Women and Drinking: Preventing Alcohol-Exposed Pregnancies

Women and Drinking: Preventing Alcohol-Exposed Pregnancies PDF Author: Mary Marden Velasquez
Publisher: Hogrefe Publishing GmbH
ISBN: 1616764015
Category : Psychology
Languages : en
Pages : 93

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Book Description
An essential resource for anyone providing help or services to women at risk for alcohol-exposed pregnancies. Drinking during pregnancy can cause a range of disabilities that have lifelong effects yet are 100% preventable. A variety of brief motivational behavioral interventions developed for nonpregnant women of childbearing age can effectively prevent alcohol-exposed pregnancies (AEP). This book outlines clinical definitions and the history of Fetal Alcohol Spectrum Disorders (FASD), epidemiology and effects across the lifespan, evidence-based prevention practices such as CHOICES and CHOICES-like interventions, and opportunities for dissemination. Based on decades of scientific research and clinical refinement, this volume is packed with helpful illustrative case vignettes, therapist–patient dialogues, sample forms, and handouts. The information and resources presented will help a wide variety of practitioners in diverse settings, ranging from high-risk settings such as mental health and substance abuse treatment centers to primary care clinics and universities, deliver interventions targeting behavior change.

Women and Drinking: Preventing Alcohol-Exposed Pregnancies

Women and Drinking: Preventing Alcohol-Exposed Pregnancies PDF Author: Mary Marden Velasquez
Publisher: Hogrefe Publishing GmbH
ISBN: 1616764015
Category : Psychology
Languages : en
Pages : 93

Get Book

Book Description
An essential resource for anyone providing help or services to women at risk for alcohol-exposed pregnancies. Drinking during pregnancy can cause a range of disabilities that have lifelong effects yet are 100% preventable. A variety of brief motivational behavioral interventions developed for nonpregnant women of childbearing age can effectively prevent alcohol-exposed pregnancies (AEP). This book outlines clinical definitions and the history of Fetal Alcohol Spectrum Disorders (FASD), epidemiology and effects across the lifespan, evidence-based prevention practices such as CHOICES and CHOICES-like interventions, and opportunities for dissemination. Based on decades of scientific research and clinical refinement, this volume is packed with helpful illustrative case vignettes, therapist–patient dialogues, sample forms, and handouts. The information and resources presented will help a wide variety of practitioners in diverse settings, ranging from high-risk settings such as mental health and substance abuse treatment centers to primary care clinics and universities, deliver interventions targeting behavior change.

Reducing Alcohol-Exposed Pregnancies

Reducing Alcohol-Exposed Pregnancies PDF Author: U. S. Department of Health and Human Services
Publisher: CreateSpace
ISBN: 9781478217428
Category : Medical
Languages : en
Pages : 36

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Book Description
Alcohol misuse is a serious, worldwide public health issue that can result in a wide range of physical, psychological, and social problems affecting the individual, the family, and the community. Drinking alcohol during pregnancy increases a woman's risk of having a baby with birth defects and developmental disabilities. Alcohol consumption during pregnancy is recognized as the cause of fetal alcohol spectrum disorders (FASDs). FASD is a term used to define the spectrum of physical, mental, behavioral, and/ or learning disabilities that can result from prenatal alcohol exposure. Fetal alcohol syndrome (FAS) is one of the most severe outcomes of drinking alcohol during pregnancy and is characterized by facial malformations, growth deficits, and neurodevelopmental problems. Efforts have been underway for several decades to develop strategies to prevent alcohol-exposed pregnancies (AEPs) and reduce the risk of FASDs. In 2002, the National Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effect (NTFFASFAE), a federal advisory committee, released its first recommendations. Among these recommendations were several items focused on prevention, including recommending the reissuance of the U.S. Surgeon General's advisory on drinking during pregnancy [4] and the development of a report to review the evidence for effective prevention and treatment strategies for women at risk for or engaging in prenatal alcohol use. In 2004, after deliberations on and publication of Fetal Alcohol Syndrome: Guidelines for Referral and Diagnosis [5], the NTFFASFAE decided to focus its attention on FASD prevention. The Task Force Prevention Working Group (PWG) was established to guide the development of a report describing evidence-based prevention strategies to reduce AEPs and outline recommendations to further promote the implementation of such strategies. To accomplish this, the staff of the Centers for Disease Control and Prevention's (CDC) National Center on Birth Defects and Developmental Disabilities engaged the Community Guide Branch at CDC's National Center for Health Marketing and Research Triangle Institute International (RTI) to assist the PWG in this work. RTI conducted a systematic search of the literature to identify community-level FASD interventions and policies that can prevent alcohol-exposed pregnancies and reduce the prevalence of physical, mental, behavioral, and learning disabilities due to prenatal alcohol exposure. The review focused on community-level interventions and policies because other systematic reviews either have been completed or are currently under way to explore both clinical interventions and population-based strategies addressing alcohol misuse. For example, in 2004, the U.S. Preventive Services Task Force engaged in a systematic review that resulted in clinical recommendations on screening and behavioral counseling interventions in primary care settings to reduce alcohol misuse [6]. Also, the Task Force on Community Preventive Services, coordinated by CDC, is actively engaged in systematic reviews to assess the effectiveness of population-based alcohol prevention strategies that affect people in the general population, including women of childbearing age. This report reviews the current evidence on prevention strategies to reduce AEPs, provides recommendations on promoting and improving these strategies, and offers future research directions in the field of FASD prevention. This document also serves as a guide for those in the research and practice fields interested in selecting and implementing effective, scientifically tested interventions for women at risk for an AEP. In addition, the report also highlights the importance of continued collaboration across federal, state, and local agencies; academia; medical and social service delivery systems; and families to integrate scientific findings into public health prevention strategies.

