Table 2.
Pregnant women’s reported receipt of assessment and care for maternal alcohol consumption at initial and subsequent antenatal visits
| Element of care reportedly received | Initial antenatal visit (N = 473) |
Subsequent antenatal visits (N = 890) | Comparison between care at initial and subsequent antenatal visits | |||||
|---|---|---|---|---|---|---|---|---|
| n | % | 95% CI | n | % | 95% CI | Adjusted Odds Ratio (95% CI)a | p-value | |
| Asked about alcohol consumption | 420 | 88.8 | 85.63–91.33 | 127 | 14.3 | 12.13–16.72 | 47.61 (33.82–67.02) | p < 0.001 |
| Assessment (AUDIT-C) | 304 | 64.3 | 59.95–68.59 | 69 | 7.8 | 6.17–9.70 | 21.40 (15.71–29.16) | p < 0.001 |
| Advised safest not to consume | 299 | 63.2 | 58.86–67.56 | 141 | 15.8 | 13.59–18.39 | 9.13 (7.04–11.83) | p < 0.001 |
| Advised of potential risks | 182 | 38.5 | 34.09–42.87 | 187 | 21.0 | 18.46–23.81 | 2.35 (1.84–3.01) | p < 0.001 |
| Complete advice (safest not to consume and potential risks) | 166 | 35.1 | 30.79–39.40 | 78 | 8.8 | 7.08–10.80 | 5.63 (4.17–7.59) | p < 0.001 |
| Referral offered or followed upb | 1 | 50.0 | 0.00–100.00 | 0 | 0.0 | 0.00–0.00 | – | – |
| Complete care (complete advice and referral offered or followed up) | 165 | 34.9 | 30.58–39.18 | 77 | 8.7 | 6.98–10.68 | 5.66 (4.19–7.64) | p < 0.001 |
| All guideline elements (assessment, complete advice and referral offered or followed up) | 132 | 27.9 | 23.86–31.95 | 34 | 3.8 | 2.75–5.29 | 9.75 (6.55–14.50) | p < 0.001 |
aSubsequent visit as Referent
bLimited to women who reported in the survey that they had consumed alcohol at medium or high risk of harm levels since pregnancy recognition (AUDIT-C score ≥ 3) (Initial antenatal visit n = 2; Subsequent visit n = 4). Not included in ‘comparison between care at initial and subsequent antenatal visits’ p-value test due to small sample size