Abstract
Women of child bearing age that regularly drink alcohol are at risk for drinking in early pregnancy. Evidence indicates a majority of women stop alcohol consumption on pregnancy recognition. However, there is a dearth of studies reporting on patterns and correlates of drinking in early pregnancy prior to stopping on pregnancy recognition, which the current study aims to address. In 2005, a New Zealand nationwide cross-sectional survey was conducted on a random sample of 1,256 women aged 16–40 years. Data were collected via an interviewer-administered questionnaire using a web-assisted telephone interviewing system. Of the 1,256 women who participated, 127 (10 %) were currently pregnant and 425 women (34 %) were previously pregnant. Half of currently pregnant women and 37 % of previously pregnant women reported that they ceased drinking on recognising pregnancy. Women categorised as “risky drinkers” and those aged 16–24 years had higher odds to drink and binge drink in early pregnancy, compared with non-risky drinkers and women of other age categories respectively. A majority of women stop alcohol consumption on pregnancy recognition but prior to this, drink at levels posing a risk for the developing foetus. Women most at risk for drinking and binge drinking in early pregnancy were younger in age and exhibited risky drinking behaviour prior to pregnancy. A targeted intervention to reduce the risk for an alcohol exposed pregnancy is warranted for sexually active younger women in New Zealand and elsewhere.
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Maier, S., & West, J. R. (2001). Drinking patterns and alcohol related birth defects. Alcohol Research and Health, 25(3), 168–174.
Streissguth, A. P., Sampson, P. D., & Barr, H. M. (1989). Neurobehavioural dose-response effects of prenatal alcohol exposure in humans from infancy to adulthood. Annals of the New York Academy of Sciences, 562, 145–158.
Coles, C. (1994). Critical periods for prenatal alcohol exposure: Evidence from animal and human studies. Alcohol Health and Research World, 18, 22–29.
Jones, K. L., Smith, D. W., Ulleland, C. N., & Striesguth, A. P. (1973). Pattern of malformation in offspring of chronic alcoholic mothers. Lancet, 301, 1267–1271.
Streissguth, A. P., Barr, H. M., & Sampson, P. D. (1990). Moderate prenatal alcohol exposure: Effects on child IQ and learning problems at 7½ years. Alcoholism, Clinical and Experimental Research, 14(5), 662–669.
Streissguth, A. P., Barr, H. M., Olson, H. C., Sampson, P. D., Bookstein, F. L., & Burgess, D. M. (1994). Drinking during pregnancy decreases word attack and arithmetic scores on standardised tests: Adolescent data from a population based prospective study. Alcoholism, Clinical and Experimental Research, 18(2), 248–254.
Streissguth, A. P., Sampson, P. D., Olson, H. C., Bookstein, F. L., Barr, H. M., Scott, M., et al. (1994). Maternal drinking during pregnancy: Attention and short term memory in 14-year old offspring—A longitudinal prospective study. Alcoholism, Clinical and Experimental Research, 18(1), 202–218.
Nulman, I., Rovet, J., Kennedy, D., Wasson, C., Gladstone, J., Fried, S., et al. (2004). Binge alcohol consumption by non-alcohol-dependent women during pregnancy affects child behaviour, but not general intellectual functioning; a prospective controlled study. Archives of Women’s Mental Health, 7, 173–181.
Alati, R., Al Mamun, A., Williams, G. M., O’Callaghan, M., Najman, J. M., & Bor, W. (2006). In utero alcohol exposure and prediction of alcohol disorders in early adulthood. Archives of General Psychiatry, 63, 1009–1016.
Sun, Y., Strandberg-Larsen, K., Vestergaard, M., Christensen, J., Andersen, A. N., Gronbaek, M., et al. (2009). Binge drinking during pregnancy and risk of seizures in childhood: A study based on the Danish National Birth Cohort. American Journal of Epidemiology, 169(3), 313–322.
Floyd, R. L., Decoufle, P., & Hunger-Ford, D. W. (1999). Alcohol use prior to pregnancy recognition. American Journal of Preventive Medicine, 17(2), 101–107.
Tough, S., Tofflemire, K., Clarke, M., & Newburn-cook, C. (2006). Do women change their drinking bahviours while trying to conceive? An opportunity for preconception counselling. Clinical Medicine and Research, 4(2), 97–105.
