Screening for alcohol and drug use in pregnancy

Seib, Charrlotte A., Daglish, Mark, Heath, Renee, Booker, Catriona, Reid, Carol and Fraser, Jennifer (2012) Screening for alcohol and drug use in pregnancy. Midwifery, 28 6: 760-764. doi:10.1016/j.midw.2011.08.00

Author Seib, Charrlotte A.
Daglish, Mark
Heath, Renee
Booker, Catriona
Reid, Carol
Fraser, Jennifer
Title Screening for alcohol and drug use in pregnancy
Journal name Midwifery   Check publisher's open access policy
ISSN 0266-6138
Publication date 2012-12
Year available 2011
Sub-type Article (original research)
DOI 10.1016/j.midw.2011.08.00
Open Access Status
Volume 28
Issue 6
Start page 760
End page 764
Total pages 5
Place of publication Kidlington,United Kingdom
Publisher Churchill Livingstone
Collection year 2012
Language eng
Formatted abstract
Objective: this study examined the clinical utility and precision of routine screening for alcohol and other drug use among women attending a public antenatal service.

Study design:
a survey of clients and audit of clinical charts.

Participants and setting:
clients attending an antenatal clinic of a large tertiary hospital in Queensland, Australia, from October to December 2009.

Measurements and ļ¬ndings:
data were collected from two sources. First, 32 women who reported use of alcohol or other drugs during pregnancy at initial screening were then asked to complete a full substance use survey. Second, data were collected from charts of 349 new clients who attended the antenatal clinic during the study period. Both sensitivity (86%, 67%) and positive predictive value (100%, 92%) for alcohol and other drug use respectively, were high. Only 15% of surveyed women were uncomfortable about being screened for substance use in pregnancy, yet the chart audit revealed poor staff compliance. During the study period, 25% of clients were either not screened adequately or not at all.

Key conclusions and implications for practise:
despite recommended universal screening in pregnancy and the apparent acceptance by our participants, alcohol and other drug (A&OD) screening in the antenatal setting remains problematic. Investigation into the reasons behind, and ways to overcome, the low screening rate could improve health outcomes for mothers and children in this at-risk group. Targeted education and training for midwives may form part of the solution as these clinicians have a key role in implementing prevention and early intervention strategies.
Keyword Pregnancy
Alcohol and other drug use
Clinical assessment tool
Prenatal care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 20 September 2011.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 7 times in Scopus Article | Citations
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Created: Fri, 03 Feb 2012, 16:26:13 EST by Dr Mark Daglish on behalf of Psychiatry - Royal Brisbane and Women's Hospital