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Health Education Research, Vol. 5, No. 1, 53-61, 1990
© 1990 Oxford University Press

research-article

Preventing fetal alcohol effects; a trial of three methods of giving information in the antenatal clinic

E.J. Waterson1 and Iain M. Murray-Lyon

Gastrointestinal Unit, Charing Cross Hospital London W6, UK

We conducted two trials to compare three methods of imparting basic advice designed to encourage a reduction of alcohol consumption during pregnancy. The information was given to mothers at their first visit to the antenatal clinic. Written information alone was compared with written information reinforced by personalized advice from the clinic doctor. Subsequently, written information alone was compared with written information plus personalized advice reinforced by a specially produced video. There were no significant differences within or between trials in terms of behavioural change. When the mothers were asked about safe levels of drinking during pregnancy, significantly more mothers in both arms of the second trial recommended one unit or less a day. This suggests that external factors such as the mass media, although influential in creating awareness, also failed to induce behavioural change. Our findings indicate that special and expensive arrangements in the antenatal clinic are unnecessary but that appropriate advice could be incorporated into all existing antenatal educational programmes. Counselling could be available for mothers who need further help.


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