{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:01:58Z","timestamp":1761807718184},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,4,30]],"date-time":"2012-04-30T00:00:00Z","timestamp":1335744000000},"content-version":"vor","delay-in-days":0,"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":[[2012,6]]},"abstract":"<jats:title>Abstract\u2002<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>. To compare an earlier Swedish antenatal care counseling routine concerning alcohol consumption with an expanded model in terms of effectiveness in achieving abstinence in pregnancy. A further objective was to assess the women's perceptions of the alcohol counseling. <jats:italic>Design.<\/jats:italic> Cohort study. <jats:italic>Setting<\/jats:italic>. Antenatal care center in a provincial Swedish university town. <jats:italic>Population<\/jats:italic>. Women who received alcohol counseling; 1533 in cohort 1 (routine counseling) and 1476 in cohort 2 (expanded model). Approximately 93% of all pregnant women in Link\u00f6ping are registered at this center. <jats:italic>Methods.<\/jats:italic> Data were collected by means of an anonymous questionnaire. Thirteen questions in the questionnaire were analysed for this study. <jats:italic>Main outcome measures<\/jats:italic>. Replies from three questions concerning pre\u2010pregnancy drinking and three questions on drinking during pregnancy. <jats:italic>Results<\/jats:italic>. The response rate was 60% for cohort 1 and 64% for cohort 2. Perceptions of the advice from the antenatal care center were generally favorable. Similar proportions of women, approximately 6%, in both cohorts drank at least once during the pregnancy (after pregnancy recognition). There were four predictors for drinking during pregnancy: older age; having previously given birth to a child; frequency of pre\u2010pregnancy drinking; and perceiving the message from antenatal care as \u201csmall amounts of alcohol during pregnancy don't matter.\u201d<jats:italic>Conclusions<\/jats:italic>. An expanded counseling model implemented in Swedish antenatal care did not reduce the proportion of women who continued drinking during pregnancy in comparison with a previous counseling model, although the advice provided in the new model was perceived more favorably.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2012.01402.x","type":"journal-article","created":{"date-parts":[[2012,3,23]],"date-time":"2012-03-23T00:17:14Z","timestamp":1332461834000},"page":"736-743","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Alcohol prevention in Swedish antenatal care: effectiveness and perceptions of the Risk Drinking project counseling model"],"prefix":"10.1111","volume":"91","author":[{"given":"PER","family":"NILSEN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JANNA","family":"SKAGERSTR\u00d6M","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MIKAEL","family":"RAHMQVIST","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EVA","family":"HULTGREN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARIE","family":"BLOMBERG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,30]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199709000-00010"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1984.03350140021018"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.9.1421"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.2.e34"},{"key":"e_1_2_8_6_2","volume-title":"Fetal alcohol syndrome: a literature review","author":"O\u2019Leary C","year":"2002"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1840"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.1994.tb00904.x"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00461.x"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph8093609"},{"key":"e_1_2_8_11_2","unstructured":"SCB.Befolkningsstatistik. 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