Cessation of Alcohol in Pregnancy

Pathophysiology
1. Pregnancy outcomes
  1. Fetal Alcohol Spectrum Disorder/FASD
    1. Fetal Alcohol Syndrome/FAS
    2. learning/education difficulties
    3. Mental illness
    4. Substance abuse
  2. Long term effects
  3. Alcohol Related Birth defects/ARBD
  4. Alcohol-related Neurodevelopmental Disorders/ARND
    1. Developmental/cognitive/behavioural problems
2. Maternal health
3. Method of transfer to fetus
4. Stages of development/exposure risks
5. Dose/frequency
Recommendations
1. Role of nurse/HCP
  1. Health promotion
  2. Support to quit
  3. Keep up with current research/evidence based
  4. Risk assessment - how much alcohol consumed before realising pregnant?
  5. Reassurance
  6. Referrals
    1. Drug/alcohol services
    2. ATSI health worker
    3. GP
    4. Obstetrician
2. Government guidelines
Barriers
1. Personal beliefs/non-evidence based
2. At-risk population groups
  1. Indigenous Australians/other ethnicities
  2. Low SES
  3. Drug abuse
  4. Genetic differences?
  5. General public - high rates of drinking before precnancy
Benefits
1. Long term health benefits
  1. Healthy lifestyle/reduce risk of disease

Resource summary

	Created by Melissa Leal over 7 years ago