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Midwives had good understanding of fetal risk of prenatal drinking but a few were sceptical about actual effect on the fetus because they felt the prevalence of the habit did not reflect episodes of harm in infants.
Increasing workload demands meant that screening and delivery of ABIs were negatively affected at the first antenatal appointment.
Effective identification and delivery of ABIs were compromised at the first antenatal appointments because the relationship between midwives and women was just being established.
Midwives perceived that the training and resources improved their confidence.
Low numbers of ABI deliveries negatively affected midwives skills and confidence.
Midwives felt screening and ABI was part of their role however, they were demoralised because only few had delivered the intervention.
Midwives underutilisation of the ABIs limited utility and fidelity.