Module 5

Suggested supplemental reading

• Chiodo LM, Cosmian C, Pereira K, Kent N, Sokol RJ, Hannigan JH. Prenatal alcohol screening during pregnancy by midwives and nurses. Alcoholism: Clinical and Experimental Research. 2019;43(8):1747-1758.

• CHOICES Overview

• One Key Question

• Kelsey B, Edwards A, Pierce-Bulger M. Nurses and midwives: Partnering to prevent FASDs. Women’s Healthcare: A Clinical Journal for Nurse Practitioners. 2020;8(3):25-27 .

• Shogren MD, Harsell C, Heitkamp T. Screening women for at-risk alcohol use: An introduction to screening, brief intervention, and referral to treatment (SBIRT) in women's health. Journal of Midwifery & Women's Health. 2017;62(6):746-754.

Suggested activities or assignments

• The media can skew our understanding of federal guidelines (www.cdc.gov/ncbddd/fasd/alcohol-use.html) and other research for preventing FASDs. Discuss the following blog posts 1) bit.ly/2iCacSd; 2) bit.ly/1nMoVa9; 3) bit.ly/2ySw7c1. Generate ideas on how to respond appropriately to clients seen in clinic who refer to these opinions regarding alcohol use during pregnancy. 

• Peer-to-peer brief intervention role play – 15 minutes to set up and complete 

• Find a partner. Read both the scenarios and decide who will be the client and who will be the clinician for each one. 

  • Scenario # 1: At a routine well-woman visit you ask a sexually active, reproductive age client the one key question – Would you like to become pregnant in the next year? She answers no. She is not using contraception. She has 2-3 beers about one weekend a month and her audit score overall indicates low risk alcohol use. 

  • Scenario # 2: At a routine well-woman visit you ask a sexually active, reproductive age client the one key question – Would you like to become pregnant in the next year? She answers yes. She is not using contraception. She has 2-3 beers about one weekend a month and her audit score overall indicates low risk alcohol use.

  • Decide which of you will be the client first and which will be the clinician. 

    • Clinician: Using the components of a brief intervention from SBIRT role play how you would approach the conversation with the client about the risk for an alcohol-exposed pregnancy.

    • Take no more than 5 minutes and then switch roles and repeat the role play using the other client scenario again taking no more than 5 minutes. 

  • Take 3 minutes to process with each other how it felt to use the brief intervention approach both from the clinician and client perspective. 

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