Drinking and smoking in pregnancy: what questions do Swiss physicians ask?

Swiss Med Wkly. 2007 Jan 27;137(3-4):66-9. doi: 10.4414/smw.2007.11648.

Abstract

Background: Although drinking and smoking during pregnancy can have hazardous effects to exposed children, a certain number of pregnant women continues to consume alcohol and nicotine. It was investigated whether physicians and midwives in Switzerland ask pregnant women about their drinking and smoking habits.

Method: A self-report questionnaire was used to assess whether pregnant women were screened for alcohol and nicotine consumption by physicians or midwives. Data of 368 women were included in the analyses.

Results: 30.0% reported drinking alcohol at least once a month after pregnancy recognition, 2.2% reported binge drinking and 10.1% were smokers. Only in 36.1% of the sample drinking during pregnancy was addressed. The subgroup, which drank alcohol, was not more likely to be asked about drinking habits than non-drinkers. In contrast, smoking was addressed in 66.3% of the total sample and it was addressed in nearly 90% of the smokers' subgroup.

Conclusion: A change in the screening practice in prenatal care with regard to alcohol drinking during pregnancy is recommended. Brief interventions can reduce drinking during pregnancy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / epidemiology*
  • Female
  • Humans
  • Infant, Newborn
  • Mass Screening / methods*
  • Maternal Exposure / adverse effects*
  • Pregnancy
  • Pregnancy Outcome
  • Retrospective Studies
  • Risk Factors
  • Smoking / adverse effects
  • Smoking / epidemiology*
  • Surveys and Questionnaires
  • Switzerland / epidemiology