Balachova, T., Bonner, B., Chaffin, M., Bard, D., Isurina, G., Tsvetkoa, L., et al. (2011). Womens’alcohol consumption and risk for alcohol-exposed pregnancies in Russia. Addiction, 107, 109–117.
Edwards, E. M., & Werler, M. M. (2006). Alcohol consumption and time to recognition of pregnancy. Maternal and Child Health Journal, 10, 467–472.
Morton, S. M. B., Atatoa, C. P. E, Bandar, D. K., Grant, C. C., Ivory, V. C., Kingi, T. R., Liang, R., Perese, L., Peterson, E., Pryor, J. E., Reese, E., Robinson, E. M., Schmidt, J. M., Waldie, K. E. (2010) Growing up in New Zealand: A longitudinal study of New Zealand children and their families. Report 1: Before we are born. Auckland: Growing up in New Zealand. Available online. URL: http://www.growingup.co.nz/media/12254/growing%20up%20in%20new%20zealand%20before%20we%20are%20born%20nov%202010.pdf.
Forrest, D. J. (1994). Epidemiology of unintended pregnancy and contraception use. American Journal of Obstetrics and Gynecology, 170, 1485–1489.
Colvin, L., Payne, J., Parsons, D., Kurinczuk, J. J., & Bower, C. (2007). Alcohol consumption during pregnancy in non-indigenous west Australian women. Alcoholism, Clinical and Experimental Research, 32(2), 276–284.
Ho, R., Jacquemard, R. (2009). Maternal alcohol use before and during pregnancy among women in Taranaki, New Zealand. NZ Medical Journal, 122(1306). Retrieved from URL: http://journal.nzma.org.nz/journal/122-1306/3883/.
Bakker, R., Pluimgraaff, L. E., Steegers, E. A. P., Raat, H., Tiemeier, H., Holfman, A., et al. (2010). Associations of light and moderate maternal alcohol consumption with fetal growth characteristics in different periods of pregnancy: The generation R Study. International Journal of Epidemiology, 39, 777–789.
McLeod, D., Pullon, S., Cookson, T., & Corford, E. (2002). Factors influencing alcohol consumption during pregnancy and after giving birth. NZ Medical Journal, 115, 1157–1164.
Walker, M., Al-Sahab, B., Islam, F., Tamim, H. (2011). The epidemiology of alcohol utilization during pregnancy: An analysis of the Canadian Maternity Experience Survey (MES). BMC Pregnancy and Childbirth 11(52). Retrieved from URL: http://www.biomedcentral.com/1471-2393/11/52.
Parackal, S. M., Parackal, M. K., Ferguson, E. L., & Harraway, J. A. (2006). Awareness of the effects of alcohol consumption among New Zealand women of childbearing age (Alcohol in Pregnancy Study).. Report to Alcohol Advisory Council and Ministry of Health, New Zealand , Dunedin: University of Otago.
Parackal, S. M., Parackal, M. K., & Harraway, J. A. (2009). Opinions of non-pregnant New Zealand women aged 16–40 years about the safety of alcohol consumption during pregnancy. Drug and Alcohol Review, 28, 135–141.
International Centre for Alcohol Policies (1998) What is a standard drink? Report No 5. Available online. URL: http://www.icap.org/portals/0/download/all_pdfs?ICAP_Reports_English/report5.pdf. Accessed March 2011.
International Centre for Alcohol Policies (1997) The limits of Binge drinking, Report No 2. Available online. URL: http://www.icap.org/LinkClick.aspx?fileticket=3PHl1f9c98w%3D&tabid=75.
Saunders, J. B., Aasland, O. G., Barbor, T. F., et al. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption, II. Addiction, 88, 791–804.
Ivis, F. J., Adalf, E. M., & Rehm, J. (2000). Incorporating the AUDIT into a general population telephone survey: A methodological experiment. Drug and Alcohol Dependence, 60, 97–104.
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., Monteiro, M. G. (2001) The alcohol use disorders identification test: Guidelines for use in primary care, second edition, World Health Organization. Accessed online. URL: http://whqlibdoc.who.int/hq/2001/who_msd_msb_01.6a.pdf. Accessed October 2005.
Alcohol Advisory Council of New Zealand (2005) The way we drink-2005 Executive summary. Available online. URL: http://www.alac.org.nz/DBTextworks/PDF/WayWeDrink2005ExecSummary.pdf. Accessed March 2005.
