Peri-conceptual and mid-pregnancy drinking: a cross-sectional assessment in two Scottish health board areas using a 7-day Retrospective Diary

Andrew Symon (Lead / Corresponding author), Jean Rankin, Hazel Sinclair, Geraldine Butcher, Kylie Barclay, Rhona Gordon, Michelle MacDonald, Lesley Smith

Research output: Contribution to journalArticle

2 Citations (Scopus)
135 Downloads (Pure)

Abstract

AIMS: To evaluate the use of a 7-day Retrospective Diary to assess peri-conceptual and mid-pregnancy alcohol consumption.

BACKGROUND: Alcohol consumption among women has increased significantly and is of international concern. Heavy episodic ('binge') drinking is commonplace and is associated with unintended pregnancy. Pre-pregnancy drinking is strongly associated with continued drinking in pregnancy. Routine antenatal assessment of alcohol history and current drinking is variable; potentially harmful peri-conceptual drinking may be missed if a woman reports low or no drinking during pregnancy.

DESIGN: Cross-sectional study (n=510) in two Scottish health board areas.

METHODS: Face-to-face Retrospective Diary administration from February to June 2015 assessing alcohol consumption in peri-conceptual and mid-pregnancy periods. Women were recruited at the mid-pregnancy ultrasound clinic.

RESULTS: Of 510 women, 470 (92.0%) drank alcohol before their pregnancy; 187 (39.9%) drank every week. Retrospective assessment of peri-conceptual consumption identified heavy episodic drinking (more than six units on one occasion) in 52.2% (n=266); 19.6% (n=100) reported drinking more than 14 units per week, mostly at the weekend; 'mixing' of drinks was associated with significantly higher consumption. While consumption tailed off following pregnancy recognition, 5.5% (n=28) still exceeded the recommended daily 2-unit limit in pregnancy. Multivariable logistic regression identified that women who 'binged' peri-conceptually were 3.2 times more likely to do this.

CONCLUSION: Significant peri-conceptual consumption levels suggest a substantial proportion of alcohol-exposed pregnancies before pregnancy recognition. Not taking a detailed alcohol history, including patterns of consumption, will result in under-detection of alcohol-exposed pregnancies. The Retrospective Diary offers practitioners a detailed way of enquiring about alcohol history for this population.

Original languageEnglish
Pages (from-to)375-385
Number of pages11
JournalJournal of Advanced Nursing
Volume73
Issue number2
Early online date24 Aug 2016
DOIs
Publication statusPublished - Feb 2017

Fingerprint

Drinking
Pregnancy
Health
Alcohols
Alcohol Drinking
History
Binge Drinking
Cross-Sectional Studies
Logistic Models

Keywords

  • alcohol consumption
  • binge drinking
  • teratogenesis
  • pregnancy
  • antenatal
  • prenatal care
  • midwives
  • questionnaries

Cite this

Symon, Andrew ; Rankin, Jean ; Sinclair, Hazel ; Butcher, Geraldine ; Barclay, Kylie ; Gordon, Rhona ; MacDonald, Michelle ; Smith, Lesley. / Peri-conceptual and mid-pregnancy drinking : a cross-sectional assessment in two Scottish health board areas using a 7-day Retrospective Diary. In: Journal of Advanced Nursing. 2017 ; Vol. 73, No. 2. pp. 375-385.
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abstract = "AIMS: To evaluate the use of a 7-day Retrospective Diary to assess peri-conceptual and mid-pregnancy alcohol consumption.BACKGROUND: Alcohol consumption among women has increased significantly and is of international concern. Heavy episodic ('binge') drinking is commonplace and is associated with unintended pregnancy. Pre-pregnancy drinking is strongly associated with continued drinking in pregnancy. Routine antenatal assessment of alcohol history and current drinking is variable; potentially harmful peri-conceptual drinking may be missed if a woman reports low or no drinking during pregnancy.DESIGN: Cross-sectional study (n=510) in two Scottish health board areas.METHODS: Face-to-face Retrospective Diary administration from February to June 2015 assessing alcohol consumption in peri-conceptual and mid-pregnancy periods. Women were recruited at the mid-pregnancy ultrasound clinic.RESULTS: Of 510 women, 470 (92.0{\%}) drank alcohol before their pregnancy; 187 (39.9{\%}) drank every week. Retrospective assessment of peri-conceptual consumption identified heavy episodic drinking (more than six units on one occasion) in 52.2{\%} (n=266); 19.6{\%} (n=100) reported drinking more than 14 units per week, mostly at the weekend; 'mixing' of drinks was associated with significantly higher consumption. While consumption tailed off following pregnancy recognition, 5.5{\%} (n=28) still exceeded the recommended daily 2-unit limit in pregnancy. Multivariable logistic regression identified that women who 'binged' peri-conceptually were 3.2 times more likely to do this.CONCLUSION: Significant peri-conceptual consumption levels suggest a substantial proportion of alcohol-exposed pregnancies before pregnancy recognition. Not taking a detailed alcohol history, including patterns of consumption, will result in under-detection of alcohol-exposed pregnancies. The Retrospective Diary offers practitioners a detailed way of enquiring about alcohol history for this population.",
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Peri-conceptual and mid-pregnancy drinking : a cross-sectional assessment in two Scottish health board areas using a 7-day Retrospective Diary. / Symon, Andrew (Lead / Corresponding author); Rankin, Jean; Sinclair, Hazel; Butcher, Geraldine; Barclay, Kylie; Gordon, Rhona; MacDonald, Michelle; Smith, Lesley.

