Overall, an overestimation of the risk associated with drug use during pregnancy has been observed in our sample of HCPs, which might be related to the underuse of specialised information source among other factors. These findings evidenced the need for increased training for HCPs in order to optimise medication use during pregnancy. Further studies are needed to confirm these results and identify causes.
Introduction and AimsMost official healthcare guidelines apply the precautionary principle by recommending that pregnant women abstain from any alcohol consumption. However, a number of women continue drinking alcohol while pregnant. The aim of this study was to investigate couples′ experiences of the issue of alcohol consumption during pregnancy as a transitional process.Design and MethodsThirty semi‐directive joint interviews were conducted with couples expecting their first child in Switzerland. Interviews were analysed thematically with the help of ATLAS.ti.ResultsCouples endorsed the imperative of changing drinking habits and all the women reduced their alcohol consumption, although some reported difficulties. First, we identified three themes describing how couples experienced the woman′s change of drinking habits as a smooth transition: Internalisation of risk discourses, abstinence as a social norm and embodiment of alcohol aversion. Second, we emphasised four kinds of difficulties that couples encountered in their everyday lives: burden of risk discourses, conflicting advice, social occasions and desire for alcohol.Discussion and ConclusionsThis paper makes a significant contribution by examining prenatal drinking change as a transition. In this conceptualisation, the change of alcohol consumption is a relational process that is shaped by multiple changes and social norms. Our findings have important implications for practice. First, health professionals should be aware of the difficulties women experience when they abstain from alcohol during pregnancy. Second, our findings suggest the importance of a patient‐centred approach that considers the role of the partner in supporting a pregnant woman′s change of alcohol consumption.
Bringing together the three languages and cultures produced a truly "Swiss" study showing contrasts between a matter of fact approach to pregnancy and the concept of fear. Such a contrast is worthy of further and deeper exploration by a multi-disciplinary research team.
AIMTo understand the meaning and impact of translating “midwifery” into “maïeutique” as proposed in The Lancet Series on Midwifery.METHODSLinguistic change in terminology was analyzed by comparing English/French translations, reviewing the French literature, and analyzing the results of a survey among French-speaking midwives' associations.FINDINGSTranslation comparisons and French literature showed that the use of “maïeutique” was far from the definition given in The Lancet Series. Results of the survey conducted by the Swiss Federation of Midwives showed that the terms “maïeuticien” and “maïeutique” gained little acceptance.CONCLUSIONIt is important that the chosen term is meaningful to the French-speaking population, midwives, and stakeholders. Such a name change deserves a consultation with the French-speaking midwives and careful consideration of all the possible implications.
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