Experience of Pregnant Women with Problem Drinking during First Trimester of Pregnancy

Il-Ok Kim; Gye Jeong Yeom; Jung-Yeol Han

doi:10.4069/kjwhn.2017.23.4.276

Journal List > Korean J Women Health Nurs > v.23(4) > 1089579

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kim, Yeom, and Han: Experience of Pregnant Women with Problem Drinking during First Trimester of Pregnancy

Orginal Article

Korean J Women Health Nurs 2017;23(4):276-286.

Published online: 20 January 2017

DOI: https://doi.org/10.4069/kjwhn.2017.23.4.276

Experience of Pregnant Women with Problem Drinking during First Trimester of Pregnancy

Il-Ok Kim¹, Gye Jeong Yeom^2,, Jung-Yeol Han³

¹Department of Nursing, Sahmyook University, Seoul, Korea

²Graduate School of Sahmyook University, Department of Nursing, Seoul, Korea

³Korean Mothersafe Professional Counseling Center, Seoul, Korea

Corresponding author: Yeom, Gye Jeong Graduate School of Sahmyook University, Department of Nursing, 815 Hwarang-ro, Nowon-gu, Seoul 01795 Korea. Tel: +82-2-3399-1587, Fax: +82-2-3399-1594, E-mail: salt42@hanmail.net

Received 10 October 201730 November 2017 Accepted 11 December 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to explore the meaning of pregnant women's experiences with drinking alcohol during first trimester of pregnancy

Methods

The data were collected through in-depth interviews of 7 pregnant women who drank alcohol in the first trimester. Giorgi's phenomenological method was used for data analysis.

Results

Findings included 6 main themes and 14 themes. The main themes concerning pregnancy and drinking were: ‘Open attitude in drinking, History of drinking in family or spouse, Seeking information in how drinking affects pregnancy, Regret not doing planned pregnancy and not quitting drinking before pregnancy, Willing to stop drinking until the child birth, Awareness about importance of preconception care.

Conclusion

The results of this study provide a deeper understanding of pregnant women's experiences of drinking alcohol during the first trimester of pregnancy. These results can be used in the development of strategies to prevent drinking alcohol during first trimester and to support preconception care and prenatal care.

Keywords: Pregnancy, Binge drinking

References

1. Han JY, Choi JS, Ahn HK, Kim MH, Chung JH, Ryu HM, et al. Foetal and neonatal outcomes in women reporting ingestion of low or very low alcohol intake during pregnancy. Journal of Maternal Fetal Neonatal Medicine. 2012; 25(11):2186–2189.

2. Statistics Korea. Korea national health & nutrition examination survey data report [Internet]. Seoul: Author;2015. [cited 2016 December 27]. Available from:. http://kosis.kr/index/index.jsp.

3. Yeom GJ, Choi SY, Kim IO. The influencing factors on alcohol use during pregnancy. Journal of the Korean Society of Maternal and Child Health. 2011; 15(1):71–81.

4. Abel EL, Sokol RJ. Incidence of fetal alcohol syndrome and economic impact of FAS-related anomalies. Drug and Alcohol Dependence. 1987; 19(1):51–70.

5. Riley EP, McGee CL. Fetal alcohol spectrum disorders: An overview with emphasis on changes in brain and behavior. Experimental Biology and Medicine. 2005; 230(6):357–365.

6. Walfisch A, Sermer C, Matok I, Einarson A, Koren G. Perception of teratogenic risk and the rated likelihood of pregnancy termination: Association with maternal depression. Canadian Journal of Psychiatry. 2011; 56(12):761–767.

7. Jack BW, Atrash H, Coonrod DV, Moos MK, O'Donnell J, Johnson K. The clinical content of preconception care: An overview and preparation of this supplement. American Journal of Obstetrics and Gynecology. 2008; 199(6 Suppl 2):S266–279.

8. Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. Journal of Phenomenological Psychology. 1997; 28(2):235–260.

9. Morse JM, Field PA. Nursing research: The application of qualitative approaches. Shin KR, translator. London: Chapman & Hall;2004. p. 31–33.

10. Kim SJ. Drinking experiences of women alcoholics: A feminist approach. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2006; 15(4):362–374.

11. Song JA, Kang KH. Phenomenological case study of the process of becoming alcohol dependence among women. Korean Journal of Social Welfare Studies. 2013; 44(3):113–145.

12. Park SW. The maternal experience of mothers under alcohol rehabilitation through the relationship with their children [dissertation]. Seoul: Korea University;2010. p. 73. p.

13. Kim HJ, Chong HS. Wholistic ideation of the experience of women alcoholics'drinking and recovery. Ewha Journal of Social Sciences. 2016; 32(1):191–234.

