Influence of alcohol consumption on the bioelement status of pregnant women in the prenatal period

BackgroundFetal Alcohol Spectrum Disorders (FASD) is an important global health problem in need of prevention. For FASD prevention it is important to understand why pregnant women engage or do not engage in drinking alcohol. It remains unknown which psychosocial determinants related to maternal alcohol consumption are most in need of prevention. The objective of this study was to identify these.MethodWe searched in PubMed, PsychINFO, PsychARTICLES, ERIC, CINAHL, EMBASE and MEDLINE databases up to May 2018 using an extensive query consisting of keywords related to pregnancy (e.g., maternal, prenatal), alcohol use (e.g., alcohol, drink) and determinants (e.g., attitude, norm). Studies were excluded when not published in English, were reviews, or involved non-human subjects. Substantial heterogeneity precluded aggregation or meta-analysis of the data. Instead, data were qualitatively inspected.ResultsA total of 23 studies including 150 identified items were eligible for data analysis. Studies covered over 15 psychosocial determinants (e.g., attitude, perceived social norm, risk perception). Studies differed in their operationalizations. As a majority of data was based on univariate analysis, little is known about the relationship with specific drinking behaviors. The majority of studies targeted perceived risk and motivation to comply with each social referents' approval or disapproval. A large proportion of studies focused on disadvantages and risks of maternal alcohol consumption. Results from these studies show that women do not continue to drink because the risks are unknown to them. Cautious interpretation is needed while the observed heterogeneity hindered firm conclusions. Conclusion We aimed to identify all relevant psychosocial determinants of maternal alcohol consumption behavior(s). The state of the literature precludes such conclusions. It remains unknown which determinants are most in need of intervention. It is recommended for future studies to (i) identify all possible psychosocial determinants of drinking during pregnancy using both quantitative and qualitative methods; (ii) include different target groups (e.g., women with unplanned pregnancies, pregnant women, women in childbearing age); (iii) identify key environmental agents; (iv) operationalize their measures based on theoretical models; (v) report specific variables such as the study method and association with behavior.

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O Abuso de Álcool na Gestação e a Saúde Física e Psicológica do Bebê: Um Olhar Psicanalítico

REVISTA PLURI ◽

10.26843/rpv122019p241-244 ◽

2019 ◽

Vol 1 (2) ◽

pp. 241

Author(s):

Veridiana Canezin Guimarães ◽

Regiane Ribeiro ◽

Tuanne Sousa ◽

Audinéia Pereira

Keyword(s):

Alcohol Consumption ◽

Alcohol Abuse ◽

Pregnant Women ◽

Psychological Health ◽

Psychological Consequences ◽

Treatment And Prevention ◽

Excessive Consumption ◽

Physical And Psychological Health ◽

The Relationship

O presente estudo tem como objetivo pesquisar o consumo excessivo de álcool pelas gestantes e o comportamento dos bebês recém-nascidos, abordando consequências fisiológicas e psicológicas, visando também o tratamento e a prevenção. Trata-se de uma pesquisa de cunho bibliográfico, que investigou a relação entre o consumo de álcool pelas gestantes e a saúde física e psicológica dos bebês, tendo como referência teórica estudos psicanalíticos da relação mãe-bebê.Palavras-Chave: Abuso de álcool. Gravidez. PsicanáliseAbstractThe present study aims to investigate the excessive consumption of alcohol by pregnant women and the behavior of newborn babies, addressing physiological and psychological consequences, as well as treatment and prevention. This is a bibliographical research that will investigate the relationship between alcohol consumption by pregnant women and the physical and psychological health of the babies, having as theoretical reference psychoanalytic studies of the mother-baby relationship.Keywords: Alcohol abuse. Pregnancy. Psychoanalysis.

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Psychological and/or educational interventions for reducing alcohol consumption in pregnant women and women planning pregnancy

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd004228.pub2 ◽

2009 ◽

Cited By ~ 41

Author(s):

Brenda C Stade ◽

Carol Bailey ◽

Darlene Dzendoletas ◽

Michael Sgro ◽

Therese Dowswell ◽

...

Keyword(s):

Alcohol Consumption ◽

Pregnant Women ◽

Educational Interventions

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Pregnant Women’s Risk Perception of the Teratogenic Effects of Alcohol Consumption in Pregnancy

Journal of Clinical Medicine ◽

10.3390/jcm8060907 ◽

2019 ◽

Vol 8 (6) ◽

pp. 907 ◽

Cited By ~ 1

Author(s):

Isabel Corrales-Gutierrez ◽

Ramon Mendoza ◽

Diego Gomez-Baya ◽

Fatima Leon-Larios

Keyword(s):

