Essay --

Educational Diagnosis Predisposing factors. Pregnant women are usually motivated to seek and continue healthy habits. Although it has been seen that they usually decrease their alcohol consumption right after they become aware of their condition, young women between the their teenage and young adult years have more predisposition to have experienced binge drinking before pregnancy and this makes them more likely to engage in this habit even after they have recognized that they are pregnant.. (Tsai, Floyd, & Bertrand, 2007; Floyd , Decoufle , & Hungeford, 1999; Tough, Tofflemire, Clarke, & Newbum-Cook, 2006) Enabling factors. Health care workers face particular barriers similar to those observed during screening, this is having a truthful report, women with alcohol dependence might underreport their prenatal consumption of alcohol, due to several reasons, that can include fear of retaliation, different believes that small amounts are not harmful to the fetus, embarrassment or even denial of their condition.35 Many studies have shown positive results in the decrease of alcohol consumption after implementation of brief interventions and/ or motivational interviewing with pregnant women. (Handmaker & Wilbourne, 2001) Reinforsing factors. O’ Connor and Whaley’s study observed that women that receive brief interventions are five times more likely to report abstinence after a brief intervention and women who were heavy drinkers have better outcomes with their babies after delivery. (O’Connor & Whaley, 2007) Although these interventions have demonstrated benefits in the new born, long-term abstinence requires extensive case management and pharmacological intervention, the use of brief interventions during pregnancy can translate in to ch... ...ging in support group activities such as physical activities, counseling, motivational speech. The educational information will be supported with appropriate educational materials, prenatal care supplies, and a health record card. All materials will be provided to each clinic/center. Health and nutrition education classes take place twice monthly. Organized and scheduled daily activities will help the participants to engage to participate in positive and nurturing environment. The participant will receive a diploma of completion in a celebratory ceremony at the end of the 12 weeks. The program includes CHW’s home visits to follow up on alcohol cessation and medication compliance, advocacy with community leaders, local authorities and media. Hypothesis: The proposed program will demonstrate to be effective in the cessation of alcohol consumption in pregnant women.