000004685 001__ 4685 000004685 005__ 20240819141646.0 000004685 022__ $$a0959-5236 000004685 0247_ $$2DOI$$a10.1111/dar.12973 000004685 037__ $$aARTICLE 000004685 039_9 $$a2024-08-19 14:16:46$$b1$$c2023-09-05 15:21:10$$d1$$c2021-12-17 15:23:59$$d0$$c2021-11-17 11:20:52$$d1001252$$c2020-10-27 23:17:14$$d0$$c2020-10-26 23:03:30$$d0$$c2020-02-14 21:38:26$$dNone$$c2020-02-14 15:18:09$$dNone$$c2020-02-05 10:18:43$$dNone$$y2020-02-05 10:18:37$$zNone 000004685 041__ $$aeng 000004685 245__ $$aPregnancy as a transition :$$bfirst‐time expectant couples′ experience with alcohol consumption 000004685 269__ $$a2019-11 000004685 300__ $$a8 p. 000004685 506__ $$avisible 000004685 520__ $$9eng$$aIntroduction 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. 000004685 540__ $$acorrect 000004685 592__ $$aHESAV 000004685 592__ $$bUnité de recherche en santé, HESAV 000004685 592__ $$cSanté 000004685 592__ $$dSage-femme 000004685 6531_ $$9eng$$aalcohol 000004685 6531_ $$9eng$$apregnancy 000004685 6531_ $$9eng$$aqualitative study 000004685 6531_ $$9eng$$acouples 000004685 6531_ $$9eng$$atransition 000004685 655__ $$ascientifique 000004685 700__ $$aGouilhers, Solène$$uHESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland 000004685 700__ $$aMeyer, Yvonne$$uHESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland 000004685 700__ $$aInglin, Sophie$$uIndependent Project Manager, Geneva, Switzerland 000004685 700__ $$aPfister Boulenaz, Stéphanie$$uHESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland 000004685 700__ $$aSchnegg, Céline$$uHESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland 000004685 700__ $$aHammer, Raphaël$$uHESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland 000004685 773__ $$jNovember 2019, vol. 38, no. 7, pp. 758-765$$tDrug and alcohol review 000004685 8564_ $$s176245$$uhttps://arodes.hes-so.ch/record/4685/files/published%20version.pdf$$9c0970aed-ef07-4923-9d86-958b5d9a8d39 000004685 906__ $$aGOLD 000004685 909CO $$ooai:hesso.tind.io:4685$$pGLOBAL_SET 000004685 950__ $$aSan2 000004685 980__ $$ascientifique 000004685 981__ $$ascientifique