Risk Perception ◽

Alcohol Consumption ◽

Pregnant Women ◽

Lower Risk ◽

Structural Equation ◽

Alcohol Exposure ◽

University Hospital ◽

Equation Modeling ◽

Teratogenic Effects ◽

Ample Evidence

There is ample evidence of the teratogenic effects of prenatal alcohol exposure, with long-term consequences throughout the entire life cycle. Nevertheless, research on risk perception of alcohol consumption among pregnant women is scarce. In order to analyze risk perception of alcohol consumption during pregnancy, a cross-sectional study was conducted with a random sample of 426 pregnant women (in their 20th week of gestation) receiving care at the outpatient clinics of a public university hospital in the southern European city of Seville (Spain). Data were collected through structured face-to-face interviews conducted by trained health professionals using a customized questionnaire. Data analysis included structural equation modeling. Only 48.1% of the sample indicated that the sequelae from alcohol consumption during pregnancy were life-long. The structural equation model showed that a lower risk perception about beer and wine consumption, and a lower educational level, were related to more frequent alcohol consumption. Younger participants showed lower risk perception concerning beer consumption. Higher levels of education were related to a greater risk perception of beer. Healthcare institutions should articulate programs that facilitate health advice regarding alcohol consumption during pregnancy, particularly when providing care for women with low educational levels.

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Smoking and alcohol consumption by Flemish pregnant women, 1966–83

Journal of Biosocial Science ◽

10.1017/s0021932000018368 ◽

1990 ◽

Vol 22 (1) ◽

pp. 43-51 ◽

Cited By ~ 3

Author(s):

E. Lodewijckx ◽

V. De Groof

Keyword(s):

Alcohol Consumption ◽

Pregnant Women ◽

Older Women ◽

Tobacco Use ◽

Drinking Behaviour ◽

Level Of Education

SummaryBetween 1966 and 1983 the percentage of women who smoked or consumed alcohol during pregnancy increased considerably. Tobacco use was negatively, and alcohol consumption positively, correlated with the mother's level of education. Markedly more adolescents than older women smoked during pregnancy. Beer, wine and liquor consumption were highest among older pregnant women. The majority of women did not alter their smoking and drinking behaviour during their successive pregnancies.

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Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

Substance Abuse Treatment Prevention and Policy ◽

10.1186/s13011-020-00269-3 ◽

2020 ◽

Vol 15 (1) ◽

Cited By ~ 1

Author(s):

Alemu Earsido Addila ◽

Telake Azale Bisetegn ◽

Yigzaw Kebede Gete ◽

Mezgebu Yitayal Mengistu ◽

Getnet Mihretie Beyene

Keyword(s):

Systematic Review ◽

Alcohol Consumption ◽

Alcohol Use ◽

Pregnant Women ◽

Associated Factors ◽

Unplanned Pregnancy ◽

Meta Analysis ◽

Sub Saharan Africa ◽

Pooled Prevalence ◽

Sub Saharan

Abstract Background Alcohol consumption during pregnancy represents a significant public health concern. It has several adverse health effects for both the mother and the developing fetus. This study aimed to estimate the pooled prevalence and the effect size of associated factors of alcohol consumption during pregnancy in Sub-Saharan Africa countries. Methods The results of the review were reported based on the Preferred Reporting Items for Systematic Review and Meta-Analysis statement (PRISMA) guideline and, it was registered in the Prospero database, number CRD42019127103. The available primary studies were collated from different databases: PubMed, CINAHL, Cochrane Library, PsycINFO, Google Scholar, African Journals Online and Centre for Addiction and Mental Health Library. The main search terms were [((alcohol consumption) OR (alcohol drinking) OR (alcohol use) OR (ethanol use) OR (alcohol exposure)) AND ((pregnant women) OR (pregnant mother) OR (during pregnancy)) AND (Sub-Saharan Africa)]. We used the Joanna Briggs Institute (JBI) for critical appraisal of studies. The random-effects model was computed to estimate the pooled prevalence. Heterogeneity between studies was checked using the I2 statistic and the Cochrane Q test. Results The review resulted in 963 original studies after searching various databases, and finally 37 studies in qualitative synthesis and 30 articles in the systematic review and meta-analysis were included. The overall summary estimate of the prevalence of alcohol consumption during pregnancy was found to be 20.83% (95% CI: 18.21, 23.46). The pooled estimate of meta-analysis showed that depression (OR: 1.572; 95% CI: 1.34, 1.845), partners’ alcohol use (OR: 1.32, 95% CI: 1.11, 1.57), knowledge on harmful effect of alcohol consumption (OR: 0.36, 95% CI: 0.29, 0.45) and, unplanned pregnancy (OR: 2.33, 95% CI: 1.17, 4.63) were statistically significant factors with alcohol consumption during pregnancy. Conclusions The result showed that there was high alcohol consumption during pregnancy in Sub- Saharan Africa. Alcohol consumption during pregnancy was associated with depression, partners’ alcohol use, unplanned pregnancy and knowledge of the harmful effects of alcohol consumption. Therefore, this will be a basis for public policy and resource allocation for prevention initiatives.

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