Document Detail


Patterns of alcohol use before and during pregnancy and the risk of small-for-gestational-age birth.
MedLine Citation:
PMID:  14507601     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Few studies have examined the effect of binge drinking on human fetal growth. The authors studied the effect of binge drinking 3 months before pregnancy and during the last 3 months of pregnancy on small-for-gestational-age (SGA) birth, using data from the Pregnancy Risk Assessment Monitoring System (PRAMS). PRAMS is an ongoing US survey of women who recently delivered a liveborn infant. Data are collected 2-6 months after birth by using mailed, self-administered questionnaires, with telephone interviews conducted for nonresponders. This study included 50,461 women who delivered at term from 1996 to 1999. Overall, binge drinkers before pregnancy were less likely than nondrinkers to have an SGA birth, but moderate or heavy drinkers (>or=4 drinks per week) who also binged were 2.2 times more likely to have an SGA birth. Moderate and heavy drinkers in late pregnancy were also more likely to have an SGA birth, but there were only 46 women in these categories, so estimates were imprecise. Vascular effects of alcohol or dietary differences between drinkers and nondrinkers may explain the lower risk of SGA birth among some drinkers. The relation of these areas with fetal growth needs more research.
Authors:
Nedra Whitehead; Leslie Lipscomb
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of epidemiology     Volume:  158     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-09-25     Completed Date:  2003-10-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  654-62     Citation Subset:  IM    
Affiliation:
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. nsw1@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alcohol Drinking / epidemiology*
Body Weight
Cohort Studies
Female
Humans
Infant, Newborn
Infant, Small for Gestational Age*
Odds Ratio
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy Outcome
Pregnancy Trimester, Third
Reference Values
Retrospective Studies
Risk Assessment
Smoking / epidemiology
Socioeconomic Factors
United States / epidemiology

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


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