Alcohol Use During Pregnancy: Prevalence and Impact

Bhuvaneswar, Chaya G.; Chang, Grace; Epstein, Lucy A.; Stern, Theodore A.

doi:10.4088/pcc.v09n0608

Cited by 47 publications

(31 citation statements)

References 36 publications

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“…However, most are designed to identify problem drinking and all directly ask about alcohol consumption which may be stigmatizing and/or illicit false answers(30,31). We proposed a practical, two-step algorithm to screen for alcohol consumption among women attending an antenatal care clinic.…”

Section: Discussionmentioning

confidence: 99%

Consumption of Alcoholic Beverages Among Pregnant Urban Ugandan Women

Namagembe

Jackson

Zullo

et al. 2009

Matern Child Health J

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Objectives-The World Health Organization estimated alcohol consumption in Uganda to be one of the highest in the world. We examined alcohol consumption among Ugandan women prior to and after learning of pregnancy. We developed a screening algorithm using factors that predicted alcohol consumption in this study.Methods-In 2006, we surveyed 610 women attending antenatal care at the national referral hospital in Kampala, Uganda about consumption of traditional and commercial alcoholic beverages before and after learning of pregnancy. Predictors of alcohol consumption during pregnancy were examined and a practical screening algorithm was developed for use in antenatal clinics.Results-One hundred eighty women (30%) drank alcohol at least monthly before learning of their pregnancy. Among these women, almost one-third reported usual consumption of at least one beverage type at quantities that equal binging levels for women. Overall, 151 women (25%) consumed alcohol after learning of pregnancy. Commercial beverages, particularly beer, were consumed more often than traditional drinks. A two-stage screening algorithm asking women about their religion, male partner or friends' drinking, and any lifetime drinking predicted selfreported consumption of alcohol during pregnancy with 97% sensitivity and 89% specificity.Conclusions-Alcohol consumption among pregnant Ugandan women attending antenatal care is high. A feasible screening algorithm can help providers target education and counseling to women who are likely drinking during pregnancy. Given the preference for commercial alcoholic beverages, it is recommended that labels be placed prominently on bottled alcoholic beverages warning of the adverse effects of consuming alcohol during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Consumption of Alcoholic Beverages Among Pregnant Urban Ugandan Women

Namagembe

Jackson

Zullo

et al. 2009

Matern Child Health J

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“…Importantly, cannabis is also the illicit drug most commonly used simultaneously with alcohol among women who binge drink during pregnancy (Bhuvaneswar et al, 2007); approximately 50% of pregnant women who have reported consuming cannabis were also drinking alcohol (Substance Abuse and Mental Health Services Administration, 2015). These numbers may be even higher than reports suggest; accurate data reflecting concurrent use and exposure levels among pregnant women are difficult to obtain, not only because women who consume either alcohol or cannabis frequently under-report their usage (Lange et al, 2014;Lendoiro et al, 2013;Midanik, 1988), but also because of the rapidly changing legalization, accessibility, and potency of cannabis.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Alcohol and Cannabinoid Exposure during the Brain Growth Spurt on Behavioral Development in Rats

Breit

Zamudio

Thomas

2019

Preprint

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Cannabis is the most commonly used illicit drug among pregnant women. Moreover, over half of pregnant women who are consuming cannabis are also consuming alcohol; however, the consequences of combined prenatal alcohol and cannabis exposure on fetal development are not well understood. The current study examined behavioral development following exposure to ethanol (EtOH) and/or CP-55,940 (CP), a cannabinoid receptor agonist. From postnatal days (PD) 4-9, a period of brain development equivalent to the third trimester, Sprague-Dawley rats received EtOH (5.25g/kg/day) or sham intubation, as well as CP (0.4 mg/kg/day) or vehicle. All subjects were tested on open field activity (PD 18-21), spatial learning (PD 40-46), and elevated plus maze (PD 30) tasks. Both EtOH and CP increased locomotor activity in the open field, and the combination produced more severe overactivity than either exposure alone. Similarly, increases in thigmotaxis in the Morris water maze were caused by either EtOH or CP alone, and were more severe with combined exposure, although only EtOH impaired spatial learning. Finally, developmental CP, but not EtOH, increased time spent in the open arms on the elevated plus maze. Overall, these data indicate that EtOH and CP produce some independent domain-specific effects, but many effects of EtOH and CP on behavior were additive.Importantly, these data suggest that combined prenatal exposure to alcohol and cannabis may be more damaging to the developing fetus, which has implications for the lives of affected individuals and families and also for establishing public health policy.

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“…Population-based data indicate that 70-80% of men and women have insufficient levels of physical activity (15,16) . In Westernised countries, between 10% and 30% of women continue to smoke during pregnancy (17,18) and 10-50% of women consume alcohol (19,20) . In terms of nutrition, 70-95% of adults consume inadequate amounts of fruits and vegetables compared to national guidelines in the UK, USA and Australia (15,16,21) .…”

Section: Introductionmentioning

confidence: 99%

Beliefs and advice‐seeking behaviours for fertility and pregnancy: a cross‐sectional study of a global sample

Walker

Blumfield

Truby

2018

J Human Nutrition Diet

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There is disconnection between beliefs and actions regarding the lifestyle behaviours considered to be important for a healthy pregnancy, particularly nutrition. Pregnancy advice-seeking has evolved, with younger men and women utilising the Internet and social media. Health professionals must consider new communication strategies to deliver evidence-based lifestyle advice, particularly for younger men and women and where access to healthcare is limited.

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Alcohol Use During Pregnancy: Prevalence and Impact

Cited by 47 publications

References 36 publications

Consumption of Alcoholic Beverages Among Pregnant Urban Ugandan Women

Consumption of Alcoholic Beverages Among Pregnant Urban Ugandan Women

The Effects of Alcohol and Cannabinoid Exposure during the Brain Growth Spurt on Behavioral Development in Rats

Beliefs and advice‐seeking behaviours for fertility and pregnancy: a cross‐sectional study of a global sample

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