"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.

Morrello, R, Cook, PA ORCID: https://orcid.org/0000-0001-6435-8050 and Coffey, M ORCID: https://orcid.org/0000-0001-5837-5532 2022, '"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.' , Midwifery, 110 , p. 103335.

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Abstract

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. 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. 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. 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. [Abstract copyright: Copyright © 2022. Published by Elsevier Ltd.]

Item Type: Article
Schools: Schools > School of Health and Society
Journal or Publication Title: Midwifery
ISSN: 1532-3099
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 21 Jun 2022 12:03
Last Modified: 17 Aug 2022 09:31
URI: https://usir.salford.ac.uk/id/eprint/63762

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