Women's experiences of messages relating to alcohol consumption, received during their first antenatal care visit: An interpretative phenomenological analysis.
Prenatal alcohol use
Prevention
Qualitative
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
24
08
2018
revised:
10
01
2019
accepted:
10
02
2019
pubmed:
5
3
2019
medline:
25
7
2020
entrez:
5
3
2019
Statut:
ppublish
Résumé
Despite greater awareness of fetal alcohol spectrum disorder, there has not been similar attention paid to research regarding effective strategies for prevention. To explore and interpret the messages women receive during their first antenatal care visit, relating to alcohol consumption. Participants 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. Data 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. Strategies 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.
Sections du résumé
BACKGROUND
BACKGROUND
Despite greater awareness of fetal alcohol spectrum disorder, there has not been similar attention paid to research regarding effective strategies for prevention.
AIMS
OBJECTIVE
To explore and interpret the messages women receive during their first antenatal care visit, relating to alcohol consumption.
METHODS
METHODS
Participants 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.
FINDINGS
RESULTS
Data 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.
CONCLUSION
CONCLUSIONS
Strategies 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.
Identifiants
pubmed: 30827779
pii: S1871-5192(18)30600-0
doi: 10.1016/j.wombi.2019.02.002
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e122-e128Informations de copyright
Copyright © 2019. Published by Elsevier Ltd.