Choices: a Program for Women about Choosing Healthy Behaviors to Avoid Alcohol-Exposed Pregnancies

Choices: a Program for Women about Choosing Healthy Behaviors to Avoid Alcohol-Exposed Pregnancies PDF Author: U. S. Department of Health and Human Services
Publisher: Createspace Independent Pub
ISBN: 9781478281238
Category : Medical
Languages : en
Pages : 72

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Book Description
Prenatal alcohol exposure is a leading preventable cause of birth defects and developmental disabilities in the United States. Studies from the Centers for Disease Control and Prevention (CDC) find that each year approximately 500,000 pregnant women report they drank alcohol in the past month, and approximately 80,000 pregnant women report binge drinking (five or more drinks on any one occasion). Fetal exposure to alcohol results in a spectrum of adverse effects that has been termed Fetal Alcohol Spectrum Disorders (FASDs), with the brain and central nervous system being particularly sensitive to the effects of alcohol. Alcohol exposure during pregnancy can have profound and life-long consequences for children. Fetal Alcohol Syndrome (FAS) is one of the most involved conditions along the spectrum and affects up to two out of every 1,000 infants born each year in the United States. The estimated lifetime cost of FAS is $2 million per case, with an annual cost for all cases of $4 billion to the nation. Most women reduce alcohol consumption after learning they are pregnant. Others do not recognize they are pregnant in the early weeks of gestation and continue to drink at high levels. Among women of childbearing age (18–44 years), more than half report they drank alcohol in the past month, and one in eight reports binge drinking in the past month. Women who are planning to become pregnant or are at risk of becoming pregnant should avoid using alcohol if they are sexually active and not using contraception. Studies find that about half of all pregnancies in the U.S. are unplanned. About half of these unplanned pregnancies occur in women who are using contraception but not effectively. Enhancing effective contraception in women who are drinking at risk levels could help them avoid having an alcohol-exposed pregnancy (AEP). This manual is based on a multisite, evidence-based intervention study. In that study, investigators found the CHOICES intervention could help women lower their risk of an AEP by reducing drinking; beginning consistent, effective contraception use, or both. The study, a randomized controlled trial conducted from 2002 to 2005, tested the efficacy of a brief motivational intervention in reducing the risk of an AEP in preconceptional women by focusing on risky drinking and ineffective contraception use. A total of 830 nonpregnant women, aged 18–44 years and currently at risk for an AEP, were recruited in six diverse settings in Florida, Texas, and Virginia. Participants were randomized to either receive information and a brief motivational intervention or to receive information only. The brief motivational intervention consisted of four counseling sessions and contraception consultation. At some sites women could receive an additional gynecology service visit as part of CHOICES. The results of the study showed women receiving the intervention were more than twice as likely to have reduced risks for an AEP as women who did not receive the intervention. Therefore, this motivational intervention could reduce the risk of an AEP and should be considered for broad dissemination. The CHOICES efficacy study won the 2008 Charles C. Shepard Science Award at CDC for excellence in prevention and control. Although the original study used “eight or more participant inclusion, it is now recommended that “more than seven drinks per week” or “more than three drinks on one occasion” be used as criteria for inclusion, consistent with guidelines from the National Institute on Alcohol Abuse and Alcoholism. This advice also is consistent with the Surgeon General's 2007 recommendation.

