Association of Moderate Alcohol Use and Binge Drinking During Pregnancy with Neonatal Health

Meyer-Leu, Yvonne; Lemola, Sakari; Daeppen, Jean‐Bernard; Dériaz, Olivier; Gerber, Stefan

doi:10.1111/j.1530-0277.2011.01513.x

Cited by 47 publications

(50 citation statements)

References 48 publications

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“…O abuso de substâncias tem sido motivo de preocupação mundial com relação à saúde da gestante e de seu filho em diferentes níveis socioeconômicos (Angelucci, 2010;van Gelder et al, 2010;Meyer-Leu, Lemola, Daeppen, Deriaz, & Gerber, 2011;Hayatbakhsh et al, 2011;De Santis et al, 2011;Behnk & Smith, 2013;Schauberger, Newbury, Colburn, & Al-Hamadam, 2014). Recentemente, pesquisas têm alertado para o aumento progressivo e alarmante no consumo de álcool, tabaco, maconha e outras drogas no sexo feminino, especialmente durante a gestação (Angelucci, 2010).…”

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“…Quando se realiza o uso ou abuso de álcool e/ou drogas, essas substâncias podem atravessar a placenta, assim como acontece com o oxigênio, o gás carbônico e a água. O uso do álcool na gravidez ainda que em nível moderado afeta negativamente o desenvolvimento do feto acarretando o nascimento com baixo peso (Meyer-Leu et al, 2011). A exposição pré-natal ao álcool e outras drogas pode acarretar problemas, os quais podem ser tratados se a presença do uso de droga for detectada precocemente.…”

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Perfil das Gestantes Usuárias de Álcool/Drogas e os Efeitos na Saúde e Desenvolvimento dos Filhos

Motta¹,

Linhares

2016

Inter. Psicol.

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RESUMOO objetivo do estudo foi revisar artigos sobre prevalência do uso de álcool e/ou drogas ilícitas em gestantes, perfis das usuárias e efeitos do seu uso na saúde e desenvolvimento dos filhos. Os estudos foram selecionados na base de dados Scielo a partir de palavras-chave específicas e critérios de inclusão e exclusão. Foram encontrados 14 artigos. Os achados mostraram prevalências variando de 2,1 a 67,1% para álcool e 0,6 a 53,8% de drogas ilícitas nas gestantes. As prevalências dependeram de fatores sociodemográficos e clínicos. O uso abusivo de álcool e drogas ilícitas na gestação apresentaram efeitos negativos na saúde e desenvolvimento dos filhos. A revisão realizada mostra a relevância da implementação de políticas públicas de saúde para prevenção do uso de drogas em gestantes, especialmente as adolescentes.Palavras-chave: gravidez; abuso de álcool; drogas; desenvolvimento da criança. ABSTRACT Profile of Pregnant Using Alcohol/Drugs and Their Effects on Children's Health and DevelopmentThe aim of the study was to review empirical studies about the prevalence of using alcohol and illicit drugs in pregnants, the profiles of them, and the effects of their using on the children's health and development. The studies were selected through the Scielo database using specific keywords and inclusion and exclusion criteria. Fourteen studies were found. The findings showed prevalence ranging from 2.1 to 67.1% for alcohol and 0.6 a 53.8% for illicit drugs in pregnants. This prevalence was dependent of socio-economical and clinical factors. The abusive using of alcohol and illicit drugs during the pregnancy presented negative effects on children's health and development. The present review showed the relevance of the implementation of public health policies for drugs abuse prevention in pregnants, especially adolescents.

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Perfil das Gestantes Usuárias de Álcool/Drogas e os Efeitos na Saúde e Desenvolvimento dos Filhos

Motta¹,

Linhares

2016

Inter. Psicol.

