Alcohol consumption by women before and during pregnancy

Mary K. Ethen, Tunu A. Ramadhani, Angela E. Scheuerle, Mark A. Canfield, Diego F. Wyszynski, Charlotte M. Druschel, Paul A. Romitti

Research output: Contribution to journalArticle

190 Citations (Scopus)

Abstract

Objectives: To determine the prevalence, patterns, and predictors of alcohol consumption prior to and during various intervals of pregnancy in the U.S. Methods: Alcohol-related, pregnancy-related, and demographic data were derived from computer-assisted telephone interviews with 4,088 randomly selected control mothers from the National Birth Defects Prevention Study who delivered live born infants without birth defects during 1997-2002. Alcohol consumption rates and crude and adjusted odds ratios (OR) were calculated. Results: 30.3% of all women reported drinking alcohol at some time during pregnancy, of which 8.3% reported binge drinking (4+ drinks on one occasion). Drinking rates declined considerably after the first month of pregnancy, during which 22.5% of women reported drinking, although 2.7% of women reported drinking during all trimesters of pregnancy and 7.9% reported drinking during the 3rd trimester. Pre-pregnancy binge drinking was a strong predictor of both drinking during pregnancy (adjusted OR = 8.52, 95% CI = 6.67-10.88) and binge drinking during pregnancy (adjusted OR = 36.02, 95% CI = 24.63-52.69). Other characteristics associated with both any drinking and binge drinking during pregnancy were non-Hispanic white race/ethnicity, cigarette smoking during pregnancy, and having an unintended pregnancy. Conclusions: Our study revealed that drinking during pregnancy is fairly common, three times the levels reported in surveys that ask only about drinking during the month before the survey. Women who binge drink before pregnancy are at particular risk for drinking after becoming pregnant. Sexually active women of childbearing ages who drink alcohol should be advised to use reliable methods to prevent pregnancy, plan their pregnancies, and stop drinking before becoming pregnant.

Original languageEnglish (US)
Pages (from-to)274-285
Number of pages12
JournalMaternal and Child Health Journal
Volume13
Issue number2
DOIs
StatePublished - 2009

Fingerprint

Alcohol Drinking
Drinking
Pregnancy
Binge Drinking
Odds Ratio
Alcohols
Pregnancy Trimesters
Birth Intervals
Smoking
Mothers
Demography
Interviews

Keywords

  • Alcohol drinking
  • Pregnant women
  • Prevalence
  • Women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Ethen, M. K., Ramadhani, T. A., Scheuerle, A. E., Canfield, M. A., Wyszynski, D. F., Druschel, C. M., & Romitti, P. A. (2009). Alcohol consumption by women before and during pregnancy. Maternal and Child Health Journal, 13(2), 274-285. https://doi.org/10.1007/s10995-008-0328-2

Alcohol consumption by women before and during pregnancy. / Ethen, Mary K.; Ramadhani, Tunu A.; Scheuerle, Angela E.; Canfield, Mark A.; Wyszynski, Diego F.; Druschel, Charlotte M.; Romitti, Paul A.

In: Maternal and Child Health Journal, Vol. 13, No. 2, 2009, p. 274-285.

Research output: Contribution to journalArticle

Ethen, MK, Ramadhani, TA, Scheuerle, AE, Canfield, MA, Wyszynski, DF, Druschel, CM & Romitti, PA 2009, 'Alcohol consumption by women before and during pregnancy', Maternal and Child Health Journal, vol. 13, no. 2, pp. 274-285. https://doi.org/10.1007/s10995-008-0328-2
Ethen, Mary K. ; Ramadhani, Tunu A. ; Scheuerle, Angela E. ; Canfield, Mark A. ; Wyszynski, Diego F. ; Druschel, Charlotte M. ; Romitti, Paul A. / Alcohol consumption by women before and during pregnancy. In: Maternal and Child Health Journal. 2009 ; Vol. 13, No. 2. pp. 274-285.
@article{b1f99ccb2830402dabae67ea1976dda8,
title = "Alcohol consumption by women before and during pregnancy",
abstract = "Objectives: To determine the prevalence, patterns, and predictors of alcohol consumption prior to and during various intervals of pregnancy in the U.S. Methods: Alcohol-related, pregnancy-related, and demographic data were derived from computer-assisted telephone interviews with 4,088 randomly selected control mothers from the National Birth Defects Prevention Study who delivered live born infants without birth defects during 1997-2002. Alcohol consumption rates and crude and adjusted odds ratios (OR) were calculated. Results: 30.3{\%} of all women reported drinking alcohol at some time during pregnancy, of which 8.3{\%} reported binge drinking (4+ drinks on one occasion). Drinking rates declined considerably after the first month of pregnancy, during which 22.5{\%} of women reported drinking, although 2.7{\%} of women reported drinking during all trimesters of pregnancy and 7.9{\%} reported drinking during the 3rd trimester. Pre-pregnancy binge drinking was a strong predictor of both drinking during pregnancy (adjusted OR = 8.52, 95{\%} CI = 6.67-10.88) and binge drinking during pregnancy (adjusted OR = 36.02, 95{\%} CI = 24.63-52.69). Other characteristics associated with both any drinking and binge drinking during pregnancy were non-Hispanic white race/ethnicity, cigarette smoking during pregnancy, and having an unintended pregnancy. Conclusions: Our study revealed that drinking during pregnancy is fairly common, three times the levels reported in surveys that ask only about drinking during the month before the survey. Women who binge drink before pregnancy are at particular risk for drinking after becoming pregnant. Sexually active women of childbearing ages who drink alcohol should be advised to use reliable methods to prevent pregnancy, plan their pregnancies, and stop drinking before becoming pregnant.",
keywords = "Alcohol drinking, Pregnant women, Prevalence, Women",
author = "Ethen, {Mary K.} and Ramadhani, {Tunu A.} and Scheuerle, {Angela E.} and Canfield, {Mark A.} and Wyszynski, {Diego F.} and Druschel, {Charlotte M.} and Romitti, {Paul A.}",
year = "2009",
doi = "10.1007/s10995-008-0328-2",
language = "English (US)",
volume = "13",
pages = "274--285",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "2",

