A survey of obstetrician–gynecologists on their patients’ alcohol use during pregnancy
Section snippets
Materials and methods
This survey was conducted by ACOG; a questionnaire was mailed to a sample of obstetrician–gynecologists who were members of ACOG and actively engaged in providing obstetric services at the time of the survey. The primary sampling frame for the survey was the active membership file of ACOG. A systematic, random sample of 800 physicians was drawn from this population. In addition, questionnaires were sent to the 200 members of the Collaborative Ambulatory Research Network, which consists of ACOG
Results
Overall, 60% of the respondents were male. The respondents’ ages ranged from 27 to 89 years, with a median age of 41 years. Male respondents tended to be older than female respondents (47 compared with 39 years). Forty-four percent of the respondents were 27–39 years in age, 45% were 40–59, and 11% were 60 or older. The age and gender distributions of survey respondents were similar to those of ACOG members overall. Year of medical school graduation ranged from 1930 to 1997, with a median of
Discussion
We found that almost all obstetrician–gynecologists query their patients about substance use at least once during their pregnancy, usually at the initial visit. These findings confirm those of other studies17, 18 and are encouraging in light of the most recent recommendations from ACOG that advise clinicians to question pregnant women at their first prenatal visit about past and present alcohol, nicotine, and other drug use.8 In addition to asking their patients about alcohol use, 90% of
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2019, Women and BirthCitation Excerpt :In the current review, findings illustrated inadequate rapport was a barrier to consultation about potentially sensitive topics such as alcohol or other drug use. Most antenatal screenings occur during the initial consultation,29,38 when the pregnant woman may likely be in face-to-face contact with the practitioner for the first time. This phase is referred to as ‘orientation phase’, in which the practitioner is getting to know and build a rapport with the women.37
Analysis of qualitative data from the investigation study in pregnancy of the ASSIST Version 3.0 (the Alcohol, Smoking and Substance Involvement Screening Test)
2016, MidwiferyCitation Excerpt :Initial screening is of course only the start of the treatment cycle; the reported negative experiences of women who had abruptly ceased cannabis use indicate that support post-cessation is also crucial. Deficiency of knowledge of substance use and its treatment has been reported by maternity care providers (McCance-Katz, 1991; Diekman et al., 2000; Holl and Lussky, 2003). This would not be tolerated in other aspects of antenatal care, in which care providers would attest to keeping attuned with evidence based approaches and adopting clinical practices that improve outcomes (Barash and Weinstein, 2002).
Prevalence and patterns of marijuana use among pregnant and nonpregnant women of reproductive age
2015, American Journal of Obstetrics and GynecologyCitation Excerpt :The American College of Obstetricians and Gynecologists (ACOG), the American Academy of Pediatrics, and the World Health Organization support universal screening for maternal substance use, including alcohol and illicit drug use.24-26 An ACOG survey reported that 97% of all obstetrician-gynecologists screen pregnant women for alcohol use27; however, it is unknown whether screening for illicit drugs is as common. Thus, single screening tools that identify multiple substances may aid substance use–cessation efforts during pregnancy.
Psychosocial vulnerability and substance use screening during pregnancy: Evaluation of a composite auto-questionnaire versus usual medical questioning
2015, Journal de Gynecologie Obstetrique et Biologie de la Reproduction