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“…Heavy drinking is known to have a negative impact on the unborn child, but the impact of low to moderate alcohol consumption and binge drinking has been debated [6]. The amount, frequency, and timing of alcohol consumption during pregnancy, the degree to which consumption affects the fetus, and whether it leads to the child receiving a diagnosis within the FASD continuum, are all highly individual [7].…”

Section: Introductionmentioning

confidence: 99%

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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“…Foetal alcohol Syndrome (FAS) (Jones, 2011), the more extreme condition on this spectrum, comprises of pre and postnatal growth retardation, central nervous system dysfunction and craniofacial and other anomalies (Riley et al, 2011). These harms are linked generally to high-level alcohol consumption (Foltran et al, 2011, Bay and Kesmodel, 2011, Patra et al, 2011 although some reports suggest harm may occur at lower levels (Andersen et al, 2012, Meyer-Leu et al, 2011. Also, offspring harms may be compounded by other environmental and genetic factors (Malone and Koren, 2012).…”

Section: Scope Of the Problemmentioning

confidence: 99%

Women’s mental health following the birth of a child: a life course approach

Kingsbury¹

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Does the experience of being pregnant, giving birth and becoming a mother affect women's mental health over their reproductive life course? Much of the research on maternal mental health has focused on the perinatal period. In recent times, research has extended to patterns of women's mental health over the years following the birth of their baby. In this thesis, associations between women's experiences around pregnancy and giving birth, and patterns of their mental health impairment in the years following the baby's birth, are examined.Participants: Three datasets were used for this thesis. The primary dataset was the Mater and Methods: Six studies are the core contribution of this body of research. These studies, five cohort studies and one cross-sectional study, addressed the thesis' aims and objectives.Studies' outcome measures generally related to women's mental health, rated by the Delusions-Symptoms-States-Inventory: state of Anxiety and Depression (DSSI/sAD) (Bedford et al., 1976) and assessed at time-points post-birth. In three studies, women's DSSI depression measures at various time-points were combined to create depressive-symptoms trajectories. The Mental Disorder Screening Tool (MDST), constructed from women's DSSI/sAD responses (Saiepour et al., 2014) and measuring mental health impairment, was an outcome measure for one study. Another study's outcomes were based on women's reported alcohol consumption before pregnancy and at their first clinic visit. A broad range of predictor and potential confounding variables, taken at different MUSP survey phases, were included in the studies' analyses. Descriptive and inferential analyses were used. Univariate and multivariable regression analysis derived odds ratios and relative risk ratios with 95% confidence intervals. Pregnancy and birth events were found to contribute little to women's experience of depression. Pregnant women who experienced stressful life events (that is, financial, housing and relational events), were at higher risk of having depressive symptoms over the 27-year period. The proportion of women with mental health impairment was higher at 21 years post birth than at six months post birth. Women whose offspring had behaviour problems were themselves at risk of mental health impairment at 21 years post birth. As well, mental health problems in pregnancy; young motherhood; not completing high school and low family income; and having poor social networks around baby's birth, and marital discord in pregnancy, predicted women's poorer mental health over time. Today's pregnant women are more likely to be older and have higher body mass indexes, more likely to be anxious but not depressed, and more are sure about wanting to be pregnant, compared to pregnant women from previous decades. Today's pregnant women are also less likely to be smokers but are more often consuming alcohol prior to pregnancy, though they substantially reduce their alcohol consumption in pregnancy. Socio-economic disadvantage and psychosocial problems in pregnancy ...

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Association of Moderate Alcohol Use and Binge Drinking During Pregnancy with Neonatal Health

Abstract: In contrast to recent reviews in the field, our results assume that moderate drinking and binge drinking are risk factors for neonatal health.

Cited by 47 publications

References 48 publications

Perfil das Gestantes Usuárias de Álcool/Drogas e os Efeitos na Saúde e Desenvolvimento dos Filhos

Perfil das Gestantes Usuárias de Álcool/Drogas e os Efeitos na Saúde e Desenvolvimento dos Filhos

Preventing Alcohol Consumption during Pregnancy: A Randomized Controlled Trial

Women’s mental health following the birth of a child: a life course approach

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