Alcohol consumption and pregnancy in the Mexican national addiction survey

Abstract

In 1988, the General Directorate of Epidemiology and the Mexican Institute of Psychiatry conducted the first National Addiction Survey (ENA), providing regional and national data on alcohol, tobacco, and drug use. The ENA providing a subsample of women who have been pregnant at some time in their lives. There were 5,234 affirmative responses. Women were asked if they had suffered any of three adverse outcomes during their last pregnancy: spontaneous abortion, stillbirth, and congenital abnormalities. Prevalence of spontaneous abortion was 3.8%, stillbirth 1.2%, and congenital abnormalities 1.1 %. Multiple logistic-regression models were used to analyze the effect of alcohol consumption on these problems. Consumption during pregnancy was related only with the prevalence of congenital abnormalities, with prevalence odds of 3.4. Among habitual users during the last 12 months, oniy women in the highest use category showed an important relationship with the three problems mentioned. Follow-up studies on the Mexican population are recommended in order to obtain more conclusive findings.

Alcohol Use in Pregnancy and Miscarriage: A Systematic Review and Meta‐Analysis

“…Twenty‐four studies were eligible for analysis including 231,808 pregnant women (Fig. ; Armstrong et al., ; Avalos et al., ; Borges et al., ; Boyles et al., ; Buck Louis et al., ; Cavallo et al., ; Chiodo et al., ; Conde‐Ferraez et al., ; Davis et al., ; Dlugosz et al., ; Feodor Nilsson et al., ; Halmesmaki et al., ; Han et al., ; Harlap and Shiono, ; Kesmodel et al., ; Kline et al., ; Long et al., ; Maconochie et al., ; Parazzini et al., ; Paszkowski et al., ; Rasch, ; Windham et al., , ; Xu et al., ). If data from the same study sample were present in multiple reports (Andersen et al., ; Avalos et al., ; Kline et al., ; Strandberg‐Larsen et al., ; Zhang and Bracken, ), the report with the most complete information was used.…”

“…Pooled estimates among cohort and case–control studies were similar (OR 1.22, 95% CI 1.16, 1.28 vs. OR 1.20, 95% CI 1.01, 1.43; Table ). Only 3 studies reported an adjusted risk estimate for the effect of alcohol operationalized as a dichotomous exposure (exposed/unexposed; Borges et al., ; Boyles et al., ; Kline et al., ).…”

Alcohol abuse — A persistent preventable risk for congenital anomalies

“…The findings reported in this study are generally confirmatory of previous studies from different geographic areas in preceding decades. A national survey by the Mexican Institute of Psychiatry with over 5000 responses from women reporting use of alcohol during pregnancy revealed an association of alcohol consumption with congenital anomalies [9]. Several years earlier, data from an alcohol clinic in Finland had shown a reduction in birth weight, length, and head circumference, and an increase in anomalies [10].…”

Fatores associados à ocorrência de cesárea e aborto em mulheres selecionadas em um centro de saúde no município do Rio de Janeiro, Brasil

“…Alguns estudos associam o aborto principalmente com o consumo de álcool e fumo. 13,14 Entre os fatores determinantes, devemos destacar ainda o efeito da idade, do estado marital e o do estado nutricional pré-gestacional, embora o efeito deste último ainda não esteja claramente evidenciado pela literatura. 11 Níveis deficientes de micronutrientes como o ácido fólico, ferro e zinco também são citados na literatura como potenciais fatores abortivos.…”