Rates and Correlates of Alcohol Use Among Pregnant Women in Obstetrics Clinics

“…Alcohol 67: [245][246][247][248][249][250][251]2006) A BSTINENCE FROM ALCOHOL IS the recommendation of the United States Surgeon General, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists to pregnant and preconceptional women (Office of the Surgeon General, 2005;Sokol et al, 2003). Yet, estimates for prenatal alcohol use range from 5% to 15% among American women, with higher rates reported in other countries (Flynn et al, 2003;McLeod et al, 2002;Pirie et al, 2000). Results from several large scale surveillance studies, such as the Behavioral Risk Factor Surveillance System and the Pregnancy Risk Assessment Monitoring System, indicate certain consistent demographic predictors of prenatal use, including older age, non-Hispanic background, education exceeding high school, and employment (Floyd et al, 1999;Phares et al, 2004).…”

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confidence: 99%

Alcohol use by pregnant women: partners, knowledge, and other predictors.

et al. 2006

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ABSTRACT. Objective:The impact of a couple's knowledge about healthy pregnancy habits involving alcohol and substance use was assessed in the context of other factors previously identified to predict prenatal alcohol consumption in a sample of 254 pregnant women and their male partners. Method: Couples were asked to assess independently a series of statements (true or false) describing the consequences of prenatal substance exposure, while also providing information about their own drinking. Results: Although the couples demonstrated good knowledge of healthy habits during pregnancy, they did not agree when the element of chance was considered. Median household income was more highly predictive of a pregnant woman's knowledge score than her partner's score. In turn, the subject's knowledge of healthy pregnancy habits as manifested in the assessment score had only a weak relationship with prenatal alcohol consumption. Previous alcohol use by the pregnant woman was the strongest predictor of prenatal alcohol use. Conclusions: Because previous alcohol consumption use by the pregnant woman was the strongest predictor of prenatal alcohol use, the importance of its accurate identification is emphasized. Although pending further investigation, knowledge about healthy pregnancy behaviors may exert greater impact if it is shared by a pregnant woman and her partner. (J. Stud. Alcohol 67: [245][246][247][248][249][250][251] 2006)

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“…Although research on women's drinking patterns before and during pregnancy exists (Flynn et al, 2003;Floyd et al, 1999;Tough et al, 2006), less is known about women's drinking habits in the postpartum period. A study by Fried et al (1985) of nearly 300 Canadian women demonstrated a significant reduction in alcohol intake and heavy episodic drinking during pregnancy.…”

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confidence: 99%

Postpartum and Alcohol-Related Factors Associated With the Relapse of Risky Drinking

Jagodzinski

Fleming

2007

J. Stud. Alcohol Drugs

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Objective-The purposes of this investigation were (1) to describe postpartum drinking patterns among women who were frequent drinkers before pregnancy and (2) to identify factors correlated with postpartum "risky" drinking among women who were frequent drinkers before pregnancy.Method-Information was gathered through a self-administered questionnaire completed at the postpartum visit and a subsequent face-to-face interview of 381 women, recruited from 35 obstetric/ gynecologic clinics throughout Wisconsin, who reported frequent drinking before pregnancy. Multivariate analyses were used to identify correlates of postpartum risky drinking, defined as consuming four or more drinks per occasion (heavy episodic drinking) at least twice in the past 28 days or drinking an average of seven or more drinks per week.Results-Overall, 37.8% (n = 144) women reported postpartum risky drinking. Eighteen percent reported heavy episodic drinking only, 5% reported frequent drinking only, and 15% reported both behaviors. Postpartum risky drinkers were more likely than other women to have had a partner who engaged in risky drinking (odds ratio [OR] = 2.6, 95% confidence interval [CI]: 1.5-4.5), to have been unemployed (OR = 3.0, 95% CI: 1.2-7.7), to have smoked following pregnancy (OR = 1.9, 95% CI: 1.0-3.5), and to have consumed alcohol after the recognition of pregnancy (OR = 4.8, 95% CI: 2.2-10.6). Women who breast-fed their child were less likely to report risky drinking (OR = 0.3, 95% CI: 0.2-0.5).Conclusions-In the postpartum period, health care providers may want to focus alcohol screening efforts on former frequent drinkers who are smokers, are unemployed, have a partner who is a risky drinker, or are not breast-feeding.

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Rates and Correlates of Alcohol Use Among Pregnant Women in Obstetrics Clinics

Cited by 69 publications

References 32 publications

Alcohol Use During Pregnancy: Prevalence and Impact

Alcohol Use During Pregnancy: Prevalence and Impact

Alcohol use by pregnant women: partners, knowledge, and other predictors.

Postpartum and Alcohol-Related Factors Associated With the Relapse of Risky Drinking

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