Alcohol Use in Pregnancy

DeJong, Katherine N; Olyaei, Amy; Lo, Jamie O.

doi:10.1097/grf.0000000000000414

Cited by 102 publications

(59 citation statements)

References 98 publications

(106 reference statements)

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“…Alcohol consumption and tobacco smoke remain the main risk factors for reproduction [26][27][28]. Evidence in the scientific literature is beginning to show possible interactions between tobacco exposure and environmental exposures and even with exposures to passive maternal smoking [29].…”

Section: Discussionmentioning

confidence: 99%

The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction

Delva

Manangama

Brochard

et al. 2020

IJERPH

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In France, a new approach is being developed through the ARTEMIS Center, which is a prevention platform for environmental health dedicated to reproduction. The objective is to describe the clinical management of patients in the ARTEMIS center. Couples with a condition affecting reproduction are referred to the ARTEMIS center. Management includes a medical consultation and a standardized interview. Current exposure is assessed by a questionnaire that includes exposure circumstances to reproductive risk factor and on the basis of which it is possible to implement preventive action in clinical practice without prejudging the role of such exposure in the onset of disease. From 16 February 2016 to 2 May 2019, 779 patients were seen in the ARTEMIS center. On the day of the consultation, 88.3% men and 72.2% women were employed. Among employed men, 61.5% had at least one instance of occupational exposure to a reproductive risk factor, and among employed women, 57.8%. The main nonprofessional circumstances of exposure identified were proximity of the residence to an agricultural area (35.3%) and domestic pesticide exposure (79.7%). The preventive actions implemented by the ARTEMIS center are targeted to the individual practices of patients. However, patient care also allows their physicians to become familiarized with environmental health.

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Section: Discussionmentioning

confidence: 99%

The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction

Delva

Manangama

Brochard

et al. 2020

IJERPH

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“…While there are numerous articles warning of the dangers of alcohol during pregnancy (Burden, Jacobson, and Jacobson 2005; Charness et al 2016; Connor and Streissguth 1996; Day and Richardson 1991; DeJong, Olyaei, and Lo 2019; D’Onofrio et al 2007; Flak et al 2014; Kesmodel et al 2019; Lupton, Burd, and Harwood 2004; Zuccolo et al 2013), they share similar problems. As recent exemplars, here we focus our attention specifically on the scientific studies that lead to the 2016 CDC warning and the JAMA article that became the basis of an NYT article.…”

Section: The Studiesmentioning

confidence: 99%

Fetal Alcohol Syndrome Warnings: Policing Women’s Behavior Distorts Science

Killian

Thomas

2020

Journal of Applied Social Science

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This article focuses on the recent resurgence of concerns regarding fetal alcohol syndrome (FAS). A report from the Centers for Disease Control and Prevention (CDC) warning even women not trying to conceive to abstain from alcohol completely if not using contraceptives, and a medical article covered by the New York Times that claims that rates of FAS are much higher than previously thought, have reignited anxiety over FAS, even though there remains substantial gray area in the relationship between alcohol and pregnancy outcomes. Not only is there scant evidence that less than a drink a day affects offspring, and none that an occasional drink during pregnancy has any effect, even among alcoholic women, FAS is more than 10 times more likely to strike the children of poor alcoholics than those of higher means who drink excessively. We explore why researchers, physicians, and public health officials continue to hyperbolize the effects of drinking alcohol leading to recommendations that target not just alcoholic women, but all women, pregnant or not. Building on past authors’ suspicion of previous overblown cautioning about FAS, we do in-depth tracing of the bibliographic lineage of these warnings, highlighting the problems with the medical researchers’ and health agencies’ recommendations including extending the scope of the problem and relying on misleading statistics. We argue that while policing women’s bodies to insure compliance with “proper” feminine behavior is an ongoing phenomenon, these new attacks on women’s autonomy veiled in scientific language must be unmasked and challenged.

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“…Alcohol use during pregnancy can cause pregnancy complications such as low birth weight, preterm birth, and small for gestational age [1,2], and can result in a range of lifelong physical, behavioral, and intellectual disabilities known as fetal alcohol spectrum disorders [2,3]. Because no amount of alcohol and no time to drink can be considered safe during pregnancy [2,4], recommendations for alcohol use during pregnancy advocate abstinence in most countries [5]. Despite such recommendations, the global prevalence of alcohol use during pregnancy was estimated at 9.8% [6].…”

Section: Introductionmentioning

confidence: 99%

Associations of education and work status with alcohol use and cessation among pregnant women in Japan: the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study

Murakami

Obara²,

Ishikuro³

et al. 2020

Preprint

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Background: There is inconsistent evidence on the associations of education and work status with alcohol use during pregnancy. We aimed to examine the associations of education and work status with alcohol use in early and middle pregnancy and alcohol cessation between early and middle pregnancy in Japan.Methods: This prospective study was part of the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study from 2013 to 2017. Pregnant women were recruited at approximately 50 obstetric clinics and hospitals in Miyagi Prefecture in Japan. We analyzed 11592 pregnant women who completed the questionnaires administered in early pregnancy and middle pregnancy. Women were dichotomized as current drinkers or non-drinkers in both early and middle pregnancy. Multivariable logistic regression analyses were conducted to examine associations of education and work status with alcohol use in early and middle pregnancy, adjusting for age, income, psychological distress, and work status/education. Associations with alcohol cessation between early pregnancy and middle pregnancy were also examined.Results: Prevalence of alcohol use in early and middle pregnancy was 20.9% and 6.4%, respectively. Higher education was associated with alcohol use in early pregnancy and alcohol cessation during pregnancy; the odds ratios (ORs) of ≥university education compared with ≤high school education were 1.47 (95% confidence interval [CI], 1.30–1.66) and 1.31 (95% CI, 1.00–1.71), respectively. Work status was associated with alcohol use in both periods and alcohol cessation during pregnancy; for alcohol cessation, the OR of working in early pregnancy only compared with not working in both periods was 1.72 (95% CI, 1.03–2.88).Conclusions: Women with higher education were more likely to consume alcohol in early pregnancy and to cease between early pregnancy and middle pregnancy. Working women were more likely to consume alcohol throughout pregnancy in Japan.

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Alcohol Use in Pregnancy

Cited by 102 publications

References 98 publications

The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction

The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction

Fetal Alcohol Syndrome Warnings: Policing Women’s Behavior Distorts Science

Associations of education and work status with alcohol use and cessation among pregnant women in Japan: the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study

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