abstract: 'Objective: To understand midwives'' perspectives regarding the effect of

  a programme of activities aimed at reducing alcohol exposed pregnancies

  at two NHS Trusts in Greater Manchester. The programme included new

  protocols for screening, a referral pathway for specialist support and

  alcohol training for midwives. Design and participants: Semi-structured

  interviews were conducted with 6 midwives working in antenatal care at

  the two Trusts over the telephone and via video conferencing. A review

  of the literature provided insight into contemporary midwifery practice.

  The Theory of Planned Behaviour was used to inform the interview

  schedule design. Data analysis used a Framework Approach and drew on a

  priori themes from the literature review. Findings: Participating

  midwives described objective screening practice using a validated tool

  on multiple antenatal occasions and were confident to discuss alcohol.

  Participants were cognisant of local and national policies and

  guidelines. Discussing alcohol was viewed as important and part of the

  midwife''s role, beliefs which supported participants'' intention to

  practice in line with new protocols. Maternal underreporting and denial

  of alcohol consumption was a key barrier to providing effective care.

  Key conclusions and implications for practice: The professional practice

  of participants was more in keeping with the Chief Medical Officer''s

  recommendations than that reported in recent research from the UK and

  other high-income countries. However, from this small study it is not

  possible to attribute this directly to the local Reducing Alcohol

  Exposed Pregnancies programme. Training to prepare midwives to elicit

  more accurately details of maternal alcohol consumption may improve the

  efficacy of the programme. (c) 2022 The Authors. Published by Elsevier

  Ltd. This is an open access article under the CC BY-NC-ND license (

  http://creativecommons.org/licenses/by-nc-nd/4.0/ )'
affiliation: 'Morrello, R (Corresponding Author), Univ Salford, Sch Hlth \& Soc, Salford
  M6 6PU, Lancs, England.

  Morrello, Ruth; Cook, Penny A.; Coffey, Margaret, Univ Salford, Sch Hlth \& Soc,
  Salford M6 6PU, Lancs, England.'
article-number: '103335'
author: Morrello, Ruth and Cook, Penny A. and Coffey, Margaret
author-email: r.morrello@edu.salford.ac.uk
author_list:
- family: Morrello
  given: Ruth
- family: Cook
  given: Penny A.
- family: Coffey
  given: Margaret
da: '2023-09-28'
doi: 10.1016/j.midw.2022.103335
earlyaccessdate: APR 2022
eissn: 1532-3099
files: []
issn: 0266-6138
journal: MIDWIFERY
keywords: 'Alcohol; Pregnancy; Screening; Midwife; Brief intervention; Foetal

  alcohol spectrum disorder (FASD)'
keywords-plus: 'BRIEF INTERVENTIONS; CONSUMPTION; PROFESSIONALS; INFORMATION;

  POPULATION; DISORDERS; INTERVIEW; DRINKING; BEHAVIOR; OUTCOMES'
language: English
month: JUL
number-of-cited-references: '68'
orcid-numbers: Coffey, Margaret/0000-0001-5837-5532
papis_id: f8f5c0ee8475f7e46e73b692b6ee663a
ref: Morrello2022nowbit
times-cited: '1'
title: '``Now, with a bit more knowledge, I understand why I''m asking those questions.″
  midwives'' perspectives on their role in the Greater Manchester health and social
  care partnership''s programme to reduce alcohol exposed pregnancies'
type: article
unique-id: WOS:000793591000003
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '110'
web-of-science-categories: Nursing
year: '2022'