Prevalence and factors associated with alcohol consumption during pregnancy

Baptista, Flavia Hashizume; Rocha, Klenia Bethania Bispo; Martinelli, Júlia Lustosa; Avó, Lucimar Retto da Silva de; Ferreira, Rodrigo Alves; Germano, Carla Maria Ramos; Melo, Débora Gusmão

doi:10.1590/1806-93042017000200004

Cited by 18 publications

(19 citation statements)

References 27 publications

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“…Unexpectedly, alcohol use during pregnancy was observed to reduce the risk of perinatal death before imputation of missing values and after imputation using the GEE binomial regression model. We did not find a significant association in the GEE with a log-linear regression model, which agrees with other studies [47]. However, maternal alcohol consumption during pregnancy has been associated with a decreased risk of being small for gestational age (below 10 th percentile related to gestational age and sex) and that of preterm birth [48].…”

Section: Plos Onesupporting

confidence: 91%

Predictors of perinatal death in the presence of missing data: A birth registry-based study in northern Tanzania

et al. 2020

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Background More than five million perinatal deaths occur each year globally. Despite efforts put forward during the millennium development goals era, perinatal deaths continue to increase relative to under-five deaths, especially in low-and middle-income countries. This study aimed to determine predictors of perinatal death in the presence of missing data using birth registry data from Kilimanjaro Christian Medical Center (KCMC), between 2000-2015. Methods This was a retrospective cohort study from the medical birth registry at KCMC referral hospital located in Moshi Municipality, Kilimanjaro region, northern Tanzania. Data were analyzed using Stata version 15.1. Multiple imputation by fully conditional specification (FCS) was used to impute missing values. Generalized estimating equations (GEE) were used to determine the marginal effects of covariates on perinatal death using a log link mean model with robust standard errors. An exchangeable correlation structure was used to account for the dependence of observations within mothers. Results Among 50,487 deliveries recorded in the KCMC medical birth registry between 2000-2015, 4.2% (95%CI 4.0%, 4.3%) ended in perinatal death (equivalent to a perinatal mortality rate (PMR) of 41.6 (95%CI 39.9, 43.3) deaths per 1,000 births). After the imputation of missing values, the proportion of perinatal death remained relatively the same. The risk of perinatal death was significantly higher among deliveries from mothers who resided in rural compared to urban areas (

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Section: Plos Onesupporting

confidence: 91%

Predictors of perinatal death in the presence of missing data: A birth registry-based study in northern Tanzania

et al. 2020

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“…The group of participants, defined purposively, consisted of 14 adult women, who were pregnant during the second half of 2015 and the first half of 2016. These women participated in a previous study developed by our group [10] and were identified as risk-drinkers during pregnancy by the Brazilian validated revised T-ACE screening tool [13, 36]. The T-ACE screening tool is a questionnaire consisting of four main questions; a score is assigned for each one of these questions and the maximum value of the questionnaire is equal to 5.…”

Section: Methodsmentioning

confidence: 99%

“…In total, 59 T-ACE positive women were selected as possible participants. Women were contacted by telephone and invited to participate in the research, referred to primarily as a study about pregnancy habits and alcohol consumption to which they were invited to due to alcohol consumption identification in our previous research [10]. Not all women answered the phone call; therefore, researchers were only able to contact 21 out of the 59 women by the telephone numbers indicated in our previous study.…”

Section: Methodsmentioning

confidence: 99%

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Motivation for alcohol consumption or abstinence during pregnancy: A clinical-qualitative study in Brazil

et al. 2019

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BackgroundIn Brazil, alcohol consumption is estimated to range from 7 to 40% in pregnant women. This research investigated the motivation for alcohol consumption or abstinence during pregnancy in a purposive sample of Brazilian women.MethodsClinical-qualitative research was conducted, in which 14 women participated, identified as risk-drinkers during pregnancy by the T-ACE screening tool. Data were collected through semi-structured individual interviews. Reports were recorded, transcribed and investigated by a thematic content analysis approach. The results were discussed based on a comprehensive and interpretive framework.ResultsSixteen themes were extracted and these were then classified into three thematic categories: (a) general motives for alcohol use, (b) specific motives for drinking during pregnancy, and (c) reasons for partly or fully abstaining from drinking during pregnancy. Social motives were the most relevant, particularly due to deeply rooted cultural values. Enhancement motives were widely mentioned and associated with a hedonic posture. Consumption also aimed to deal with negative emotions, characterizing two types of coping specifically to pregnancy: first, perceiving pregnancy as a period of less opportunity for social interaction and, therefore, drinking alcohol at home to compensate; secondly, perceiving pregnancy as a period of greater irritability, and hence experiencing difficulties to abstain. On the other hand, concern about fetal health, disapproval of consumption by relatives and health professionals, as well as the social construction of mothering were reported as reasons to abstain.ConclusionsSome specificities influence the decision to continue or discontinue alcohol consumption during pregnancy. To reduce consumption, we suggest educational actions based on a collective health perspective, articulated with individualized measures that allow identification and proper intervention for women at risk.

