Revue de médecine périnatale

, Volume 6, Issue 3, pp 158–162 | Cite as

Alcool pendant la grossesse : pourquoi et comment en parler ?

Mise au Point / Update

Résumé

Les consommations importantes d’alcool pendant la grossesse sont responsables d’atteintes foetales variables connues sous le terme de syndrome d’alcoolisation foetale. La survenue d’un retard de croissance, d’une dysmorphie, de malformations non spécifiques et d’un retard mental est bien évaluée avec une relation effet dose. Le retentissement à long terme — cognitif et comportemental — des alcoolisations maternelles légères et modérées est controversé. Compte tenu de cette toxicité, tout suivi de grossesse devrait comporter des questions concernant la consommation d’alcool de la patiente. L’utilisation d’auto-questionnaires peut améliorer la sensibilité du dépistage.

Mots clés

Alcool Grossesse Dépistage Faibles consommations Auto-questionnaires 

Drinking during pregnancy: Why and how to talk about it?

Abstract

Alcohol consumption screening is essential in pregnancy follow-up. Heavy drinking is responsible for fetal lesion best known as Fetal alcohol syndrome (FAS). Growth retardation, facial dysmorphia, organic malformations and mental retardation can occur in case of high utero exposition with dose-effect. Long term pediatric cognition and behavior could be impaired by light or moderate maternal consumptions or occasional binge drinking. Alcohol consumption screening during pregnancy is difficult and should be improved by auto-questionnaire use.