14. Park KI, Lee KJ. The lived experience of the person with fetal alcohol syndrome (FAS). Health & Nursing. 2008; 20(1):46–56.

15. Anderson DRM. Diagnosing the child, diagnosing the mother: The experience of birth mothers of children diagnosed with fetal alcohol spectrum disorder [dissertation]. Twin Cities, United States: University of Minnesota;2010. p. 144. p.

16. Zabotka JM. "How could I have done this?": A qualitative study of birth mothers who have children diagnosed with fetal alcohol syndrome [dissertation]. New Jersey, United States: Rutgers University;2012. p. 123. p.

17. Heo SH. Motherhood experience of women with problem drinking: Based on drinking women during pregnancy [dissertation]. Seoul: Ewha Womans University;2017. p. 150. p.

18. Russell M, Martier SS, Sokol RJ, Mudar P, Bottoms S, Jacobson S, et al. Screening for pregnancy risk-drinking. Alcoholism, Clinical and Experimental Research. 1994; 18(5):1156–1161.

19. Parse RR, Coyne AB, Smith MJ. Nursing research: Qualitative methods. Bowie, Md: Brady Communications;1985. p. 27–31.

20. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. 3rd ed.San Francisco: Jossey-Bass;1992. p. 27–33.

21. Henderson J, Gray R, Brocklehurst P. Systematic review of effects of low-moderate prenatal alcohol exposure on pregnancy outcome. International Journal of Obstetrics and Gynecology. 2007; 114(3):243–252.

22. National Center on Birth Defects and Developmental Disabilities Centers for Disease Control and Prevention Department of Health and Human Services. Fetal alcohol syndrome: Guidelines for referral and diagnosis [Internet]. Atlanta: Author;2004. [cited 2017 January 22]. Available from:. https://www.cdc.gov/ncbddd/fasd/documents/fas_guidelines_accessible.pdf.

23. Yoo CY. A comparative study of familial and non familial problem drinking. Korean Journal of Family Social Work. 2000; 5:223–254.

24. Raymond N, Beer C, Glazebrook C, Sayal K. Pregnant women's attitudes towards alcohol consumption. BMC Public Health. 2009; 5(9):175.

25. Yoon SJ, Kim HK, Han JY. Influencing factors of depression in drugs exposure pregnant women. Journal of the Korean Society of Maternal and Child Health. 2014; 18(2):273–285.

26. Kim KW, Lee GH. Women's experience of risk situation on the high risk pregnancy. Korean Journal of Women Health Nursing. 1998; 4(1):121–133.

27. Bailey JA, Hill KG, Hawkins JD, Catalano RF, Abbott RD. Men's and women's patterns of substance use around pregnancy. Birth. 2008; 35(1):50–59.

28. Min EJ, Kim SG, Lee JS, Jung WY, Lee DH, Kim HJ, et al. Changes in the drinking behavior of Korean women during pregnancy between 1997 and 2008. Journal of Korean Academy of Addiction Psychiatry. 2012; 16(2):91–94.

29. Oh DY, Lee SH, Kim EJ. Alcohol using pregnancy and fetal alcohol effect. National Center for Mental Health Research Center Report. 2006. 1–65.

30. Chung SK. Examining women's drinking behavior from a gender perspective: Influence of marital status, childcare, employment and sex role attitude. Journal of Critical Social Policy. 2015; 47:158–195.

Table 1.

Main Meanings and Themes

Main meanings	Themes
Open attitude in drinking	․ Drinking for social meeting or releasing job stress. ․ Thinking alcohol as a type of beverage. ․ It is okay to drink alcohol when I do not notice pregnancy.
History of drinking in family or spouse	․ Father and siblings drink heavily and family tie is not good. ․ Spouse also likes to drink and have been drunk together before pregnancy.
Seeking information in how drinking affects pregnancy	․ Having heard stories that it is okay to drink in early pregnancy or in the middle of pregnancy to drink couple cups of alcohol and it does not harm in fetus. ․ It is easy to get information from the internet, but they are very subjective and case oriented so that I only trust them that makes me feel safe.
Regret not doing planned pregnancy and not quitting drinking before pregnancy	․ Concerned and surprised of being pregnant because it was unplanned and exposed to harmful influences to the fetus. ․ If the pregnancy was planned out before hand, I could have quit drinking. ․ Even though it is worried about deformity, I will keep up with pregnancy as long as all the test results are good.
Willing to stop drinking until the child birth	․ Symptoms of pregnancy make me feel helpless and cannot think of drinking at all. ․ I'm gonna stop drinking until the child birth.
Awareness about importance of preconception care	․ To prevent on drinking during the early pregnancy, it is very important to quit drinking while preconception. ․ It is needed to provide information on how to prepare for the pregnancy at school or community.

TOOLS

Similar articles