Do Women Change Their Drinking Behaviors While Trying to Conceive? An Opportunity for Preconception Counseling

Tough, Suzanne; Tofflemire, Karen; Clarke, Margaret; Newburn‐Cook, Christine

doi:10.3121/cmr.4.2.97

Cited by 85 publications

(76 citation statements)

References 29 publications

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“…Most importantly, FASD has to be widely recognized as a preventable disorder, and as such, there is an urgent need for prevention programs aimed to change the behaviour of consuming alcohol during pregnancy, as well as pre-pregnancy (as it greatly affects the likelihood of prenatal drinking; Floyd et al, 1999;Tough et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of alcohol consumption during pregnancy and Fetal Alcohol Spectrum Disorders among the general and Aboriginal populations in Canada and the United States

Popova

Lange

Probst

et al. 2017

European Journal of Medical Genetics

110

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Prenatal alcohol exposure may cause a number of health complications for the mother and developing fetus, including Fetal Alcohol Spectrum Disorders (FASD). This study aimed to estimate the pooled prevalence of i) alcohol use (any amount) and binge drinking (4 or more standard drinks on a single occasion) during pregnancy, and ii) Fetal Alcohol Syndrome (FAS) and FASD among the general and Aboriginal populations in Canada and the United States, based on the available literature. Comprehensive systematic literature searches and meta-analyses, assuming a random-effects model, were conducted. It was revealed that about 10% and 15% of pregnant women in the general population consume alcohol in Canada and the United States, respectively, and that about 3% of women engage in binge drinking during pregnancy in both countries. However, the prevalence of alcohol use during pregnancy in the Aboriginal populations of the United States and Canada were found to be approximately 3-4 times higher, respectively, compared to the general population. Even more alarmingly, it was estimated that approximately one in five women in the Aboriginal populations in both countries engage in binge drinking during pregnancy. Further, among the general population of Canada, the pooled prevalence was estimated to be about 1 per 1000 for FAS and 5 per 1000 for FASD. However, compared to the general population, the prevalence of FAS and FASD among the Aboriginal population in Canada was estimated to be 38 times and 16 times higher, respectively. With respect to the United States, the pooled prevalence of FAS and FASD was estimated to be about 2 per 1000 and 15 per 1,000, respectively, among the general population, and 4 per 1000 and 10 per 1,000, respectively, among the Aboriginal population. The FAS and FASD pooled prevalence estimates presented here should be used with caution due to the limited number of existing studies and their methodological limitations. Based on the results of the current study, it is evident that there is an urgent need for implementing more effective national prevention and surveillance strategies to monitor and lower the prevalence of alcohol consumption during pregnancy and FASD.

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Section: Discussionmentioning

confidence: 99%

Prevalence of alcohol consumption during pregnancy and Fetal Alcohol Spectrum Disorders among the general and Aboriginal populations in Canada and the United States

Popova

Lange

Probst

et al. 2017

European Journal of Medical Genetics

110

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“…24 Alcohol exposure during the prenatal period is one of the main sources of neurodevelopmental deficits among children, as well as those of fetal alcohol spectrum disorder (FASD). 25 In 2007, it was recommended that women should avoid consuming more than one or two units which is equivalent to 8-16 g of alcohol, once or twice a week. 18 Studies have shown that a significant number of women who are engaged in risky behaviors such as substance abuse continue to enter pregnancy, thus increasing their risk for negative pregnancy outcomes.…”

Section: Physical Activity and Alcohol Consumptionmentioning

confidence: 99%

Healthy Diet and Nutrition Education Program among Women of Reproductive Age: a Necessity of Multilevel Strategies or Community Responsibility

