Document Detail


Does caffeine and alcohol intake before pregnancy predict the occurrence of spontaneous abortion?
MedLine Citation:
PMID:  14645195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Consumption of caffeine and alcohol is suspected to affect pregnancy outcome. Use of both stimulants is widespread and even minor effects on fetal viability are of public health interest. METHODS: We performed a nested case-control study using prospective data from a population-based cohort comprising 11088 women aged 20-29 years. From this cohort, women who experienced either a spontaneous abortion (n = 303) or who gave birth (n = 1381) during follow-up [mean time: 2.1 years (range: 1.6-3.4)] were selected. Associations between self-reported exposures to caffeine and/or alcohol at enrolment and spontaneous abortion were analysed by means of logistic regression. RESULTS: Compared with women with a pre-pregnancy intake of <75 mg caffeine per day, the adjusted odds ratio (95% confidence interval) for spontaneous abortion was 1.26 (0.77-2.06), 1.45 (0.87-2.41), 1.44 (0.87-2.37) and 1.72 (1.00-2.96) for a pre-pregnancy intake on 75-300, 301-500, 501-900 and >900 mg caffeine per day respectively (P = 0.05 for trend). A pre-pregnancy intake of alcohol was not a predictor for spontaneous abortion. CONCLUSIONS: A high intake of caffeine prior to pregnancy seems to be associated with an increased risk of spontaneous abortion, whereas a low-to-moderate alcohol intake does not influence the risk.
Authors:
J S Tolstrup; S K Kjaer; C Munk; L B Madsen; B Ottesen; T Bergholt; M Grønbaek
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  18     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-03     Completed Date:  2004-07-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  England    
Other Details:
Languages:  eng     Pagination:  2704-10     Citation Subset:  IM    
Affiliation:
Danish Epidemiology Science Centre at the Institute of Preventive Medicine, Kommunehospitalet, DK-1399, Copenhagen, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / epidemiology*
Adult
Caffeine / administration & dosage,  adverse effects*
Case-Control Studies
Cohort Studies
Ethanol / administration & dosage,  adverse effects*
Female
Humans
Logistic Models
Odds Ratio
Preconception Care
Pregnancy
Prospective Studies
Chemical
Reg. No./Substance:
58-08-2/Caffeine; 64-17-5/Ethanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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