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A Pregnant Woman Who Could Not Stop Drinking: Management of Alcohol Abuse in Pregnancy

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Bio-Psycho-Social Obstetrics and Gynecology


Alcohol abuse during pregnancy has been found to be harmful for pregnancy outcome and the health of the unborn child [1]. In addition to this, alcoholism in a pregnant mother also harms her social environment, her transition to motherhood, and her relationships with her partner, relatives, friends, and also healthcare providers [1, 2].

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  1. Bhuvaneshwar C, Chang G, Epstein LA, Stern TA. Alcohol use during pregnancy: prevalence and impact. Prim Care Companion J Clin Psychiatry. 2007;9(6):455–60.

    Article  Google Scholar 

  2. Hannigan JH, Armant DR. Alcohol in pregnancy and neonatal outcome. Semin Neonatol. 2000;5(3):243–54.

    Article  CAS  PubMed  Google Scholar 

  3. Centers for Disease Control and Prevention (CDC). Alcohol use among pregnant and nonpregnant women of childbearing age – United States, 1991–2005. 2009.

  4. National Institute on Alcohol Abuse and Alcoholism (NIAA). Drinking levels defined.

  5. Institute of Alcohol Studies. Deutsche Hauptstelle für Suchtfragen e.V. (DHS). Binge Drinking and Europe. Hamm: DHS; 2008.

  6. Centers for Disease Control and Prevention (CDC). Alcohol screening and counseling: an effective but underused health service. CDC Vital Signs. 2014.

  7. Public Health Agency of Canada. What mothers say: the Canadian Maternity Experiences Survey. Ottawa: Public Health Agency of Canada; 2009.

  8. The Health and Social Care Information Centre (HSCIC) Dietary supplements, smoking and drinking during pregnancy. 2012.

  9. de Chazeron I, Llorca PM, Ughetto S, Vendittelli F, Boussiron D, Sapin V, et al. Is pregnancy the time to change alcohol consumption habits in France? Alcohol Clin Exp Res. 2008;32(5):868–73.

    Article  PubMed  Google Scholar 

  10. Göransson M, Magnusson A, Bergman H, Rydberg U, Heilig M. Fetus at risk: prevalence of alcohol consumption during pregnancy estimated with a simple screening method in Swedish antenatal clinics. Addiction. 2003;98(11):1513–20.

    Article  PubMed  Google Scholar 

  11. Larkby C, Day N. The effects of prenatal alcohol exposure. Alcohol Health Res World. 1997;21(3):192–8.

    CAS  PubMed  Google Scholar 

  12. National Health Service (NHS). Binge drinking. 2014.

  13. Swift R. Direct measurement of alcohol and its metabolites. Addiction. 2003;98 Suppl 2:73–80.

    Article  PubMed  Google Scholar 

  14. Grønkjær M, Curtis T, De Crespigny C, Delmar C. Acceptance and expectance: cultural norms for alcohol use in Denmark. Int J Qual Stud Health Well-being. 2011;6:8461. DOI: 10.3402/qhw.v6i4.8461.

  15. World Health Organization (WHO). The ICD-10 classification of mental and behavioural disorder: diagnostic criteria for research. 1993.

  16. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5E (DSM-5). 2014.

  17. West JR. Alcohol and brain development. In: West JR, editor. Prenatal alcohol exposure and neuronal damage. New York: Oxford University Press; 1986. p. 120–57.

    Google Scholar 

  18. Coerdero JF, Floyd RL, Martin ML, Davis M, Hymbaugh K. Tracking the prevalence of FAS. Alcohol Health Res World. 1994;18(1):82–5.

    Google Scholar 

  19. Streissguth AP, Bonthius DJ. Alcohol and pregnancy and the fetal alcohol syndrome. Wiley Online Library. 2006. eLS.

    Google Scholar 

  20. The American Congress of Obstetricians and Gynecologists (ACOG). Committee on health care for underserved women. Committee opinion. Substance abuse reporting and pregnancy: the role of the obstetrician-gynecologist. 2011

  21. Bearer CF, Stoler JM, Cook JD, Carpenter SJ. Biomarkers of alcohol use in pregnancy. National Institute on Alcohol Abuse and Alcoholism (NIAAA). 2004/2005.

  22. Bearer CF, Jacobson JL, Jacobson SW, Barr D, Croxford J, Molteno CD, et al. Validation of a new biomarker of fetal exposure to alchol. J Pediatr. 2003;143(4):463–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. International Center for Alcohol Policies (ICAP). International guidelines on drinking and pregnancy. 2009.

  24. Alcoholics Anonymous (AA).

  25. ALLGOV. Alcohol and Tobacco Tax and Trade Bureau. 2015.

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Correspondence to Devinalini Misir MD .

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Misir, D., Paarlberg, K.M. (2017). A Pregnant Woman Who Could Not Stop Drinking: Management of Alcohol Abuse in Pregnancy. In: Paarlberg, K., van de Wiel, H. (eds) Bio-Psycho-Social Obstetrics and Gynecology. Springer, Cham.

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  • Print ISBN: 978-3-319-40402-8

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