Dunneram¹,

Jeewon²

2015

Health Promot Perspect

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Article type: Review ArticleBackground: Reproductive years represent a major proportion of women"s life. This review focuses on recommended nutritional considerations, physical activity pattern as well as the effect of nutrition education (NE) on behavior modification and health outcomes of women of reproductive age using either singlelevel, multiple-level or community-level interventions. Methods: For this narrative review, numerous searches were conducted on databases of PubMed, Science Direct and Google Scholar search engine using the keywords women, reproductive age, NE, interventions, community-based. Results: Even though single intervention is effective, multiple intervention programmes in addition to behavior modification components are even more successful in terms of modified behaviors and health outcomes. Moreover, community based interventions using multilevel strategies are further useful for improved health outcomes and behavior modification. Conclusion: NE programmes have been effective in positive behavior modification measured in terms of eating pattern and health quality. Thus, it is recommended that health professionals use multiple intervention strategies at community level to ensure improved outcomes. Political support is also required to create culturally sensitive methods of delivering nutritional programmes. Finally, as policy is dependent on program cost, nutritional programmes need to combine methods of cost analysis to show cost effectiveness of supplying adequate nutrition for women throughout the lifecycle.

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“…Most women cease or reduce alcohol consumption upon discovering pregnancy or over the course of pregnancy (Hellerstedt et al, 1998, Ethen et al, 2009, Kost et al, 1998, Chambers et al, 2005, Tough et al, 2006, Pirie et al, 2000, Alvik et al, 2006b, Harrison and Sidebottom, 2009, Ockene et al, 2002, Massey et al, 2011, Chasnoff et al, 2005, Bolumar et al, 1994, Terplan et al, 2013). Estimates of cessation and reduction from general population samples range from 37% (in Spain) to 87% (in the U.S.), with most studies finding close to two-thirds or more reporting cessation or reduction (Alvik et al, 2006b, Harrison and Sidebottom, 2009, Ockene et al, 2002, Massey et al, 2011, Chasnoff et al, 2005, Bolumar et al, 1994, Terplan et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Alcohol Use Before and During Unwanted Pregnancy

Roberts

Wilsnack

Foster

et al. 2014

Alcoholism Clin & Exp Res

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Background There is little information about pregnancy-related changes in alcohol use and factors contributing to changes among women with unwanted pregnancies. This study describes changes in alcohol use from before pregnancy recognition to during pregnancy and identifies important predictors of alcohol use severity among women with unwanted pregnancies. Methods Data are from the Turnaway Study of 956 women seeking pregnancy termination at 30 U.S. facilities between 2008 and 2010, some of whom were denied care because they were past the gestational limit of the facility where they were recruited and were still pregnant at the baseline interview, one week after termination-seeking. Predictors of alcohol use severity (a latent variable) were identified. Results 56% of the total sample reported any alcohol use the month before pregnancy recognition, with 23% reporting six or more drinks on an occasion. Among the total sample, 35% of those drinking before pregnancy recognition had quit and 20% had reduced one week after termination seeking. Among those denied terminations and still pregnant, 71% had quit and 14% had reduced. In a multivariate model predicting alcohol severity, younger age, still pregnant, one or more previous births, later gestation, childhood physical abuse, and marijuana and other drug use were associated with lower severity; having completed college, tobacco use, and recent physical violence were associated with higher severity. Conclusions The proportion of the total sample drinking before pregnancy recognition is similar to national samples of women of childbearing age while the proportion binge drinking appears higher. Of women denied terminations who were still pregnant, the proportion having quit is similar to other populations of pregnant women. More research is needed to examine whether pregnant women may be substituting alcohol for marijuana and other drugs. Interventions focusing on alcohol use severity during pregnancy may need to also focus on tobacco.

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Do Women Change Their Drinking Behaviors While Trying to Conceive? An Opportunity for Preconception Counseling

Cited by 85 publications

References 29 publications

Prevalence of alcohol consumption during pregnancy and Fetal Alcohol Spectrum Disorders among the general and Aboriginal populations in Canada and the United States

Prevalence of alcohol consumption during pregnancy and Fetal Alcohol Spectrum Disorders among the general and Aboriginal populations in Canada and the United States

Healthy Diet and Nutrition Education Program among Women of Reproductive Age: a Necessity of Multilevel Strategies or Community Responsibility

Alcohol Use Before and During Unwanted Pregnancy

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