Alcohol in Pregnancy: Attitudes, Knowledge, and Information Practice Among Midwives in Denmark 2000 to 2009
Alcohol in Pregnancy: Attitudes, Knowledge, and Information Practice Among Midwives in Denmark 2000 to 2009
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DOI：
10.1111/j.1530-0277.2011.01572.x
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发表时间：
2011-12-01
影响因子：
3.2
通讯作者：
Kesmodel, Pia S.
中科院分区：
文献类型：
--
作者：
Kesmodel, Ulrik S.;Kesmodel, Pia S.
背景资料：丹麦的大多数孕妇说，她们在怀孕期间没有和助产士谈论过酒精，她们大多被告知摄入一些酒精是可以的。从1999年到2007年，丹麦国家卫生委员会建议孕妇摄入一些酒精是可以接受的。自2007年以来，该建议一直是戒酒。本研究的目的是描述的态度，知识和信息的做法，关于饮酒在怀孕期间的助产士在丹麦在2000年和2009年，他们的答案如何相关的2个不同的官方recommendations.Methods：在2000年，我们邀请了所有的助产士在奥胡斯大学医院的产前保健中心。94%的人接受了关于他们对怀孕期间酒精的态度、信仰和知识的采访。还询问了关于向孕妇提供酒精的信息。结果：2000年，大多数助产士（69%）认为孕期饮酒是可以接受的，大多数是每周一次，只有28%的助产士建议戒酒。另一方面，大多数人认为酗酒有害。参与者的态度和他们对孕妇的建议存在相当大的人与人之间的差异。2009年，更多的助产士（48%）认为禁欲是最好的，更重要的是，更多的助产士（61%）向孕妇提出了这一建议。与会者主要是在专业背景下获得关于酒精的信息。他们的知识有关酒精的官方建议是好的，但许多人没有告知有关的官方recommendation.Conclusions：助产士的态度和信念和知识有关饮酒在怀孕期间发生了变化沿着官方政策的变化。这种变化主要与助产士的个人特征无关，包括年龄、性别和工作地点。
Background: Most pregnant women in Denmark say they have not talked to their midwives about alcohol in pregnancy, and they have mostly been advised that some alcohol intake is all right. From 1999 to 2007, the Danish National Board of Health advised pregnant women that some alcohol intake was acceptable. Since 2007, the recommendation has been alcohol abstinence. The aim of this study was to describe the attitudes toward, knowledge about, and information practice concerning alcohol drinking in pregnancy among midwives in Denmark in 2000 and 2009 and how their answers related to the 2 different official recommendations at the time.Methods: In 2000, we invited all midwives in the antenatal care center at Aarhus University Hospital. Ninety-four percent were interviewed about their attitudes toward and beliefs and knowledge about alcohol during pregnancy. Questions were also asked about information on alcohol provided to pregnant women. Identical questions were asked to all midwives (100%) in the antenatal care center in 2009.Results: In 2000, most midwives (69%) considered some alcohol intake in pregnancy acceptable, mostly on a weekly level, and only 28% advised abstinence. Binge drinking, on the other hand, was considered harmful by most. There was considerable inter-person variation in the participants' attitudes and what they recommended to pregnant women. In 2009, substantially more midwives (48%) considered abstinence to be best, and significantly, more midwives (61%) gave this advice to pregnant women. Participants had received information on alcohol mostly in a professional context. Their knowledge about the official recommendations about alcohol was good, but many did not inform about the official recommendation.Conclusions: The attitudes toward and beliefs and knowledge about drinking in pregnancy among midwives have changed along with a change in official policy. The change was mostly independent of personal characteristics of the midwives, including age, gender, and place of work.