title: Alcohol prevention in Swedish antenatal care: effectiveness and perceptions of the Risk Drinking project counseling model.
abstract: OBJECTIVE
  To compare an earlier Swedish antenatal care counseling routine concerning alcohol consumption with an expanded model in terms of effectiveness in achieving abstinence in pregnancy. A further objective was to assess the women's perceptions of the alcohol counseling.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Antenatal care center in a provincial Swedish university town.
  
  
  METHODS
  Women who received alcohol counseling; 1533 in cohort 1 (routine counseling) and 1476 in cohort 2 (expanded model). Approximately 93% of all pregnant women in Linköping are registered at this center.
  
  
  METHODS
  Data were collected by means of an anonymous questionnaire. Thirteen questions in the questionnaire were analysed for this study.
  
  
  METHODS
  Replies from three questions concerning pre-pregnancy drinking and three questions on drinking during pregnancy.
  
  
  RESULTS
  The response rate was 60% for cohort 1 and 64% for cohort 2. Perceptions of the advice from the antenatal care center were generally favorable. Similar proportions of women, approximately 6%, in both cohorts drank at least once during the pregnancy (after pregnancy recognition). There were four predictors for drinking during pregnancy: older age; having previously given birth to a child; frequency of pre-pregnancy drinking; and perceiving the message from antenatal care as "small amounts of alcohol during pregnancy don't matter."
  
  
  CONCLUSIONS
  An expanded counseling model implemented in Swedish antenatal care did not reduce the proportion of women who continued drinking during pregnancy in comparison with a previous counseling model, although the advice provided in the new model was perceived more favorably.
authors.affiliation: Department of Medical and Health Sciences, Linköping University, Linköping, Sweden. per.nilsen@liu.se
authors.forename: Per
authors.initials: P
authors.lastname: Nilsen
authors.forename: Janna
authors.initials: J
authors.lastname: Skagerström
authors.forename: Mikael
authors.initials: M
authors.lastname: Rahmqvist
authors.forename: Eva
authors.initials: E
authors.lastname: Hultgren
authors.forename: Marie
authors.initials: M
authors.lastname: Blomberg
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000517:prevention & control*; D001294:Attitude to Health; D015331:Cohort Studies; D003376:Counseling; D005260:Female; D006801:Humans; D016015:Logistic Models; D010298:Parity; D011247:Pregnancy; D011295:Prenatal Care; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology; D055815:Young Adult