Guideline No. 405: Screening and Counselling for Alcohol Consumption During Pregnancy

Graves, Lisa; Carson, George; Poole, Nancy; Patel, Tejal; Bigalky, Jodie; Green, Courtney R.; Cook, Jocelynn L.

doi:10.1016/j.jogc.2020.03.002

Cited by 27 publications

(30 citation statements)

References 84 publications

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“…Obstetricians and gynaecologists, as well as general practitioners and family physicians, are in a unique first point position, as they can screen childbearing age and pregnant women for alcohol use and identify pregnancies at risk for FASD. All prenatal care providers should consistently be trained to screen for alcohol use during pregnancy in accordance with the 2020 Society of Obstetricians and Gynaecologists of Canada (SOGC) guidelines [16]. Pregnant women with identified alcohol use should be provided with brief interventions, specialized treatment, support programs, and community resources [34].…”

Section: Discussionmentioning

confidence: 99%

“…Though health care services are free in Canada, prenatal care from obstetricians may be less accessible to women in rural and remote communities in BC, who often solely receive prenatal care from family physicians [15]. Canadian guidelines (2020) for screening and counselling for alcohol and pregnancy [16] suggest that all women should be screened for alcohol use.…”

Section: Introductionmentioning

confidence: 99%

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Maternal alcohol use, adverse neonatal outcomes and pregnancy complications in British Columbia, Canada: a population-based study

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O'Hanlon

et al. 2021

BMC Pregnancy Childbirth

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Background The current study aimed to estimate the prevalence of alcohol use identified as a risk factor during pregnancies by the antenatal care providers, resulting in live births in British Columbia (BC) and to examine associations between alcohol use, adverse neonatal outcomes, and pregnancy complications. Methods This population-based cross-sectional study utilized linked obstetrical and neonatal records within the BC Perinatal Data Registry (BCPDR), for deliveries that were discharged between January 1, 2015 and March 31, 2018. The main outcome measures were alcohol use identified as a risk factor during pregnancy, associated maternal characteristics, pregnancy complications, and adverse neonatal outcomes. Estimates for the period and fiscal year prevalence were calculated. Chi-square tests were used to compare adverse neonatal outcomes and pregnancy complications by alcohol use during pregnancy identified as a risk factor. Logistic regression was used to examine the association between alcohol use identified as a risk factor during pregnancy and adverse neonatal outcomes and pregnancy complications, after adjusting for identified risk factors. Results A total of 144,779 linked records within the BCPDR were examined. The period prevalence of alcohol use during pregnancy identified as a risk factor was estimated to be 1.1% and yearly prevalence was 1.1, 1.1, 1.3 and 0.9% from the 2014/2015 to 2017/2018 fiscal years, respectively. Alcohol use identified as a risk factor was associated with younger maternal age, fewer antenatal visits, being primiparous, a history of mental illness, substance use and smoking. Neonates with alcohol use during pregnancy identified as a risk factor had greater odds of being diagnosed with: “low birth weight (1000-2499g)” (ICD-10: P07.1; aOR = 1.25; 95% CI: 1.01, 1.53), “other respiration distress of newborn” (ICD-10: P22.8; aOR = 2.57; 95% CI: 1.52, 4.07), “neonatal difficulty in breastfeeding” (ICD-10: P92.5; aOR = 1.97; 95% CI: 1.27, 2.92) and “feeding problems, unspecified” (ICD-10: P92.9; aOR = 2.06; 95% CI: 1.31, 3.09). Conclusions The prevalence of alcohol use during pregnancy identified as a risk factor was comparable to previous estimates within the BCPDR. Identified prenatal alcohol exposure was associated with notable differences in maternal and neonatal characteristics and adverse neonatal outcomes. More consistent, thorough screening and prevention efforts targeting alcohol use in pregnancy are urgently needed in Canada.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Maternal alcohol use, adverse neonatal outcomes and pregnancy complications in British Columbia, Canada: a population-based study

Popova

Dozet

O'Hanlon

et al. 2021

BMC Pregnancy Childbirth

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show abstract

“…L'intervention br eve est la pierre angulaire du DIBOT. L'intervention br eve la plus fr equemment utilis ee est l'entretien motivationnel, mais on recourt aussi fr equemment a la r eduction des m efaits 4 . Les fournisseurs doivent se sentir aptes a utiliser l'intervention br eve dans diff erents contextes cliniques.…”

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“…La simplicit e de l'intervention br eve, par exemple sous forme d'entretien motivationnel, repose sur le fait que bon nombre des conversations actuelles entre patientes et fournisseurs peuventêtre recadr ees pour devenir une intervention br eve. Le mod ele a trois volets s'op ere en trois etapes qui peuvent recadrer les aspects d'une rencontre avec une patiente afin d'int egrer l'intervention br eve a la suite d'un d epistage positif de la consommation d'alcool 4 . La premi ere etape consiste a favoriser la prise de conscience tout en evaluant la volont e de changement.…”

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Aborder la consommation de substances psychoactives pendant la grossesse : adopter l'intervention brève

Graves

2020

Journal of Obstetrics and Gynaecology Canada

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Psychosocial and medication interventions to stop or reduce alcohol consumption during pregnancy

Minozzi,

Ambrosi,

Saulle

et al. 2024

Cochrane Database of Systematic Reviews

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Guideline No. 405: Screening and Counselling for Alcohol Consumption During Pregnancy

Cited by 27 publications

References 84 publications

Maternal alcohol use, adverse neonatal outcomes and pregnancy complications in British Columbia, Canada: a population-based study

Maternal alcohol use, adverse neonatal outcomes and pregnancy complications in British Columbia, Canada: a population-based study

Aborder la consommation de substances psychoactives pendant la grossesse : adopter l'intervention brève

Psychosocial and medication interventions to stop or reduce alcohol consumption during pregnancy

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