{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:22:03Z","timestamp":1761675723864},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":1674,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Aims<\/jats:italic>. It has been repeatedly demonstrated that hazardous alcohol use during pregnancy is rarely detected in regular antenatal care, and that detection can be markedly improved using systematic screening. A major challenge is to translate research\u2010based strategies into regular antenatal care. Here, we examined whether a screening strategy using the Alcohol Use Disorder Test (AUDIT) and time\u2010line follow\u2010back (TLFB) could be implemented under naturalistic conditions and within available resources; and whether it would improve detection to the extent previously shown in a research context. <jats:italic>Methods<\/jats:italic>. Regular midwives at a large antenatal care clinic were randomized to receive brief training and then implement AUDIT and TLFB (\u201cintervention\u201d); or to a waiting\u2010list control group continuing to deliver regular care (\u201ccontrol\u201d). In the intervention\u2010condition, AUDIT was used to collect data about alcohol use during the year preceding pregnancy, and TLFB to assess actual consumption during the first trimester. Data were collected from new admissions over 6 months. <jats:italic>Results<\/jats:italic>. Drop out was higher among patients of the intervention group than control midwives, 14% (23\/162) versus 0% (0\/153), and <jats:italic>p<\/jats:italic>&lt;0.0001. A one\u2010day training session combined with continuous expert support was sufficient to implement systematic screening with AUDIT and TLFB largely within resources of regular antenatal care. The use of these instruments identified patients with hazardous consumption during the year preceding pregnancy i.e. AUDIT score 6 or higher (17%, 23\/139), and patients with ongoing consumption exceeding 70 g\/week and\/or binge consumption according to TLFB (17%, 24\/139), to a significantly higher degree than regular antenatal screening (0\/162). The AUDIT\u2010 and TLFB\u2010positive populations overlapped partially, with 36\/139 subjects screening positive with either of the instrument and 11\/139 were positive for both. <jats:italic>Conclusions<\/jats:italic>. We confirm previous findings that alcohol use during pregnancy is more extensive in Sweden than has generally been realized. Systematic screening using AUDIT and TLFB detects hazardous use in a manner which regular antenatal care does not. This remains true under naturalistic conditions, following minimal training of regular antenatal care staff, and can be achieved with minimal resources. The proposed strategy appears attractive for broad implementation.<\/jats:p>","DOI":"10.1080\/00016340600589677","type":"journal-article","created":{"date-parts":[[2009,12,8]],"date-time":"2009-12-08T17:34:49Z","timestamp":1260293689000},"page":"657-662","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Identifying hazardous alcohol consumption during pregnancy: implementing a research\u2010based model in real life"],"prefix":"10.1111","volume":"85","author":[{"given":"Mona","family":"G\u00f6ransson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c5sa","family":"Magnusson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Heilig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9926(199711)56:5<317::AID-TERA5>3.0.CO;2-U"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/155.4.305"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199207000-00012"},{"issue":"2","key":"e_1_2_5_5_2","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1093\/oxfordjournals.aje.a114235","article-title":"Fetal growth and moderate drinking in early pregnancy","volume":"123","author":"Little RE","year":"1986","journal-title":"Am J Epidemiol"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1984.03350140021018"},{"issue":"3","key":"e_1_2_5_7_2","first-page":"168","article-title":"Drinking patterns and alcohol\u2010related birth defects","volume":"25","author":"Maier SE","year":"2001","journal-title":"Alcohol Res Health"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/35.3.276"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.22.2996"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462300012988"},{"key":"e_1_2_5_11_2","doi-asserted-by":"crossref","unstructured":"G\u00f6ransson M Faxelid E Heilig M.Beliefs and reality: detection and prevention of high alcohol consumption in Swedish antenatal clinics.Acta Obstet Gynecol Scand.2004; (in press).","DOI":"10.1080\/j.0001-6349.2004.00461.x"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2003.00498.x"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1999.60.306"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.1994.tb00097.x"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.2.166"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00088-X"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech.55.10.738"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/08897070209511493"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0884217503255086"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.2005.66.157"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb02093.x"},{"key":"e_1_2_5_22_2","volume":"4","author":"Babor T","year":"1989","journal-title":"The Alcohol Use Disorders Identification Test: guidelines for use in primary health care"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/37.3.245"},{"issue":"17","key":"e_1_2_5_24_2","first-page":"2078","article-title":"Alcohol drinking habits assessed by the AUDIT test. Reduced maximum levels doubled the number of women with dangerous alcohol drinking","volume":"97","author":"Bergman H","year":"2000","journal-title":"L\u00e4kartidningen"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4612-0357-5_3"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/154.8.777"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.1999.941014996.x"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.1998.tb00349.x"},{"issue":"3","key":"e_1_2_5_29_2","first-page":"204","article-title":"Alcohol\u2010screening instruments for pregnant women","volume":"25","author":"Chang G","year":"2001","journal-title":"Alcohol Res Health"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.1989.tb00343.x"},{"key":"e_1_2_5_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(99)70164-2"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.61.3.455"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1080%2F00016340600589677","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/00016340600589677","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T12:27:21Z","timestamp":1697372841000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1080\/00016340600589677"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,6]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,6]]}},"alternative-id":["10.1080\/00016340600589677"],"URL":"https:\/\/doi.org\/10.1080\/00016340600589677","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,6]]},"assertion":[{"value":"2010-12-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}