title: Paediatricians' knowledge, attitudes and practice following provision of educational resources about prevention of prenatal alcohol exposure and Fetal Alcohol Spectrum Disorder.
abstract: OBJECTIVE
  The study aims to provide paediatricians in Western Australia (WA) with educational resources (http://www.ichr.uwa.edu.au/alcoholandpregnancy) about the prevention of prenatal alcohol exposure and fetal alcohol spectrum disorder, and assess changes in their knowledge, attitudes and practice about fetal alcohol syndrome (FAS) and alcohol consumption in pregnancy.
  
  
  METHODS
  Following our 2004 survey of paediatricians, we developed and distributed educational resources to 159 paediatricians in WA in 2007. Six months later, we surveyed these paediatricians and compared their responses with results from 2004 using prevalence rate ratios (PRRs) and 95% confidence intervals (CIs).
  
  
  RESULTS
  Of 133 eligible paediatricians, 82 (61.7%) responded: 65.9% had seen the resources, of these 66.7% had used them and 29.6% said the resources had helped them change, or influenced their intent to change, their practice. There was no change in the proportion that knew all the essential features of FAS (18.3% in 2007; 20.0% in 2004) or had diagnosed FAS (58.5% in 2007; 58.9% in 2004). An increased proportion (75.6% in 2007; 48.9% in 2004) agreed that pregnant women should completely abstain from consuming alcohol (PRR 1.55, 95% CI 1.21-1.97). Only 21.7% (no increase from 2004) routinely asked about alcohol use when taking a pregnancy history.
  
  
  CONCLUSIONS
  We recommend that asking about alcohol use during pregnancy should be emphasised in paediatric training. Unless paediatricians' capacity to ask about alcohol consumption when taking a pregnancy history and to diagnose FAS is increased, FAS will remain under-diagnosed in Australia and opportunities for management, early intervention and prevention will be overlooked.
authors: Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, Perth, Australia.
authors: Janet M
authors: JM
authors: Payne
authors: Kathryn E
authors: KE
authors: France
authors: Nadine
authors: N
authors: Henley
authors: Heather A
authors: HA
authors: D'Antoine
authors: Anne E
authors: AE
authors: Bartu
authors: Raewyn C
authors: RC
authors: Mutch
authors: Elizabeth J
authors: EJ
authors: Elliott
authors: Carol
authors: C
authors: Bower
mesh_terms: D004502:Education, Medical, Continuing; D004521:Educational Measurement; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000517:prevention & control*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010372:Pediatrics; D010820:Physicians; D011247:Pregnancy; D011295:Prenatal Care; D014904:Western Australia