Choices

Choices PDF Author:
Publisher:
ISBN:
Category : Alcoholism counseling
Languages : en
Pages : 158

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Book Description


Reducing Alcohol-exposed Pregnancies

Reducing Alcohol-exposed Pregnancies PDF Author:
Publisher:
ISBN:
Category : Health promotion
Languages : en
Pages : 0

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Book Description
This report is a collaborative effort of the National Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effect (NTFFASFAE), the Centers for Disease Control and Prevention's (CDC) National Center on Birth Defects and Developmental Disabilities (NCBDDD) FAS Prevention Team, National Center for Health Marketing Community Guide Branch, and Research Triangle Institute International (RTI). Evidence for this report began with a systematic search of the literature to identify community-level FASD interventions and policies that can prevent AEPs and reduce the prevalence of physical, mental, behavioral, and learning disabilities due to prenatal alcohol exposure. This evidence, along with the findings and recommendations of the U.S. Preventive Services Task Force on behavioral counseling interventions for alcohol misuse, helped lay the groundwork for the information presented in this report. The report reviews the current evidence on prevention strategies to reduce alcohol use and AEPs, provides recommendations on promoting and improving these strategies, and offers future research directions in the field of FASD prevention. It also serves as a guide for those in the research and practice fields interested in selecting and implementing effective, scientifically tested interventions for women at risk for an AEP.

Fetal Alcohol Syndrome

Fetal Alcohol Syndrome PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309052920
Category : Medical
Languages : en
Pages : 230

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Book Description
It sounds simple: Women who drink while pregnant may give birth to children with defects, so women should not drink during pregnancy. Yet in the 20 years since it was first described in the medical literature, fetal alcohol syndrome (FAS) has proved to be a stubborn problem, with consequences as serious as those of the more widely publicized "crack babies." This volume discusses FAS and other possibly alcohol-related effects from two broad perspectives: diagnosis and surveillance, and prevention and treatment. In addition, it includes several real-life vignettes of FAS children. The committee examines fundamental concepts for setting diagnostic criteria in general, reviews and updates the diagnostic criteria for FAS and related conditions, and explores current research findings and problems associated with FAS epidemiology and surveillance. In addition, the book describes an integrated multidisciplinary approach to research on the prevention and treatment of FAS. The committee: Discusses levels of preventive intervention. Reviews available data about women and alcohol abuse and treatment among pregnant women. Explores the psychological and behavioral consequences of FAS at different ages. Examines the current state of knowledge about medical and therapeutic interventions, education efforts, and family support programs. This volume will be of special interest to physicians, nurses, mental health practitioners, school and public health officials, policymakers, researchers, educators, and anyone else involved in serving families and children, especially in high risk populations.

Pregnancy and Alcohol Consumption

Pregnancy and Alcohol Consumption PDF Author: Joshua D. Hoffman
Publisher:
ISBN: 9781617611223
Category : Alcohol
Languages : en
Pages : 0

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Book Description
Prenatal alcohol exposure has been directly implicated in a wide range of deficits that adversely influence the development of affected individuals. Fetal Alcohol Spectrum Disorder (FASD) is an umbrella term referring to a continuum of effects that occur in individuals who were prenatally exposed to alcohol. FASD is a permanent birth defect, and a leading cause of mental retardation and developmental delay. This book gathers the latest research in the study of pregnancy and alcohol consumption from authors around the globe, including the biochemistry of prenatal alcohol exposure; research on interventions to prevent alcohol consumption during pregnancy; medico-legal considerations concerning foetal alcohol spectrum disorders; life as an adult with foetal alcohol syndrome; and biological markers of exposure of the foetus to alcohol during pregnancy.

Recovering Hope

Recovering Hope PDF Author:
Publisher:
ISBN:
Category : Children of prenatal alcohol abuse
Languages : en
Pages : 20

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Book Description
This video is about mothers and families of children who are affected by Fetal Alcohol Spectrum Disorders (FASD). It is created for viewing by women in recovery and their counselors and is divided into two half-hour segments to allow time for discussion within a treatment session.

Prenatal Alcohol Use and Fetal Alcohol Spectrum Disorders: Diagnosis, Assessment and New Directions in Research and Multimodal Treatment

Prenatal Alcohol Use and Fetal Alcohol Spectrum Disorders: Diagnosis, Assessment and New Directions in Research and Multimodal Treatment PDF Author: Susan A. Adubato
Publisher: Bentham Science Publishers
ISBN: 1608050319
Category : Medical
Languages : en
Pages : 216

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Book Description
This eBook addresses the impact of prenatal exposure to alcohol, and Fetal Alcohol Spectrum Disorders (FASD). It presents a compilation of current research by leading experts in the field and serves as a guide to future directions in FASD research, interventions and treatment. the book includes a comprehensive compendium of our knowledge of the dangers of prenatal alcohol exposure and covers ways to screen and intervene with pregnant women, diagnosis and treatment to ameliorate the effects of prenatal alcohol exposure (through the lifespan), and other related issues, such as building a state infrastructure of health services and legislation. the eBook is intended as a textbook for graduate courses relevant to FASD.

Identification of At-risk Drinking and Intervention with Women of Childbearing Age

Identification of At-risk Drinking and Intervention with Women of Childbearing Age PDF Author:
Publisher:
ISBN:
Category : Alcohol
Languages : en
Pages : 86

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Book Description