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首页> 外文期刊>BMC Pregnancy and Childbirth >Midwives’ engagement in smoking- and alcohol-prevention in prenatal care before and after the introduction of practice guidelines in Switzerland: comparison of survey findings from 2008 and 2018
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Midwives’ engagement in smoking- and alcohol-prevention in prenatal care before and after the introduction of practice guidelines in Switzerland: comparison of survey findings from 2008 and 2018

机译：瑞士在瑞士实践指南的引入前后，助产人员在胎儿护理中进行饮酒和酒精预防的参与：2008年和2018年的调查结果比较

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BACKGROUND:Evidence suggests that cigarette smoking and alcohol consumption during pregnancy negatively impacts fetal health. Health agencies across countries have developed specific guidelines for health professionals in perinatal care to strengthen their role in smoking and alcohol use prevention. One such example is the "Guideline on Screening and Counselling for prevention of cigarette smoking and alcohol consumption before, during, and after pregnancy" introduced by the Swiss Midwives Association in 2011. The current study assesses the changes in midwives' engagement in smoking and alcohol use prevention before (2008) and after the introduction of the Guideline (2018). Further, the current study examines differences across regions (German vs. French speaking regions), graduation years (before and after the introduction of the Guideline) and different work settings (hospital vs. self-employed).METHODS:Survey data were collected in 2008 (n?=?366) and in 2018 (n?=?459). Differences in how midwives engaged in smoking and alcohol use prevention between 2008 and 2018 were assessed with chi-square tests, as were differences across German and French speaking regions, graduation years (before and after the introduction of the Guideline) and across different work settings (working in hospitals or as self-employed).RESULTS:An increase in midwives' awareness of the risks of consuming even small quantities of cigarettes and alcohol for the unborn child between 2008 and 2018 is evident. Explaining the risks to pregnant women who smoke or use alcohol remained the most frequently reported prevention strategy. However, engagement with more extensive smoking and alcohol use preventive strategies across the whole course of pregnancy, such as assisting women in the elaboration of a plan to stop smoking/alcohol use, remained limited.CONCLUSIONS:Seven years after its introduction, the effectiveness of the Guideline in increasing midwives' engagement in smoking and alcohol use prevention appears limited despite midwives' increased awareness.
机译：背景：证据表明，怀孕期间的吸烟和酒精消耗对胎儿健康产生了负面影响。各国的卫生机构已经制定了围产期护理的卫生专业人士的具体指导方针，以加强他们在吸烟和酒精使用中的作用。一个这样的例子是“瑞士助产士协会在2011年引入的”之前，期间和怀孕期间和饮酒和酗酒的筛选和咨询指南“。目前的研究评估了助产人员在吸烟和酒精方面的变化在（2008）之前和在引入指南之前使用预防（2018年）。此外，目前的研究检查了地区（德国与法语讲台），毕业年份（引入指南之前和之后）和不同的工作环境（医院与自雇人士）的差异.Methods：调查数据被收集在内2008年（n？=？366）和2018年（n？=？459）。在2008年至2018年间，助产士在2008年至2018年间预防吸烟和饮酒预防的差异，德国和法语地区的差异，毕业年份（在介绍了指南之前和介绍之前）以及不同的工作环境中的差异（在医院或自雇人士工作）。结果：2008年至2018年间未出生的儿童消费甚至少量卷烟和酒精的风险的增加是显而易见的。向吸烟或使用酒精的孕妇解释风险仍然是最常见的预防策略。然而，在整个怀孕过程中，与更广泛的吸烟和酒精使用预防策略的参与，例如协助妇女在制定禁止吸烟/酒精使用的计划中，仍然有限。结论：介绍七年，有效性尽管助产士提高了意识，但增加了增加助产士和饮酒和酒精使用预防的指导方针。

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