Alcohol use and pregnancy
Download
1 / 22

Alcohol Use and Pregnancy - PowerPoint PPT Presentation


  • 709 Views
  • Updated On :

Alcohol Use and Pregnancy. Prevention Efforts Must…. … move the focus from women’s alcohol use to an increased understanding of related health and social problems that contribute to FASD. Income and social status Social support networks Education Employment and working conditions

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Alcohol Use and Pregnancy' - salena


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Alcohol use and pregnancy l.jpg

Alcohol Use and Pregnancy

www.faseout.ca 2008


Prevention efforts must l.jpg
Prevention Efforts Must…

…move the focus from women’s alcohol use to an increased understanding of related health and social problems that contribute to FASD.

www.faseout.ca 2008


Determinants of health l.jpg

Income and social status

Social support networks

Education

Employment and working conditions

Social environments

Physical environment

Gender

Culture

Personal health practices and coping skills

Healthy child development

Health services

Biology and genetic endowment

Determinants of Health

www.faseout.ca 2008


Our responsibility is to l.jpg
Our responsibility is to …

…provide a network of supports that directly address these contributing factors

www.faseout.ca 2008


Key messages l.jpg
Key Messages

  • Drinking alcohol during pregnancy can cause birth defects

  • There are no known safe limits

  • It is best to plan ahead and to stop drinking before you get pregnant

  • It is never too late to stop drinking

www.faseout.ca 2008


Don t forget l.jpg
Don’t Forget ….

  • Emphasize the importance of the health of both the woman and the fetus/child

  • Be sensitive to physical/sexual trauma (past and present)

  • Address family issues and offer support to family members, whenever possible

www.faseout.ca 2008


Alcohol risk assessment l.jpg
Alcohol Risk Assessment

Problems have not developed Problems have developed

No risk Low Risk Moderate Risk High Risk

Health

Enhancement

Risk

Avoidance

Risk Reduction

Early

Intervention

Treatment/

Intervention

  • 70% of women who drink will avoid alcohol during their pregnancy if they understand it will cause damage to the developing fetus

20% of women will require support of their partner, family and friends to avoid alcohol

10% of women will require specific intervention to reduce and/or eliminate alcohol (harm reduction)

www.faseout.ca 2008


Screening tools l.jpg
Screening Tools

  • Brief alcohol screening questionnaires developed to detect periconception risk-drinking associated with adverse pregnancy outcomes (defined as two or more drinks per day)

  • Tools assess alcohol intake indirectly by asking about tolerance to alcohol’s effects, i.e., psychological consequences and significant other’s concerns

www.faseout.ca 2008


T ace l.jpg
T-ACE

  • How many drinks does it take to make you feel high? (Score 2 for 3 or more drinks)

  • Have people annoyed you by criticizing your drinking? (Score 1 for yes)

  • Have you ever felt you ought to cut down your drinking? (Score 1 for yes)

  • Have you ever had a drink in the morning to steady your nerves or get rid of a hang over? (Score 1 for yes)

  • Score of 2 or more = high risk, 0 or 1 = low risk

www.faseout.ca 2008


Tweac l.jpg
TWEAC

  • Tolerance (number of drinks)

  • Worry about drinking (has anyone worried about your drinking in the past year?)

  • Eye-openers

  • Amnesia (blackouts)

  • Cut down on alcohol

www.faseout.ca 2008


Stages of change prochaska diclemente 1984 l.jpg
Stages of Change(Prochaska, DiClemente 1984)

Pre-contemplation

Contemplation

Preparation

Action

Maintenance

Relapse

www.faseout.ca 2008


Stages of change pre contemplation l.jpg
Stages of Change: Pre-contemplation

Characteristics:

  • Not thinking about their drinking

  • Not currently considering change

    Interventions

  • Validate lack of readiness

  • Clarify the decision is theirs

  • Encourage re-evaluation of current behaviour

  • Encourage sel-exploration, not action

  • Explain and personalize the risk

www.faseout.ca 2008


Stages of change contemplation l.jpg
Stages of Change: Contemplation

Characteristics:

  • Thinking about quitting but not ready to quit

  • May feel ambivalent about change

    Interventions

  • Validate lack of readiness

  • Clarify: the decision is theirs

  • Encourage evaluation of pros and cons of behaviour change

  • Identify and promote new, positive outcome expectations

www.faseout.ca 2008


Stages of change preparation l.jpg
Stages of Change: Preparation

Characteristics:

  • Getting ready to quit

  • The decision to quit is made and steps are taken to get ready

    Interventions

  • Help select best action/approach to change, reduce barriers, strengthen self-efficacy

  • Help identify social support

  • Verify that she has underlying skills for behaviour change

  • Encourage initial steps

www.faseout.ca 2008


Stages of change action l.jpg
Stages of Change: Action

Characteristics:

  • Quitting or actively trying to quit

  • Using several techniques to quit

  • High risk to relapse

    Interventions

  • Bolster self-efficacy for dealing with obstacles

  • Acknowledge and find support in learning cessation techniques and planning small achievable goals

  • Help overcome feelings of loss and reiterate long-term benefits

www.faseout.ca 2008


Stages of change maintenance l.jpg
Stages of Change: Maintenance

Characteristics:

  • Remaining alcohol-free

  • Learned to anticipate and handle temptation

  • Able to use new ways of coping

    Interventions

  • Plan for follow-up support for lifestyle changes

  • Help identify and use relapse prevention strategies

  • Affirm her resolve and self-efficacy

  • Reinforce internal rewards

  • Discuss coping with relapse

www.faseout.ca 2008


Stages of change relapse l.jpg
Stages of Change: Relapse

Characteristics:

  • Resumption of old behaviour

  • Normal occurrence

    Interventions

  • Evaluate trigger for relapse

  • Reassess motivation and barriers

  • Plan stronger coping strategies

  • Help resume process of change

www.faseout.ca 2008


Fathers to be l.jpg
Fathers-to-be

  • Clarify that their drinking cannot cause FASD, but can lead to infertility and less viable sperm

  • Important role in supporting partner through pregnancy

  • Their behavior can help a partner

    stop drinking

www.faseout.ca 2008


Things to keep in mind l.jpg
Things to Keep in Mind

  • There are no known safe limits and no safe time to drink during pregnancy

  • Raise awareness without raising panic

  • Information is not enough

  • Promote the benefits of a planned pregnancy

  • Working on prevention can raise community interest in support for those with FASD

www.faseout.ca 2008


Resources l.jpg
Resources

  • Keys to a Successful Alcohol and Pregnancy Campaign, www.beststart.org/resources/alc_reduction/index.html

  • Alberta Alcohol and Drug Abuse Commission

    www.aadac.com

www.faseout.ca 2008


Resources21 l.jpg
Resources

  • [email protected] “Father Involvement and FASD: Developing Best Practices,” 2005.

  • Rutman, D., Callahan, M., Lundquist, A., Jackson, S., Field, B. Substance Use and Pregnancy: Conceiving Women in the Policy-Making Process. Status of Women, Canada, August 2000.

  • British Columbia Reproductive Care Program. BCRCP Guidelines for Alcohol Use in the Perinatal Period and Fetal Alcohol Spectrum Disorder. 2005. www.rcp.gov.bc.ca

  • Leslie, M., Reynolds, W. The Smart Guide: Motivational Approaches Within the Stages of Change for Pregnant Women Who Use Alcohol: A Training Manual for Service Providers, March 2002

www.faseout.ca 2008


Thank you l.jpg
Thank you!

www.faseout.ca 2008


ad