Prevalence, predictors and perinatal outcomes of peri-conceptional alcohol exposure--retrospective cohort study in an urban obstetric population in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/141056
Title:
Prevalence, predictors and perinatal outcomes of peri-conceptional alcohol exposure--retrospective cohort study in an urban obstetric population in Ireland.
Authors:
Mullally, Aoife; Cleary, Brian J; Barry, Joe; Fahey, Tom P; Murphy, Deirdre J
Affiliation:
Academic Department of Obstetrics & Gynaecology, Coombe Women and Infants University Hospital & Trinity College Dublin, Dublin 8, Republic of Ireland.
Citation:
Prevalence, predictors and perinatal outcomes of peri-conceptional alcohol exposure--retrospective cohort study in an urban obstetric population in Ireland. 2011, 11:27 BMC Pregnancy Childbirth
Journal:
BMC pregnancy and childbirth
Issue Date:
Apr-2011
URI:
http://hdl.handle.net/10147/141056
DOI:
10.1186/1471-2393-11-27
PubMed ID:
21481224
Abstract:
Evidence-based advice on alcohol consumption is required for pregnant women and women planning a pregnancy. Our aim was to investigate the prevalence, predictors and perinatal outcomes associated with peri-conceptional alcohol consumption.; A cohort study of 61,241 women who booked for antenatal care and delivered in a large urban maternity hospital between 2000 and 2007. Self-reported alcohol consumption at the booking visit was categorised as low (0-5 units per week), moderate (6-20 units per week) and high (>20 units per week).; Of the 81% of women who reported alcohol consumption during the peri-conceptional period, 71% reported low intake, 9.9% moderate intake and 0.2% high intake. Factors associated with moderate alcohol consumption included being in employment OR 4.47 (95% CI 4.17 to 4.80), Irish nationality OR 16.5 (95% CI 14.9 to 18.3), private health care OR 5.83 (95% CI 5.38 to 6.31) and smoking OR 1.86 (95% CI 1.73 to 2.01). Factors associated with high consumption included maternal age less than 25 years OR 2.70 (95% CI 1.86 to 3.91) and illicit drug use OR 6.46 (95% CI 3.32 to 12.60). High consumption was associated with very preterm birth (<32 weeks gestation) even after controlling for socio-demographic factors, adjusted OR 3.15 (95% CI 1.26-7.88). Only three cases of Fetal Alcohol Syndrome were recorded (0.05 per 1000 total births), one each in the low, moderate and high consumption groups.; Public Health campaigns need to emphasise the importance of peri-conceptional health and pre-pregnancy planning. Fetal Alcohol Syndrome is likely to be under-reported despite the high prevalence of alcohol consumption in this population.
Item Type:
Article
Language:
en
MeSH:
Adult; Age Factors; Alcohol Drinking; Cohort Studies; Female; Fertilization; Fetal Alcohol Syndrome; Humans; Ireland; Pregnancy; Premature Birth; Retrospective Studies; Risk Factors; Self Report; Socioeconomic Factors; Substance-Related Disorders; Urban Population
ISSN:
1471-2393

Full metadata record

DC FieldValue Language
dc.contributor.authorMullally, Aoifeen
dc.contributor.authorCleary, Brian Jen
dc.contributor.authorBarry, Joeen
dc.contributor.authorFahey, Tom Pen
dc.contributor.authorMurphy, Deirdre Jen
dc.date.accessioned2011-08-29T10:06:32Z-
dc.date.available2011-08-29T10:06:32Z-
dc.date.issued2011-04-
dc.identifier.citationPrevalence, predictors and perinatal outcomes of peri-conceptional alcohol exposure--retrospective cohort study in an urban obstetric population in Ireland. 2011, 11:27 BMC Pregnancy Childbirthen
dc.identifier.issn1471-2393-
dc.identifier.pmid21481224-
dc.identifier.doi10.1186/1471-2393-11-27-
dc.identifier.urihttp://hdl.handle.net/10147/141056-
dc.description.abstractEvidence-based advice on alcohol consumption is required for pregnant women and women planning a pregnancy. Our aim was to investigate the prevalence, predictors and perinatal outcomes associated with peri-conceptional alcohol consumption.-
dc.description.abstractA cohort study of 61,241 women who booked for antenatal care and delivered in a large urban maternity hospital between 2000 and 2007. Self-reported alcohol consumption at the booking visit was categorised as low (0-5 units per week), moderate (6-20 units per week) and high (>20 units per week).-
dc.description.abstractOf the 81% of women who reported alcohol consumption during the peri-conceptional period, 71% reported low intake, 9.9% moderate intake and 0.2% high intake. Factors associated with moderate alcohol consumption included being in employment OR 4.47 (95% CI 4.17 to 4.80), Irish nationality OR 16.5 (95% CI 14.9 to 18.3), private health care OR 5.83 (95% CI 5.38 to 6.31) and smoking OR 1.86 (95% CI 1.73 to 2.01). Factors associated with high consumption included maternal age less than 25 years OR 2.70 (95% CI 1.86 to 3.91) and illicit drug use OR 6.46 (95% CI 3.32 to 12.60). High consumption was associated with very preterm birth (<32 weeks gestation) even after controlling for socio-demographic factors, adjusted OR 3.15 (95% CI 1.26-7.88). Only three cases of Fetal Alcohol Syndrome were recorded (0.05 per 1000 total births), one each in the low, moderate and high consumption groups.-
dc.description.abstractPublic Health campaigns need to emphasise the importance of peri-conceptional health and pre-pregnancy planning. Fetal Alcohol Syndrome is likely to be under-reported despite the high prevalence of alcohol consumption in this population.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAge Factors-
dc.subject.meshAlcohol Drinking-
dc.subject.meshCohort Studies-
dc.subject.meshFemale-
dc.subject.meshFertilization-
dc.subject.meshFetal Alcohol Syndrome-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshPregnancy-
dc.subject.meshPremature Birth-
dc.subject.meshRetrospective Studies-
dc.subject.meshRisk Factors-
dc.subject.meshSelf Report-
dc.subject.meshSocioeconomic Factors-
dc.subject.meshSubstance-Related Disorders-
dc.subject.meshUrban Population-
dc.titlePrevalence, predictors and perinatal outcomes of peri-conceptional alcohol exposure--retrospective cohort study in an urban obstetric population in Ireland.en
dc.typeArticleen
dc.contributor.departmentAcademic Department of Obstetrics & Gynaecology, Coombe Women and Infants University Hospital & Trinity College Dublin, Dublin 8, Republic of Ireland.en
dc.identifier.journalBMC pregnancy and childbirthen
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.