Document Detail

Prenatal alcohol intake in a rural, caucasian clinic.
MedLine Citation:
PMID:  11874021     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: This study examined prior use and psychosocial factors associated with alcohol and/or drug use in pregnant women from a predominantly Caucasian, rural clinic in northeastern Maine. METHODS: We conducted archival record reviews of 217 pregnant women who delivered at the Family Practice Clinic of Eastern Maine Medical Center As part of the standard initial prenatal visit during thefirst trimester, a nurse practitioner interviewed and collected data from pregnant women concerning pre-pregnancy and current-pregnancy use of alcohol, tobacco, and other drugs. Data were available for 212 subjects. RESULTS: The reported prevalence of pre-pregnancy alcohol abuse in this sample was 25%. Women in this cohort reported a significant decrease in tobacco and alcohol use following pregnancy awareness. However, pre-pregnancy alcohol intake levels and years of alcohol use were associated with alcohol intake during pregnancy. Other markers of maternal alcohol intake during pregnancy included tobacco use patterns and history of drug use. Family history of alcohol problems and drug use were associated with maternal substance use history and use by the father of the baby. Levels of maternal alcohol use during the current pregnancy were negatively associated with an alcohol problem in the father of the baby. CONCLUSIONS: Alcohol and other substance use were relatively common in our sample of rural Caucasian women in Maine. Several risk factors can be identified, and awareness of these risk factors may assist physicians in the diagnosis of substance abuse among pregnant women.
Marie J Hayes; Eric Brown; Patricia A Hofmaster; Aditi A Davare; Kelly G Parker; James A Raczek
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Family medicine     Volume:  34     ISSN:  0742-3225     ISO Abbreviation:  Fam Med     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-03-04     Completed Date:  2002-08-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8306464     Medline TA:  Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  120-5     Citation Subset:  IM    
Psychology Department, University of Maine, Orono 04469-5742, USA.
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MeSH Terms
Alcohol Drinking / epidemiology*,  prevention & control
Alcoholism / epidemiology,  prevention & control
Maine / epidemiology
Multivariate Analysis
Pregnancy Complications / epidemiology*,  prevention & control
Regression Analysis
Risk Factors
Rural Population
Smoking / epidemiology*,  prevention & control
Spouse Abuse / statistics & numerical data
Substance-Related Disorders / epidemiology*,  prevention & control

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