“The Problem Is that We Hear a Bit of Everything@汥瑀瑯步渠 @汥瑀瑯步渠@汥瑀瑯步渠”: A Qualitative Systematic Review of Factors Associated with Alcohol Use, Reduction, and Abstinence in Pregnancy

By doing so, the aim of the systematic review was to understand the complexities of women’s alcohol use during pregnancy, advancing what is known about the challenges that women may experience when trying to reduce or abstain from alcohol use during pregnancy, and helping inform and respond to ongoing efforts to support women’s health and prevent FASD. [...] Overview of the Findings and Gaps in the Literature Across Analytical Themes and Subthemes Related to Barriers and Facilitators to Alcohol Use in Pregnancy. [...] Public Health 2021, 18, 3445 17 of 24 The interventions being applied and evidenced in Canada and Australia include: gender-informed and inclusive awareness building that reaches women, their partners and the public; trauma-, gender-, violence-, and culture-informed and relationship-based brief intervention/support by a range of health and social care providers; access to welcoming, non-judgmental. [...] The literature highlights the influential role of partners, and in several included studies, partners were considered in the research question, [30,37,54–56], however, the studies fail to capture the implications of pregnancy, fetal, and infant health being traditionally framed as the sole responsibility of women [38,62,63]. [...] Public Health 2021, 18, 3445 20 of 24 The use of the Stigma Action Framework as an analytic framework allowed for building upon the findings from qualitative studies, to include an understanding of the contexts and social and structural determinants that impact women’s alcohol use and access to care.