}

TY - JOUR

T1 - Alcohol consumption by women before and during pregnancy

AU - Ethen, Mary K.

AU - Ramadhani, Tunu A.

AU - Scheuerle, Angela E.

AU - Canfield, Mark A.

AU - Wyszynski, Diego F.

AU - Druschel, Charlotte M.

AU - Romitti, Paul A.

PY - 2009

Y1 - 2009

N2 - Objectives: To determine the prevalence, patterns, and predictors of alcohol consumption prior to and during various intervals of pregnancy in the U.S. Methods: Alcohol-related, pregnancy-related, and demographic data were derived from computer-assisted telephone interviews with 4,088 randomly selected control mothers from the National Birth Defects Prevention Study who delivered live born infants without birth defects during 1997-2002. Alcohol consumption rates and crude and adjusted odds ratios (OR) were calculated. Results: 30.3% of all women reported drinking alcohol at some time during pregnancy, of which 8.3% reported binge drinking (4+ drinks on one occasion). Drinking rates declined considerably after the first month of pregnancy, during which 22.5% of women reported drinking, although 2.7% of women reported drinking during all trimesters of pregnancy and 7.9% reported drinking during the 3rd trimester. Pre-pregnancy binge drinking was a strong predictor of both drinking during pregnancy (adjusted OR = 8.52, 95% CI = 6.67-10.88) and binge drinking during pregnancy (adjusted OR = 36.02, 95% CI = 24.63-52.69). Other characteristics associated with both any drinking and binge drinking during pregnancy were non-Hispanic white race/ethnicity, cigarette smoking during pregnancy, and having an unintended pregnancy. Conclusions: Our study revealed that drinking during pregnancy is fairly common, three times the levels reported in surveys that ask only about drinking during the month before the survey. Women who binge drink before pregnancy are at particular risk for drinking after becoming pregnant. Sexually active women of childbearing ages who drink alcohol should be advised to use reliable methods to prevent pregnancy, plan their pregnancies, and stop drinking before becoming pregnant.

AB - Objectives: To determine the prevalence, patterns, and predictors of alcohol consumption prior to and during various intervals of pregnancy in the U.S. Methods: Alcohol-related, pregnancy-related, and demographic data were derived from computer-assisted telephone interviews with 4,088 randomly selected control mothers from the National Birth Defects Prevention Study who delivered live born infants without birth defects during 1997-2002. Alcohol consumption rates and crude and adjusted odds ratios (OR) were calculated. Results: 30.3% of all women reported drinking alcohol at some time during pregnancy, of which 8.3% reported binge drinking (4+ drinks on one occasion). Drinking rates declined considerably after the first month of pregnancy, during which 22.5% of women reported drinking, although 2.7% of women reported drinking during all trimesters of pregnancy and 7.9% reported drinking during the 3rd trimester. Pre-pregnancy binge drinking was a strong predictor of both drinking during pregnancy (adjusted OR = 8.52, 95% CI = 6.67-10.88) and binge drinking during pregnancy (adjusted OR = 36.02, 95% CI = 24.63-52.69). Other characteristics associated with both any drinking and binge drinking during pregnancy were non-Hispanic white race/ethnicity, cigarette smoking during pregnancy, and having an unintended pregnancy. Conclusions: Our study revealed that drinking during pregnancy is fairly common, three times the levels reported in surveys that ask only about drinking during the month before the survey. Women who binge drink before pregnancy are at particular risk for drinking after becoming pregnant. Sexually active women of childbearing ages who drink alcohol should be advised to use reliable methods to prevent pregnancy, plan their pregnancies, and stop drinking before becoming pregnant.

KW - Alcohol drinking

KW - Pregnant women

KW - Prevalence

KW - Women

UR - http://www.scopus.com/inward/record.url?scp=59849102057&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=59849102057&partnerID=8YFLogxK

U2 - 10.1007/s10995-008-0328-2

DO - 10.1007/s10995-008-0328-2

M3 - Article

C2 - 18317893

AN - SCOPUS:59849102057

VL - 13

SP - 274

EP - 285

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 2

ER -