Ministry of Health (2003) Food and nutritional guidelines for healthy adults: A background paper: Wellington: Ministry of Health. Available online. URL: http://www.moh.govt.nz/moh.nsf/0/07BC6DBE764FDABBCC256DDB006D9AB4/$File/foodandnutritionguidelines-adults.pdf. Accessed February 2010.
Hankin, J. R., & Sokol, R. J. (1995). Identification and care of problems associated with alcohol consumption during pregnancy. Seminars in Perinatology, 19, 286–292.
Chang, G., Wilkins-Huang, L., Berman, S., Goetz, M. A., Behr, H., & Hiley, A. (1998). Alcohol use and pregnancy: Improving identification. Obstetrics and Gynecology, 91, 892–898.
Denny, C. H., Tsai, J., Floyd, R. L., & Green, P. P. (2009). Alcohol use among pregnant and non-pregnant women of childbearing age United States, 1991–2005. CDC Morbidity and Mortality Weekly Report, 58(19), 529–532.
Bruce, C. F., Adams, M. M., Shulman, H. B., Martin, M. L., & PRAMS Working Group. (1993). Alcohol use before and during pregnancy. American Journal of Preventive Medicine, 9(5), 267–273.
Ethan, M. K., Ramadhani, T. A., Scheuerle, A. E., Canfield, M. A., Wyszynski, D. F., Druschel, C. M., et al. (2009). Alcohol consumption by women before and during pregnancy. Maternal and Child Health Journal, 13, 274–285.
Strandberg-Larsen, K., Nielsen, N. R., Andersen, A. N., Olsen, J., & Gronbaek, M. (2008). Characteristics of women who binge drink before and after they become aware of their pregnancy. European Journal of Epidemiology, 23, 565–572.
O’Callaghan, F. V., Callaghan, M. O., Najman, J. M., Williams, G. M., & Bor, W. (2003). Maternal alcohol consumption during pregnancy and physical outcomes up to 5 years of age: A longitudinal study. Early Human Development, 71(2), 137–148.
Ministry of Health. (2010). Methodology report for the 2007/08 New Zealand Alcohol and Drug use survey. Wellington: Ministry of Health. Available online. http://www.health.govt.nz/publication/methodology-report-2007-08-new-zealand-alcohol-and-drug-use-survey. Accessed March 1st 2012.
Nayak, M. B., & Kaskutas, L. A. (2004). Risky drinking and alcohol use patterns in a national sample of women of childbearing age. Addiction, 99, 1393–1402.
Statistics New Zealand. (2007). Births and deaths. Available online. URL: http://www.stats.govt.nz/store/2007/05/births-deaths-Mar07qtr-hotp.htm?page=para003Master. Accessed June 2010.
Hannigan, J. H., Chiodo, L. M., Sokol, R. J., Janisse, J., Ager, J. W., Greenwald, M. K., et al. (2010). A 14-year retrospective maternal report of alcohol consumption in pregnancy predicts pregnancy and teen outcomes. Alcohol, 44, 583–594.
Ministry of Health. (2009). Alcohol use in New Zealand: Key results of the 2007/08 New Zealand Alcohol and Drug Use Survey. Wellington: Ministry of Health. Available online. URL: http://www.moh.govt.nz/moh.nsf/pagesmh/9626/$File/alcohol-use-in-nz-0708-survey.pdf. Accessed July 2010.
Velasquez, M. M., Ingersoll, K. S., Sobell, M. B., Floyd, R. L., Sobell, L. C., & von Sternberg, K. (2010). A dual-focus motivational intervention to reduce the risk of alcohol exposed pregnancy. Cognitive and Behavioral Practice, 17(2), 203–212.
Acknowledgments
The authors wish to acknowledge the Alcohol Advisory Council and Ministry of Health, New Zealand for funding the “Alcohol in Pregnancy” study. We would also like to thank the participants for their time and cooperation and the APS data collection team for their diligent work.
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Parackal, S.M., Parackal, M.K. & Harraway, J.A. Prevalence and Correlates of Drinking in Early Pregnancy Among Women who Stopped Drinking on Pregnancy Recognition. Matern Child Health J 17, 520–529 (2013). https://doi.org/10.1007/s10995-012-1026-7
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DOI: https://doi.org/10.1007/s10995-012-1026-7