title: Towards improved alcohol prevention in Swedish antenatal care?
abstract: OBJECTIVE
  to evaluate an education effort and revised alcohol-preventive routine in Swedish antenatal care; to generate more knowledge for further development of alcohol issues in antenatal care.
  
  
  METHODS
  two national cross-sectional surveys of Swedish midwives were conducted. Baseline data were collected in 2006 and follow-up data in 2009.
  
  
  METHODS
  antenatal care centres in Sweden.
  
  
  METHODS
  974 midwives in 2006 and 1108 midwives in 2009.
  
  
  METHODS
  amount and content of continuing professional education, work with alcohol-related issues, identification of women with risky consumption of alcohol, and action after identifying women with risky consumption.
  
  
  RESULTS
  the amount of continuing professional education undertaken by midwives on handling risky drinking increased significantly between 2006 and 2009. The routine to detect risky drinking changed between the baseline and follow-up data collection, as nearly all midwives reported the use of an alcohol screening questionnaire in 2009. The most confident midwives in 2009 had taken part in more days of education, more often stated it was their own initiative to participate, and had more often taken part in education regarding MI, provision of advice and information on the health risks associated with alcohol and, screening.
  
  
  CONCLUSIONS
  our results indicate that a broad, national education effort can be successful in enhancing knowledge and changing antenatal care practice. However, generalisation to other countries or cultures may be limited because the usage of new routines is affected by many organisational and contextual factors.
authors: Department of Medical and Health Sciences, Linköping University, Linköping, Sweden. janna.skagerstrom@liu.se
authors: Janna
authors: J
authors: Skagerström
authors: Anne Lie
authors: AL
authors: Johansson
authors: Marika
authors: M
authors: Holmqvist
authors: Eva-Karin
authors: EK
authors: Envall
authors: Per
authors: P
authors: Nilsen
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000517:prevention & control; D006801:Humans; D007229:Infant Welfare / Q000706:statistics & numerical data; D007231:Infant, Newborn; D008429:Maternal Welfare / Q000706:statistics & numerical data; D008875:Middle Aged; D008880:Midwifery / Q000458:organization & administration*; D009035:Mothers / Q000193:education* / Q000706:statistics & numerical data; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D010353:Patient Education as Topic / Q000379:methods; D011247:Pregnancy; D011295:Prenatal Care / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration*; D013548:Sweden / Q000453:epidemiology; D055815:Young Adult