Abstract
INTRODUCTION: Heavy episodic ('binge') drinking among women in Scotland is commonplace; pre-pregnancy drinking is associated with continued antenatal drinking. Evidence for effectiveness of standardised antenatal alcohol assessment is lacking. Alcohol-exposed pregnancies may be missed. We assessed peri-conceptual and mid-pregnancy consumption using a week-long retrospective diary and standard alcohol questionnaires, and evaluated the agreement between these instruments.
MATERIAL AND METHODS: Cross-sectional study in two Scottish health board areas involving 510 women attending mid-pregnancy ultrasound scan clinics. Face-to-face administration of alcohol Retrospective Diary and AUDIT or AUDIT-C assessed weekly and daily alcohol consumption levels and patterns. Depression-Anxiety-Stress Scale (DASS-21) assessed maternal wellbeing. A sub-sample (n=30) provided hair for alcohol metabolite analysis. Pearson's correlation coefficient investigated associations between questionnaires and alcohol metabolite data.
RESULTS: The response rate was 73.8%. The Retrospective Diary correlated moderately with AUDIT-C and AUDIT but elicited reports of significantly higher peri-conceptual consumption, (median unit consumption on 'drinking days' 6.8; range 0.4-63.8). Additional 'special occasions' consumption ranged from one to 125 units per week. Correlations between DASS-21 and Retrospective Diary were weak. Biomarker analysis identified three instances of hazardous peri-conceptual drinking.
CONCLUSIONS: Women reported higher consumption levels when completing the Retrospective Diary, especially regarding peri-conceptual 'binge' drinking. Routine clinical practice methods may not capture potentially harmful or irregular drinking patterns. Given the association between pre-pregnancy and antenatal drinking, and alcohol's known teratogenic effects, particularly in the first trimester, the Retrospective Diary may be a useful low-tech tool to gather information on alcohol intake patterns and levels.
| Original language | English |
|---|---|
| Pages (from-to) | 53-60 |
| Number of pages | 8 |
| Journal | Acta Obstetricia et Gynecologica Scandinavica |
| Volume | 96 |
| Issue number | 1 |
| Early online date | 28 Oct 2016 |
| DOIs | |
| Publication status | Published - Jan 2017 |
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Keywords
- Pregnancy
- Prenatal care
- Alcohol drinking
- Prenatal alcohol exposure
- Alcohol screening
- Biomarker
- Cross-sectional study
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Evaluation of a retrospective diary for peri-conceptual and mid-pregnancy drinking in Scotland : a cross-sectional study. / Symon, Andrew (Lead / Corresponding author); Rankin, Jean; Butcher, Geraldine; Smith, Lesley; Cochrane, Lynda.
In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 96, No. 1, 01.2017, p. 53-60.Research output: Contribution to journal › Article
TY - JOUR
T1 - Evaluation of a retrospective diary for peri-conceptual and mid-pregnancy drinking in Scotland
T2 - a cross-sectional study
AU - Symon, Andrew
AU - Rankin, Jean
AU - Butcher, Geraldine
AU - Smith, Lesley
AU - Cochrane, Lynda
N1 - This study was supported by a Scottish Government grant.
PY - 2017/1
Y1 - 2017/1
N2 - INTRODUCTION: Heavy episodic ('binge') drinking among women in Scotland is commonplace; pre-pregnancy drinking is associated with continued antenatal drinking. Evidence for effectiveness of standardised antenatal alcohol assessment is lacking. Alcohol-exposed pregnancies may be missed. We assessed peri-conceptual and mid-pregnancy consumption using a week-long retrospective diary and standard alcohol questionnaires, and evaluated the agreement between these instruments.MATERIAL AND METHODS: Cross-sectional study in two Scottish health board areas involving 510 women attending mid-pregnancy ultrasound scan clinics. Face-to-face administration of alcohol Retrospective Diary and AUDIT or AUDIT-C assessed weekly and daily alcohol consumption levels and patterns. Depression-Anxiety-Stress Scale (DASS-21) assessed maternal wellbeing. A sub-sample (n=30) provided hair for alcohol metabolite analysis. Pearson's correlation coefficient investigated associations between questionnaires and alcohol metabolite data.RESULTS: The response rate was 73.8%. The Retrospective Diary correlated moderately with AUDIT-C and AUDIT but elicited reports of significantly higher peri-conceptual consumption, (median unit consumption on 'drinking days' 6.8; range 0.4-63.8). Additional 'special occasions' consumption ranged from one to 125 units per week. Correlations between DASS-21 and Retrospective Diary were weak. Biomarker analysis identified three instances of hazardous peri-conceptual drinking.CONCLUSIONS: Women reported higher consumption levels when completing the Retrospective Diary, especially regarding peri-conceptual 'binge' drinking. Routine clinical practice methods may not capture potentially harmful or irregular drinking patterns. Given the association between pre-pregnancy and antenatal drinking, and alcohol's known teratogenic effects, particularly in the first trimester, the Retrospective Diary may be a useful low-tech tool to gather information on alcohol intake patterns and levels.
AB - INTRODUCTION: Heavy episodic ('binge') drinking among women in Scotland is commonplace; pre-pregnancy drinking is associated with continued antenatal drinking. Evidence for effectiveness of standardised antenatal alcohol assessment is lacking. Alcohol-exposed pregnancies may be missed. We assessed peri-conceptual and mid-pregnancy consumption using a week-long retrospective diary and standard alcohol questionnaires, and evaluated the agreement between these instruments.MATERIAL AND METHODS: Cross-sectional study in two Scottish health board areas involving 510 women attending mid-pregnancy ultrasound scan clinics. Face-to-face administration of alcohol Retrospective Diary and AUDIT or AUDIT-C assessed weekly and daily alcohol consumption levels and patterns. Depression-Anxiety-Stress Scale (DASS-21) assessed maternal wellbeing. A sub-sample (n=30) provided hair for alcohol metabolite analysis. Pearson's correlation coefficient investigated associations between questionnaires and alcohol metabolite data.RESULTS: The response rate was 73.8%. The Retrospective Diary correlated moderately with AUDIT-C and AUDIT but elicited reports of significantly higher peri-conceptual consumption, (median unit consumption on 'drinking days' 6.8; range 0.4-63.8). Additional 'special occasions' consumption ranged from one to 125 units per week. Correlations between DASS-21 and Retrospective Diary were weak. Biomarker analysis identified three instances of hazardous peri-conceptual drinking.CONCLUSIONS: Women reported higher consumption levels when completing the Retrospective Diary, especially regarding peri-conceptual 'binge' drinking. Routine clinical practice methods may not capture potentially harmful or irregular drinking patterns. Given the association between pre-pregnancy and antenatal drinking, and alcohol's known teratogenic effects, particularly in the first trimester, the Retrospective Diary may be a useful low-tech tool to gather information on alcohol intake patterns and levels.
KW - Pregnancy
KW - Prenatal care
KW - Alcohol drinking
KW - Prenatal alcohol exposure
KW - Alcohol screening
KW - Biomarker
KW - Cross-sectional study
UR - http://onlinelibrary.wiley.com/doi/10.1111/aogs.13050/full
U2 - 10.1111/aogs.13050
DO - 10.1111/aogs.13050
M3 - Article
C2 - 27792241
VL - 96
SP - 53
EP - 60
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
SN - 0001-6349
IS - 1
ER -