Document Detail


The relationship between obstetrical outcomes and alcohol use in the year prior to pregnancy.
MedLine Citation:
PMID:  19922398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The purpose of this study was to examine problems related to alcohol use as reported covering the year prior to pregnancy in a general prenatal care seeking sample. The relationship of alcohol use to a number of pregnancy and birth complications (premature rupture of membrane, birthweight, weeks gestation and APGAR) was examined. METHODS: A total of 940 prenatal care-seeking women completed the TWEAK, a brief measure of alcohol use problems during the previous year. Measures were completed by women at an average of 25 weeks gestation (SD = 9.7) in the waiting areas of university-affiliated obstetrics clinics in the US. Pregnancy and birth complications were gathered via medical record search and completed on all cases. RESULTS: Controlling for cigarette use and key demographic variables, only pre-pregnancy elevated TWEAK (> or =2) was significantly and consistently related to each obstetrical outcome in multivariate analyses in the total sample. Analyses showed that pre-pregnancy TWEAK was related to PROM and lower birthweight among the sample of women (n = 800) who reported no actual alcohol use during pregnancy. CONCLUSIONS: Results suggest that a brief screening for alcohol use problems may detect women either in early pregnancy or pre-conceptually, that may be at risk for potentially harmful pregnancy and birth outcomes, including women who deny prenatal alcohol use.
Authors:
Heather A Flynn; Deborah Berman; Sheila M Marcus
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of psychosomatic obstetrics and gynaecology     Volume:  30     ISSN:  1743-8942     ISO Abbreviation:  J Psychosom Obstet Gynaecol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-20     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8308648     Medline TA:  J Psychosom Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  255-61     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan 48108, USA. hflynn@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alcohol Drinking / adverse effects*
Female
Health Behavior
Humans
Middle Aged
Multivariate Analysis
Odds Ratio
Pregnancy
Pregnancy Outcome*
Prenatal Care
Questionnaires
Regression Analysis
Risk Factors

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


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