In: Journal of Advanced Nursing, Vol. 73, No. 2, 02.2017, p. 375-385.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Peri-conceptual and mid-pregnancy drinking

T2 - a cross-sectional assessment in two Scottish health board areas using a 7-day Retrospective Diary

AU - Symon, Andrew

AU - Rankin, Jean

AU - Sinclair, Hazel

AU - Butcher, Geraldine

AU - Barclay, Kylie

AU - Gordon, Rhona

AU - MacDonald, Michelle

AU - Smith, Lesley

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N2 - AIMS: To evaluate the use of a 7-day Retrospective Diary to assess peri-conceptual and mid-pregnancy alcohol consumption.BACKGROUND: Alcohol consumption among women has increased significantly and is of international concern. Heavy episodic ('binge') drinking is commonplace and is associated with unintended pregnancy. Pre-pregnancy drinking is strongly associated with continued drinking in pregnancy. Routine antenatal assessment of alcohol history and current drinking is variable; potentially harmful peri-conceptual drinking may be missed if a woman reports low or no drinking during pregnancy.DESIGN: Cross-sectional study (n=510) in two Scottish health board areas.METHODS: Face-to-face Retrospective Diary administration from February to June 2015 assessing alcohol consumption in peri-conceptual and mid-pregnancy periods. Women were recruited at the mid-pregnancy ultrasound clinic.RESULTS: Of 510 women, 470 (92.0%) drank alcohol before their pregnancy; 187 (39.9%) drank every week. Retrospective assessment of peri-conceptual consumption identified heavy episodic drinking (more than six units on one occasion) in 52.2% (n=266); 19.6% (n=100) reported drinking more than 14 units per week, mostly at the weekend; 'mixing' of drinks was associated with significantly higher consumption. While consumption tailed off following pregnancy recognition, 5.5% (n=28) still exceeded the recommended daily 2-unit limit in pregnancy. Multivariable logistic regression identified that women who 'binged' peri-conceptually were 3.2 times more likely to do this.CONCLUSION: Significant peri-conceptual consumption levels suggest a substantial proportion of alcohol-exposed pregnancies before pregnancy recognition. Not taking a detailed alcohol history, including patterns of consumption, will result in under-detection of alcohol-exposed pregnancies. The Retrospective Diary offers practitioners a detailed way of enquiring about alcohol history for this population.

AB - AIMS: To evaluate the use of a 7-day Retrospective Diary to assess peri-conceptual and mid-pregnancy alcohol consumption.BACKGROUND: Alcohol consumption among women has increased significantly and is of international concern. Heavy episodic ('binge') drinking is commonplace and is associated with unintended pregnancy. Pre-pregnancy drinking is strongly associated with continued drinking in pregnancy. Routine antenatal assessment of alcohol history and current drinking is variable; potentially harmful peri-conceptual drinking may be missed if a woman reports low or no drinking during pregnancy.DESIGN: Cross-sectional study (n=510) in two Scottish health board areas.METHODS: Face-to-face Retrospective Diary administration from February to June 2015 assessing alcohol consumption in peri-conceptual and mid-pregnancy periods. Women were recruited at the mid-pregnancy ultrasound clinic.RESULTS: Of 510 women, 470 (92.0%) drank alcohol before their pregnancy; 187 (39.9%) drank every week. Retrospective assessment of peri-conceptual consumption identified heavy episodic drinking (more than six units on one occasion) in 52.2% (n=266); 19.6% (n=100) reported drinking more than 14 units per week, mostly at the weekend; 'mixing' of drinks was associated with significantly higher consumption. While consumption tailed off following pregnancy recognition, 5.5% (n=28) still exceeded the recommended daily 2-unit limit in pregnancy. Multivariable logistic regression identified that women who 'binged' peri-conceptually were 3.2 times more likely to do this.CONCLUSION: Significant peri-conceptual consumption levels suggest a substantial proportion of alcohol-exposed pregnancies before pregnancy recognition. Not taking a detailed alcohol history, including patterns of consumption, will result in under-detection of alcohol-exposed pregnancies. The Retrospective Diary offers practitioners a detailed way of enquiring about alcohol history for this population.

KW - alcohol consumption

KW - binge drinking

KW - teratogenesis

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KW - antenatal

KW - prenatal care

KW - midwives

KW - questionnaries

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