Nationwide Survey of Municipal Health Centers to Assess the Awareness of Primary Health Care Providers to the Risks of Alcohol during Pregnancy

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  • Sudo Noriko
    Department of Health Promotion and Research, National Institute of Public Health
  • Sato Kayoko
    Department of Health Promotion and Research, National Institute of Public Health

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  • 市町村保健センターにおける妊婦に対する飲酒指導の実態
  • シチョウソン ホケン センター ニ オケル ニンプ ニ タイスル インシュ シドウ ノ ジッタイ

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Abstract

The awareness to the risks of alcohol during pregnancy among public health professionals working at municipal health centers nationwide was examined. Sixty four percent of the respondents instructed pregnant women attending health center maternity classes “to abstain as much as possible from alcohol.” The main reasons why total abstinence was not recommended were given as “total abstinence may be stressful, ” “there is no evidence that total abstinence is best for fetal development, ” and “light to moderate social drinking is not so harmful.” The respondents pointed out inconsistencies in the literature concerning alcohol and pregnancy, leading to a lack of confidence in their rationale on abstinence from alcohol. Evidence-based guidelines on drinking while pregnant requires new scientific findings to be assessed, and the results continuously updated and provided in a form best suited to primary health care providers.

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