TY  - GEN
AB  - Introduction and Aims

Most 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 Methods

Thirty semi‐directive joint interviews were conducted with couples expecting their first child in Switzerland. Interviews were analysed thematically with the help of ATLAS.ti.
Results

Couples 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 Conclusions

This 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.
AD  - HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland
AD  - HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland
AD  - Independent Project Manager, Geneva, Switzerland
AD  - HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland
AD  - HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland
AD  - HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland
AU  - Gouilhers, Solène
AU  - Meyer, Yvonne
AU  - Inglin, Sophie
AU  - Pfister Boulenaz, Stéphanie
AU  - Schnegg, Céline
AU  - Hammer, Raphaël
DA  - 2019-11
DO  - 10.1111/dar.12973
DO  - DOI
ID  - 4685
JF  - Drug and alcohol review
KW  - alcohol
KW  - pregnancy
KW  - qualitative study
KW  - couples
KW  - transition
L1  - https://arodes.hes-so.ch/record/4685/files/published%20version.pdf
L2  - https://arodes.hes-so.ch/record/4685/files/published%20version.pdf
L4  - https://arodes.hes-so.ch/record/4685/files/published%20version.pdf
LA  - eng
LK  - https://arodes.hes-so.ch/record/4685/files/published%20version.pdf
N2  - Introduction and Aims

Most 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 Methods

Thirty semi‐directive joint interviews were conducted with couples expecting their first child in Switzerland. Interviews were analysed thematically with the help of ATLAS.ti.
Results

Couples 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 Conclusions

This 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.
PY  - 2019-11
SN  - 0959-5236
T1  - Pregnancy as a transition :first‐time expectant couples′ experience with alcohol consumption
TI  - Pregnancy as a transition :first‐time expectant couples′ experience with alcohol consumption
UR  - https://arodes.hes-so.ch/record/4685/files/published%20version.pdf
VL  - November 2019, vol. 38, no. 7, pp. 758-765
Y1  - 2019-11
ER  -