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"Now, with a bit more knowledge, I understand why I'm asking those questions." midwives' perspectives on their role in the Greater Manchester health and social care partnership's programme to reduce alcohol exposed pregnancies. | LitMetric

AI Article Synopsis

  • The study aimed to understand midwives' views on a program designed to reduce alcohol-exposed pregnancies at two NHS Trusts in Greater Manchester, which included new screening protocols and alcohol training for midwives.
  • Semi-structured interviews with six midwives were conducted to gather insights, and the Theory of Planned Behaviour helped shape the interview questions.
  • Findings indicated that while midwives effectively screened for alcohol use and understood new protocols, maternal under-reporting of alcohol consumption posed a significant barrier to effective care, suggesting that enhanced training could improve outcomes.

Article Abstract

Objective: To understand midwives' perspectives regarding the effect of a programme of activities aimed at reducing alcohol exposed pregnancies at two NHS Trusts in Greater Manchester. The programme included new protocols for screening, a referral pathway for specialist support and alcohol training for midwives.

Design And Participants: Semi-structured interviews were conducted with 6 midwives working in antenatal care at the two Trusts over the telephone and via video conferencing. A review of the literature provided insight into contemporary midwifery practice. The Theory of Planned Behaviour was used to inform the interview schedule design. Data analysis used a Framework Approach and drew on a priori themes from the literature review.

Findings: Participating midwives described objective screening practice using a validated tool on multiple antenatal occasions and were confident to discuss alcohol. Participants were cognisant of local and national policies and guidelines. Discussing alcohol was viewed as important and part of the midwife's role, beliefs which supported participants' intention to practice in line with new protocols. Maternal under-reporting and denial of alcohol consumption was a key barrier to providing effective care.

Key Conclusions And Implications For Practice: The professional practice of participants was more in keeping with the Chief Medical Officer's recommendations than that reported in recent research from the UK and other high-income countries. However, from this small study it is not possible to attribute this directly to the local Reducing Alcohol Exposed Pregnancies programme. Training to prepare midwives to elicit more accurately details of maternal alcohol consumption may improve the efficacy of the programme.

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Source
http://dx.doi.org/10.1016/j.midw.2022.103335DOI Listing

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