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“…A consequência mais grave desse consumo é designada como Síndrome Alcoólica Fetal (SAF). (1) Contudo algumas crianças podem apresentar um fenótipo específico com a exposição ao etanol intra útero, mas sem se enquadrar necessariamente como SAF, sendo referidas pelo termo "Transtornos do Espectro Alcoólico Fetal (TEAF)", do inglês Fetal Alcohol Spectrum Disorders (FASD) (2)(3) .…”

Section: Abstract: Fetal Alcohol Spectrum Disorders Eye Diseases Reunclassified

Manifestações oculares do transtorno do espectro alcoólico fetal: revisão bibliográfica / Ocular manifestations of fetal alcohol spectrum disorders: a bibliographic review

Sant'Ana

Hirata

Giuliani

2020

Arq Med Hosp Fac Cienc Med Santa Casa São Paulo

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Introdução: O consumo de álcool por gestantes é reconhecidamente teratogênico, levando aos Transtornos do Espectro Alcoólico Fetal (TEAF). Indivíduos com esse espectro apresentam alterações em características faciais de nariz, lábios e orelhas, além das oculares. Objetivo: Realizar um levantamento de literatura científica para verificar as manifestações oculares presentes em pacientes diagnosticados com TEAF. Método: Foram pesquisados nos bancos de dados: Pubmed, Scielo, Cochrane e Lilacs artigos que trouxessem o tema descrito acima. Os dados obtidos da consulta foram tabulados com os seguintes parâmetros: estudo/ano, tipo de estudo/nível de evidencia, amostra e resultados. Resultados e Conclusão: De um total de 71 trabalhos, após análises de acordo com os critérios de inclusão e exclusão, foram selecionados 8. As principais manifestações oculares relacionadas à TEAF foram, em ordem decrescente: hipoplasia de nervo óptico, ambliopia, estrabismo, configuração anormal dos vasos retinianos, deficiência da função oculomotora, tamanho reduzido da órbita ocular, anormalidade na percepção de profundidade, displasia septo-óptica, astigmatismo e anisometropia. No tocante às manifestações oculares externas, as principais foram: blefarofimose, epicanto e telecanto.Palavras chave: Transtornos do espectro alcoólico fetal, Oftalmopatias, Revisão ABSTRACTIntroduction: Alcohol consumption by pregnant women is knowned to be teratogenic, leading to Fetal Alcohol Spectrum Disorders (FASD). Individuals with this spectrum show changes in facial features of the nose, lips and ears, in addition to ocular ones. Objective: Perform a survey of scientific literature to verify the ocular manifestations present in patients diagnosed with FASD. Method: Pubmed, Scielo, Cochrane and Lilacs databases were searched for articles that presented the theme described above. The data obtained from the consultation were tabulated with the following parameters: study / year, type of study/evidence level, sample and results. Results and Conclusion: From a total of 71 studies, after analysis according to the inclusion and exclusion criteria, 8 were selected. The main ocular manifestations related to FASD were, in decreasing order: optic nerve hypoplasia, amblyopia, strabismus, configuration abnormal retinal vessels, impaired oculomotor function, reduced size of the eye socket, abnormal depth perception, septo-optic dysplasia, astigmatism and anisometropia. With regard to external ocular manifestations, the main ones were: blepharophimosis, epicanthus and telecanto.Key words: Fetal alcohol spectrum disorders, Eye diseases, Review

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Prevalence and factors associated with alcohol consumption during pregnancy

Abstract: 045g±71.0 vs 3,192g±19.2; p=0.040).Conclusions: identifying and characterizing women who are more susceptible to alcohol consumption during pregnancy can contribute to developing more effective public health intervention strategies.

Cited by 18 publications

References 27 publications

Predictors of perinatal death in the presence of missing data: A birth registry-based study in northern Tanzania

Predictors of perinatal death in the presence of missing data: A birth registry-based study in northern Tanzania

Motivation for alcohol consumption or abstinence during pregnancy: A clinical-qualitative study in Brazil

Manifestações oculares do transtorno do espectro alcoólico fetal: revisão bibliográfica / Ocular manifestations of fetal alcohol spectrum disorders: a bibliographic review

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