Table 1 Midwives' practice in addressing alcohol consumption during pregnancy
| Â | Midwives | |
|---|---|---|
| Â | Number answering question | n (%) |
Asking about alcohol consumption in pregnancy | ||
 Midwives asked pregnant women about alcohol consumption | 162 | 151 (93.2) |
Assessing alcohol consumption in pregnancy - use of screening tools†|  |  |
 AUDIT (Alcohol Use Disorders Identification Test) | 139 | 66 (47.5) |
 AUDIT-C (Alcohol Use Disorders Identification Test - Consumption) | 116 | 8 (6.9) |
 MAST (Michigan Alcoholism Screening Test) | 111 | 2 (1.8) |
 T-ACE (Tolerance, Annoyed, Cut down, Eye-opener) | 112 | 1 (0.9) |
 TWEAK (Tolerance, Worry, Eye-opener, Amnesia, Cut down) | 112 | 1 (0.9) |
 CAGE (Cut down, Annoyed, Guilty, Eye-opener) | 113 | 1 (0.9) |
 Other | 112 | 7 (6.3) |
Advising about alcohol consumption during pregnancy - general advice‡ | ||
 Not drinking alcohol in pregnancy is the safest option‡ | 165 | 164 (99.4) |
 Alcohol is harmful in the first trimester | 165 | 20 (12.1) |
 Try to cut down drinking alcohol | 165 | 18 (10.9) |
 Don't become intoxicated | 165 | 15 (9.1) |
 Drinking alcohol occasionally is OK | 165 | 3 (1.8) |
Informing about the effects of alcohol consumption during pregnancy | ||
 Midwives always informed pregnant women about the effects on the fetus and child of consuming alcohol during pregnancy | 162 | 104 (64.2) |
Offering brief intervention for alcohol consumption during pregnancy | ||
 Midwives offered brief intervention when indicated | 152 | 107 (70.4) |
WACHS policies, procedures or operational directives advising assessment of alcohol consumption during pregnancy | ||
 Midwives aware of policies, procedures or operational directives | 162 | 99 (61.1) |
 Brief intervention training |  |  |
 Midwives had completed brief intervention training as part of professional development within the last 2 years | 154 | 54 (35.1) |
Midwives who were confident to… |  |  |
 Advise pregnant women about alcohol consumption during pregnancy | 162 | 137 (84.6) |
 Explain to pregnant women the effects on the fetus and child of alcohol consumption during pregnancy | 162 | 125 (77.2) |
 Assess alcohol consumption during pregnancy | 162 | 122 (75.3) |
 Conduct brief intervention for alcohol consumption during pregnancy | 162 | 97 (59.9) |
Midwives who had sufficient time to… |  |  |
 Advise pregnant women about alcohol consumption during pregnancy | 154 | 125 (81.2) |
 Explain to pregnant women the effects on the fetus and child of alcohol consumption during pregnancy | 154 | 123 (79.9) |
 Assess alcohol consumption during pregnancy | 154 | 121 (78.6) |
 Conduct brief intervention for alcohol consumption during pregnancy | 152 | 95 (62.5) |