Alcohol-free drink consumption among pregnant and postpartum women: a qualitative exploration

Background/Aims Alcohol-free and low-alcohol drinks may offer a socially acceptable alternative to alcohol use during pregnancy. The aim of this study was to explore pregnant and postpartum women's perceptions and experiences of low-alcohol and alcohol-free drinks. Methods This phenomenological qualitative study involved semi-structured interviews with 20 pregnant or postpartum women recruited via social media. Data were analysed using Braun and Clarke's six-step thematic analysis. Results Low-alcohol and alcohol-free drinks supported social inclusion, facilitated by taste, availability and social support. Use often continued postpartum to support health, breastfeeding and parenting. Barriers included cost, labelling and uncertainty about alcohol content. Few participants discussed low-alcohol or alcohol-free drinks with healthcare professionals, instead seeking information online. Conclusions Clearer labelling and consistent, evidence-informed guidance from healthcare professionals are needed to support informed use during pregnancy and breastfeeding. Implications for practice Improved knowledge about alcohol levels in alcohol-free and low-alcohol drinks will help healthcare professionals provide appropriate advice and support.