating to alcohol consumption.FindingsData were analysed using Interpretative Phenomenological Analysis which identified two superordinate themes: (1) Messages Received About Alcohol Consumption, and (2) Ways of Interpreting Messages Relating to Alcohol Consumption. Messages received by participants about alcohol consumption were generally consistent with national guidelines, stating that there is no safe level during pregnancy. Women interpreted these messages, however, within a broader, personal and socio-cultural context. This leads to women’s choices about alcohol consumption being informed by their individual understanding of risk. To facilitate open discussions about sensitive topics such as alcohol consumption, participants expressed a preference for antenatal support that is tailored to their individual needs.ConclusionStrategies to prevent fetal alcohol spectrum disorder need to include messages encouraging women to abstain during pregnancy, whilst at the same time, providing the type of individualised antenatal care that best enables this to be accomplished.
Keywords:Prevention  Prenatal alcohol use  Qualitative
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