Keywords

Alcohol Pregnancy Screening Low consumption Auto-questionnaire 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. 1.
    Blondel B, Kermarrec M (2011) Enquête nationale périnatale 2010. INSERM U953Google Scholar
  2. 2.
    Stratton K, Howe CJ, Battaglia FC (1996) Fetal alcohol syndrome: diagnosis, epidemiology, prevention and treatment. The National Academies Press, 213 pGoogle Scholar
  3. 3.
    Meyer-Leu Y, Lemola S, Daeppen JB, et al (2011) Association of moderate alcohol use and binge drinking during pregnancy with neonatal health. Alcohol Clin Exp Res 35:1669–77PubMedGoogle Scholar
  4. 4.
    Streissguth AP, Aase JM, Clarren SK, et al (1991) Fetal alcohol syndrome in adolescents and adults. J Am Med Assoc 265:196–7CrossRefGoogle Scholar
  5. 5.
    Alati R, Al Mamun A, Williams GM, et al (2006) In utero alcohol exposure and prediction of alcohol disorders in early adulthood: a birth cohort study. Arch Gen Psychiatry 63:1009–16PubMedCrossRefGoogle Scholar
  6. 6.
    Kuehn D, Aros S, Cassorla F, et al (2012) A prospective cohort study of the prevalence of growth, facial, and central nervous system abnormalities in children with heavy prenatal alcohol exposure. Alcohol Clin Exp Res 36:1811–9PubMedCrossRefPubMedCentralGoogle Scholar
  7. 7.
    Patra J, Bakker R, Irving H, et al (2011) Dose-response relationship between alcohol consumption before and during pregnancy and the risks of low birthweight, preterm birth and small for gestational age (SGA)-a systematic review and meta-analyses. BJOG Int J Obstet Gynaecol 118:1411–21CrossRefGoogle Scholar
  8. 8.
    Sood B, Delaney-Black V, Covington C, et al (2001) Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: I. dose-response effect. Pediatrics 108:E34CrossRefGoogle Scholar
  9. 9.
    O’Leary CM, Nassar N, Zubrick SR, et al (2010) Evidence of a complex association between dose, pattern and timing of prenatal alcohol exposure and child behaviour problems. Addict Abingdon Engl 105:74–86CrossRefGoogle Scholar
  10. 10.
    Robinson M, Oddy WH, McLean NJ, et al (2010) Low-moderate prenatal alcohol exposure and risk to child behavioural development: a prospective cohort study. BJOG Int J Obstet Gynaecol 117:1139–50CrossRefGoogle Scholar
  11. 11.
    Kelly YJ, Sacker A, Gray R, et al (2012) Light drinking during pregnancy: still no increased risk for socioemotional difficulties or cognitive deficits at 5 years of age? J Epidemiol Community Health 66:41–8PubMedCrossRefGoogle Scholar
  12. 12.
    Kesmodel US, Eriksen HLF, Underbjerg M, et al (2012) The effect of alcohol binge drinking in early pregnancy on general intelligence in children. BJOG Int J Obstet Gynaecol 119:1222–31CrossRefGoogle Scholar
  13. 13.
    Kesmodel U, Bertrand J, StØvring H, et al (2012) The effect of different alcohol drinking patterns in early to mid pregnancy on the child’s intelligence, attention, and executive function. BJOG Int J Obstet Gynaecol 119:1180–90CrossRefGoogle Scholar
  14. 14.
    SkogerbØ å, Kesmodel U, Wimberley T, et al (2012) The effects of low to moderate alcohol consumption and binge drinking in early pregnancy on executive function in 5-year-old children. BJOG Int J Obstet Gynaecol 119:1201–10CrossRefGoogle Scholar
  15. 15.
    Flak AL, Su S, Bertrand J, et al (2014) The association of mild, moderate, and binge prenatal alcohol exposure and child neuropsychological outcomes: a meta-analysis. Alcohol Clin Exp Res 38:214–26PubMedCrossRefGoogle Scholar
  16. 16.
    Conover EA, Jones KL (2012) Safety concerns regarding binge drinking in pregnancy: a review. Birt Defects Res A Clin Mol Teratol 94:570–5CrossRefGoogle Scholar
  17. 17.
    Skagerstróm J, Chang G, Nilsen P (2002) Predictors of drinking during pregnancy: a systematic review. J Womens Health 20:901–13CrossRefGoogle Scholar
  18. 18.
    Beijers C, Ormel J, Meijer JL, et al (2014) Stressful events and continued smoking and continued alcohol consumption during mid-pregnancy. PloS One 9:e86359CrossRefGoogle Scholar
  19. 19.
    Fline-Barthes MH, Vandendriessche D, Gaugue J, et al (2014) Psychosocial vulnerability and substance use screening during pregnancy: Evaluation of a composite auto-questionnaire versus usual medical questioning. J Gynecol Obstet Biol Reprod S0368–2315Google Scholar
  20. 20.
    Diekman ST, Floyd RL, Découflé P, et al (2000) A survey of obstetrician-gynecologists on their patients’ alcohol use during pregnancy. Obstet Gynecol 95:756–63PubMedCrossRefGoogle Scholar
  21. 21.
    Göransson M, Magnusson A, Heilig M (2006) Identifying hazardous alcohol consumption during pregnancy: implementing a research-based model in real life. Acta Obstet Gynecol Scand 85:657–62PubMedCrossRefGoogle Scholar
  22. 22.
    Autti-Rämö I, Granström ML (1991) The effect of intrauterine alcohol exposition in various durations on early cognitive development. Neuropediatrics 22:203–10PubMedCrossRefGoogle Scholar
  23. 23.
    Burns E, Gray R, Smith LA (2010) Brief screening questionnaires to identify problem drinking during pregnancy: a systematic review. Addict Abingdon Engl 105:601–14CrossRefGoogle Scholar
  24. 24.
    Harrison PA, Godecker A, Sidebottom AC (2012) Validation of the alcohol use module from a multidimensional prenatal psychosocial risk screening instrument. Matern Child Health J 16:1791–800PubMedCrossRefGoogle Scholar
  25. 25.
    Carroll JC, Reid AJ, Biringer A, et al (2005) Effectiveness of the ai]Antenatal Psychosocial Health Assessment (ALPHA) form in detecting psychosocial concerns: a randomized controlled trial. Can Med Assoc J 173:253–9CrossRefGoogle Scholar
  26. 26.
    Prochaska JO, DiClemente CC, Norcross JC (1992) In search of how people change. Applications to addictive behaviors. Am Psychol 47:1102–14PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  • D. Vandendriessche
    • 1
  • P. Auguet Mancini
    • 2
  • D. Subtil
    • 1
  1. 1.CHRU de Lille, hôpital Jeanne de Flandre, clinique d’obstétriqueuniversité Lille-Nord de FranceLille cedexFrance
  2. 2.service d’addictologieCentre hospitalier de RoubaixRoubaixFrance

Personalised recommendations