| Characteristics of grandmothers who have grandchildren with fetal alcohol syndrome or incomplete fetal alcohol syndrome. | |
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MedLine Citation:
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PMID: 18196450 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Characteristics of Northern Plains American Indian maternal grandmothers who had grandchildren with fetal alcohol syndrome (FAS) or incomplete FAS are described to more effectively prevent fetal FAS and alcohol use during pregnancy. METHODS: Study 1 had 27 maternal grandmothers who had grandchildren with FAS and Study 2 had 18 grandmothers with grandchildren who had incomplete FAS (cases) which were compared with 119 maternal grandmothers who had grandchildren without FAS (controls). The grandchildren were born between 1981 and 1993 on the Northern Plains. Medical records were manually reviewed for each case and control grandmother. Data were analyzed using Mantel-Haenszel chi square. RESULTS: Study 1 case grandmothers were more likely to experience medical problems (70.4%) including trauma (48.1%) and injuries (51.9%) than the controls. Most of the Study 1 and 2 case grandmothers (92.6% and 77.8%, respectively) had alcohol use documented in their medical records compared to less than half of the control grandmothers. Seven (15.6%) of the case grandmothers had more than one grandchild in either Study 1 or Study 2. CONCLUSION: Maternal grandmothers who had grandchildren with FAS had significantly higher rates of alcohol use and alcohol-related medical problems than control grandmothers. Antenatal care providers should screen pregnant women for alcohol use at their first visit. The provider needs to ask the women who are using alcohol about their mothers' use of alcohol to provide appropriate care and counseling for the women and prevent FAS. |
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Authors:
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Valborg L Kvigne; Gary R Leonardson; Joseph Borzelleca; Thomas K Welty |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. Date: 2008-01-15 |
Journal Detail:
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Title: Maternal and child health journal Volume: 12 ISSN: 1092-7875 ISO Abbreviation: Matern Child Health J Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-10-06 Completed Date: 2009-03-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9715672 Medline TA: Matern Child Health J Country: United States |
Other Details:
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Languages: eng Pagination: 760-5 Citation Subset: IM |
Affiliation:
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Aberdeen Area Indian Health Service, Aberdeen, SD, USA. kvig6@aol.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Alcoholism / complications, epidemiology* Case-Control Studies Child, Preschool Family Relations* Female Fetal Alcohol Syndrome / epidemiology*, etiology Humans Indians, North American Intergenerational Relations* Male Middle Aged Midwestern United States / epidemiology Odds Ratio Pregnancy Prevalence Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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