ATTITUDES AND APPROACHES OF CANADIAN PROVIDERS TO PRECONCEPTION COUNSELLING AND THE PREVENTION OF FETAL ALCOHOL SPECTRUM DISORDERS
ATTITUDES AND APPROACHES OF CANADIAN PROVIDERS TO PRECONCEPTION COUNSELLING AND THE PREVENTION OF FETAL ALCOHOL SPECTRUM DISORDERS
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加拿大提供者对孕前咨询和胎儿酒精谱系障碍预防的态度和方法
DOI：
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
S. Clarren
中科院分区：
文献类型：
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作者：
S. Tough;M. Clarke;M. Hicks;S. Clarren
背景卫生保健提供者在预防胎儿酒精谱系障碍（FASD）方面发挥着重要作用。目的了解加拿大提供者对孕前咨询和预防FASD的态度和方法。总有效率为41.3%。不同供应商组在几个方面存在显著差异（p <0.05）。94%的供应商同意胎儿酒精综合征（FAS）是一种可识别的综合征; 54%的人认为准备照顾酒精依赖/滥用的孕妇，而70%的人准备为这些患者提供资源。不到50%的提供者经常与育龄妇女讨论吸烟、饮酒或成瘾史。不到15%的人询问了性虐待或情感虐待的历史。一旦妇女怀孕，94%的家庭医生，助产士和产科医生询问酒精使用情况。时间是讨论怀孕前酒精不良影响的主要障碍（58%）。大约60%的受访者同意注册咨询专家，诊断FAS的临床实践指南，并为女性酒精问题的转诊资源将有助于支持他们的临床实践。讨论在孕前筛查中错过了机会，该筛查将识别与饮酒相关的可预防的不良妊娠结局风险的妇女。对提供者进行关于查明处境危险妇女的培训，将有助于增加获得适当资源的机会。
Background Health care providers play an important role in the prevention of fetal alcohol spectrum disorders (FASD). Objective To determine the attitudes and approaches of Canadian providers to preconception counselling and the prevention of FASD. Overall response rate was 41.3%. There were significant differences (p<0.05) across provider group in several areas. Ninety-four percent of providers agreed fetal alcohol syndrome (FAS) was an identifiable syndrome; 54% felt prepared to care for pregnant women who were alcohol dependent/abusing while 70% were prepared to access resources for these patients. Less than 50% of providers frequently discussed smoking, alcohol use, or addiction history with women of childbearing age. Less than 15% inquired about a history of sexual or emotional abuse. Once women were pregnant, 94% of family physicians, midwives, and obstetricians inquired about alcohol use. Time was the primary barrier to discussing adverse effects of alcohol prior to conception (58%). Approximately 60% of respondents agreed a registry of consultation specialists, clinical practice guidelines for diagnosis of FAS, and referral resources for women with alcohol problems would be helpful supports in their clinical practice. Discussion There are missed opportunities in preconception screening which would identify women at risk for preventable, adverse pregnancy outcomes related to alcohol consumption. Provider training in identification of women at risk would allow for increased access to appropriate resources.
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影响因子：
2.9
作者：
ABEL, EL
通讯作者：
ABEL, EL
在妇产科诊所对亲密伴侣暴力进行常规筛查。
影响因子：
12.7
作者：
Scholle,SarahHudson;Buranosky,Raquel;Hanusa,BarbaraH;Ranieri,LeeAnn;Dowd,Kate;Valappil,Benita
通讯作者：
Valappil,Benita
报告对邮寄医生调查问卷的答复率。
影响因子：
3.4
作者：
Cummings,SM;Savitz,LA;Konrad,TR
通讯作者：
Konrad,TR
DOI：
10.1002/(sici)1096-9926(199711)56:5
发表时间：
1997-11-01
期刊：
TERATOLOGY
影响因子：
--
作者：
Sampson, PD;Streissguth, AP;Graham, JM
通讯作者：
Graham, JM