A Systematic Review of the Effectiveness of Prevention Approaches for Fetal Alcohol Spectrum Disorder

Ospina, Maria; Moga, Carmen; Dennett, Liz; Harstall, Christa

doi:10.1002/9783527635481.ch3

Cited by 24 publications

(43 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For the subsample of women who retained their infants and completed these measures at two months following the birth of their babies, a significant improvement was found on all measures except for the AUDIT‐C. Notably, at assessment (i.e., while pregnant) three women reported drinking alcohol at rates that exceed recommended guidelines for pregnant women highlighting the issue of alcohol consumption amongst high‐risk vulnerable young women (Ospina and Dennett, ).…”

Section: Discussionmentioning

confidence: 99%

Assessing Capacity to Change in High‐Risk Pregnant Women: A Pilot Study

et al. 2017

View full text Add to dashboard Cite

Pre-birth risk assessment is a process by which circumstances affecting an unborn child can be identified and support for mother and infant embedded. This mixed methods study describes a community-based pre-birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme to assess parenting capacity and provide support pre-and post-birth for 'at risk' women. Sixty-eight pregnant women referred to children's social care services were allocated to the pre-birth assessment and care pathway (n = 35) or to routine care (n = 33). Standardised measures of psychological distress, social support and alcohol measured change for the women in the assessment and care pathway. Twenty women who provided pre-and post-data reported significant improvements on all measures except alcohol use. Safeguarding outcomes at 12 months were obtained for both groups using administrative data. Forty-two per cent of the infants whose mothers received the pre-birth assessment and care pathway showed an improvement in child protection status compared to 14 per cent of the routine care infants. Safeguarding status deteriorated or stayed the same in 52 per cent of the routine cases compared to 26 per cent of those receiving the pathway. Qualitative data revealed that the pathway was acceptable and helpful to service users and service providers. Copyright © 2017 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGES:• The current project found that a community-based pre-birth assessment and care pathway with high-risk pregnant women was feasible and acceptable for practitioners and service users.• The pathway began mid-pregnancy and support was provided following the birth of the infant for up to 12 months.• Over 40 per cent of infants whose mothers were allocated to the pre-birth risk assessment pathway showed improvements in child safeguarding status at 12 months.

show abstract

Section: Discussionmentioning

confidence: 99%

Assessing Capacity to Change in High‐Risk Pregnant Women: A Pilot Study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…5 Although universal prevention efforts seek to increase knowledge, evidence that these efforts reduce alcohol-exposed pregnancies is lacking. 6 This is not surprising given that educational approaches are frequently ineffective in eliciting lasting behaviour change. 7 Research suggests that evidence of effectiveness of selective and indicated approaches in reducing alcohol-exposed pregnancies is similarly weak.…”

Section: Current Efforts To Prevent Fasd In Canadamentioning

confidence: 99%

“…7 Research suggests that evidence of effectiveness of selective and indicated approaches in reducing alcohol-exposed pregnancies is similarly weak. 6 Looking further upstream to prevent FASD FASD prevention efforts currently share one primary focus in Canada -to prevent alcohol use among women who are already pregnant. Yet there is a second approach, further upstream, that is rarely discussed as an FASD prevention tool in this country -to prevent unintended pregnancy itself.…”

Section: Current Efforts To Prevent Fasd In Canadamentioning

confidence: 99%

Looking further upstream to prevent fetal alcohol spectrum disorder in Canada

Sanders

Currie

2014

Can J Public Health

View full text Add to dashboard Cite

Half of all pregnancies in Canada are unintended. Whether a pregnancy is intended or unintended has a bearing on the risk of prenatal alcohol exposure. Research indicates that women who experience an unintended pregnancy are significantly more likely to consume alcohol while pregnant. Most fetal alcohol spectrum disorder (FASD) prevention frameworks in Canada have adopted a mid-stream approach focused on preventing alcohol consumption among women who are already pregnant. Yet there is a second approach, further upstream, that is rarely discussed as an FASD prevention tool in this country -preventing unintended pregnancy itself. Improving access to long-acting reversible contraceptives for women and girls who are experiencing cost and access barriers to these methods could do much to stem the incidence of FASD and the prohibitive health and social costs associated with this disorder in Canada.KEY WORDS: FASD; prenatal alcohol exposure; primary prevention; access to contraception; public health La traduction du résumé se trouve à la fin de l'article.

show abstract

“…12 FASD prevalence varies according to setting, with higher estimates in foster and justice systems compared to community and school samples. 13 Lifetime costs of medical and social care associated with FASD are difficult to quantify precisely, because deriving long-term costs from imperfect models and diagnostic imprecision are problematic, but are considerable. 14 Extrapolation from reported international prevalence rates for FASD (1% live births) 12 provides the UK annual birth numbers quoted above.…”

Section: -9mentioning

confidence: 99%

Fetal alcohol syndrome (FAS) and fetal alcohol spectrum disorder (FASD) – diagnosis and moral policing; an ethical dilemma for paediatricians

2014

Child

View full text Add to dashboard Cite

A Systematic Review of the Effectiveness of Prevention Approaches for Fetal Alcohol Spectrum Disorder

Cited by 24 publications

References 75 publications

Assessing Capacity to Change in High‐Risk Pregnant Women: A Pilot Study

Assessing Capacity to Change in High‐Risk Pregnant Women: A Pilot Study

Looking further upstream to prevent fetal alcohol spectrum disorder in Canada

Fetal alcohol syndrome (FAS) and fetal alcohol spectrum disorder (FASD) – diagnosis and moral policing; an ethical dilemma for paediatricians

Contact Info

Product

Resources

About