Alcohol Consumption Among Pregnant Women in a Swedish Sample and Its Effects on the Newborn Outcomes

Comasco, Erika; Hallberg, Gunilla; Helander, Anders; Oreland, Lars; Sundelin-Wahlsten, Viveka

doi:10.1111/j.1530-0277.2012.01783.x

Cited by 51 publications

(78 citation statements)

References 42 publications

(60 reference statements)

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“…Women who rarely or never drank alcohol had little or nothing to change. This result challenges findings from several studies [36] [45]- [47], including a systematic review [48] showing that predictors most positively associated with alcohol use during pregnancy are pre-pregnancy alcohol consumption, higher maternal age, and previous children. The argument is that behavioral patterns established prior to pregnancy are difficult to alter, and more difficult the longer they have been present [11].…”

Section: Discussioncontrasting

confidence: 54%

Preventing Alcohol Consumption during Pregnancy: A Randomized Controlled Trial

Bortes¹,

Geidne²,

Eriksson³

2015

Health

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The aim of this study is to report on a brief alcohol intervention for preventing drinking during pregnancy. The Women's Organizations Committee on Alcohol and Drug Issues (WOCAD) in Sweden developed an informational brochure about alcohol during pregnancy, intended to reach pregnant women before their first visit at a prenatal clinic. A randomized controlled trial was conducted between 2004 and 2005 to measure whether the brochure had any effect. A total of 564 pregnant women between 17 and 46 years of age are included in the study. Differences between the intervention and control groups were analyzed with cross-tabulations and chi-squared tests. A multiple logistic regression analysis was also conducted to determine predictors of abstention from alcohol at the first prenatal visit. Findings show that significantly more of the women who received the brochure abstained completely from alcohol then of those who did not receive it (92% vs. 82%, p = 0.005). It was 2.6 times more likely that those who received the brochure had abstained completely from alcohol since pregnancy recognition at their first prenatal visit compared with those who did not receive it (OR = 2.6, CI 1.3 -5.1, p = 0.005). We conclude that the informational brochure developed by WOCAD can be used in prenatal care to get more women to abstain from alcohol during pregnancy.

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Section: Discussioncontrasting

confidence: 54%

Preventing Alcohol Consumption during Pregnancy: A Randomized Controlled Trial

Bortes¹,

Geidne²,

Eriksson³

2015

Health

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“…10,20,23,24 This may be the result of less access to information and greater propensity to behaviours associated with alcohol consumption, including tobacco smoking and illicit drug use. It has also been found that the prevalence of alcohol intake among tobacco smokers is twice that found among non-smokers 25,26 and up to five times higher among illicit drug users, thus providing evidence that these are behaviours associated with alcoholic drink intake. 19,21 According to the literature, self-reported depression increases the likelihood of alcohol use as mental morbidities are commonly associated with the use of substances such as alcohol, cigarettes and other illicit drugs.…”

Section: Discussionmentioning

confidence: 88%

Alcohol intake during pregnancy among parturients in southern Brazil

Meucci

Saavedra

Silva

et al. 2017

Rev. Bras. Saude Mater. Infant.

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Objectives: to assess alcohol intake prevalence and identify associated factors among pregnant women in the municipality of Rio Grande, RS, Brazil. Methods: this was a crosssectional study which included all parturient women residing in the municipality who gave birth in 2013. Two outcomes were characterized: alcohol intake during pregnancy and excessive alcohol intake during pregnancy. In the analysis, proportions were tested using the Chisquare test, whilst Poisson regression was used in the multivariate analysis. Results: 9.4% (CI95%= 8.210.5) of the 2,685 parturient women studied reported having consumed alcohol during pregnancy, with beer being most common beverage. Following adjustment, the factors associated with alcohol intake in pregnancy were: age ≥30 years, brown skin colour, living without a partner, low schooling, tobacco smoking and illicit drug use, having had more children and late onset of prenatal care. Excessive alcohol intake was found in 12.7% (CI95%= 8.616.9) of those who reported drinking during pregnancy and the factors associated with this practice were age ≥30 years, lower schooling and illicit drug use. Conclusions: this study found high alcohol intake during the gestation period and identified women more susceptible to this practice. There is an evident need for health professionals to work on preventing and handling alcohol intake among pregnant women in the municipality

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“…In the Western Cape Province, approximately 34% of women who reside in urban areas, and 41%-51% of women who live in rural areas, consume alcohol during pregnancy (Croxford & Viljoen, 1998;1999). This is vastly greater than the percentages of pregnant women who drink alcohol in either the United States (10%) or Sweden (12%) (Comasco, Hallberg, Helander, Oreland, & Sundelin-Wahlsten, 2012;Havens, Simmons, Shannon, & Hansen, 2009).…”

Section: Why Are Fasd Rates Highest In Western Cape Province South Amentioning

confidence: 87%

Letter to the Editor: Why do pregnant South African women drink alcohol? A call to action for more qualitative investigations

Olusanya

Barry

2015

IJADR

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Even though the adverse effects of alcohol consumption during pregnancy have been well documented, millions of babies each year continue to be affected by fetal alcohol spectrum disorders (FASD). This is concerning given that FASD is completely preventable. FASDs have been documented across a variety of races and geographical regions worldwide, yet the highest known prevalence rates are recorded in Africa. Specifically, for every 1000 children born in the Western Cape Province of South Africa, approximately 59.3 to 91.0 are determined to have fetal alcohol syndrome, the most severe form of FASD. While the risk factors contributing to FASDs have been examined quantitatively among South African women, there is a dearth of qualitative investigations that articulate and contextualize the underling motivations, beliefs, and attitudes that influence these risk factors. Qualitative investigations have been conducted in other geographic regions (e.g., Australia), but are not generalizable to South Africa. Qualitative investigations, which explore the familial, social, cultural, and economic factors that influence maternal drinking, are needed to inform future health promotion programs and interventions aimed at decreasing and ultimately eliminating maternal alcohol consumption among South African women.The purpose of this commentary is to compare and contrast global prevalence rates of fetal alcohol spectrum disorders (FASDs) and to serve as a call to action for additional research in communities that exhibit excessively high prevalence rates. The Western Cape of South Africa will be used as a heuristic example of an area ripe for additional inquiry into why mothers consume alcohol during pregnancy.

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Alcohol Consumption Among Pregnant Women in a Swedish Sample and Its Effects on the Newborn Outcomes

Cited by 51 publications

References 42 publications

Preventing Alcohol Consumption during Pregnancy: A Randomized Controlled Trial

Preventing Alcohol Consumption during Pregnancy: A Randomized Controlled Trial

Alcohol intake during pregnancy among parturients in southern Brazil

Letter to the Editor: Why do pregnant South African women drink alcohol? A call to action for more qualitative investigations

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