Does Alcohol Increase the Risk of Preterm Delivery?

Kilduff, Claire; Dyer, Sarah; Egbeare, Donna; Francis, N.; Robbé, Iain

doi:10.1097/00001648-200109000-00025

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“…Binge drinking was adjusted for educational attainment, income levels, ages (or race/ethnicity), employment, marital status, and smoking behavior. d Range of RRs came from the literature (Borges et al, 1993; Lazzaroni et al, 1993; Kesmodel et al, 2000; Parazzini et al, 2003; Albertsen et al, 2004; O’Leary et al, 2009; Aliyu et al, 2010; Berkowitz et al, 1982; Henderson et al, 2007; Kilduff et al, 2001; Kim et al, 2005; Peacock et al, 1995; Savitz & Murnane, 2010). RRs in selected studies were typically adjusted for age, previous preterm delivery, parity, smoking during pregnancy, coffee consumption during pregnancy, and occupational status in the household.…”

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confidence: 99%

Estimated Number of Preterm Births and Low Birth Weight Children Born in the United States Due to Maternal Binge Drinking

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et al. 2012

Matern Child Health J

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Objective To estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American sociodemographic groups in 2008. Methods A simulation model was developed to estimate the number of PTB and LBW cases due to maternal binge drinking. Data inputs for the model included number of births and rates of preterm and LBW from the National Center for Health Statistics; female population by childbearing age groups from the U.S. Census; increased relative risks of preterm and LBW deliveries due to maternal binge drinking extracted from the literature; and adjusted prevalence of binge drinking among pregnant women estimated in a multivariate logistic regression model using Behavioral Risk Factor Surveillance System survey. Results The most conservative estimates attributed maternal binge drinking to 8,701 (95% CI: 7,804–9,598) PTBs (1.75% of all PTBs) and 5,627 (95% CI 5,121–6,133) LBW deliveries in 2008, with 3,708 (95% CI: 3,375–4,041) cases of both PTB and LBW. The estimated rate of PTB due to maternal binge drinking was 1.57% among all PTBs to White women, 0.69% among Black women, 3.31% among Hispanic women, and 2.35% among other races. Compared to other age groups, women ages 40–44 had the highest adjusted binge drinking rate and highest PTB rate due to maternal binge drinking (4.33%). Conclusion Maternal binge drinking contributed significantly to PTB and LBW differentially across sociodemographic groups.

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