Alcohol-use disorders during and within one year of pregnancy: A population-based cohort study 1985-2006
Objectives: To examine alcohol-use disorders in pregnant women and the extent of under-reporting. Design: Population-based cohort study. Setting: Western Australia. Population: Women with a birth recorded on the Western Australian Midwives Notification System (1985–2006). Methods: Mothers with an In...
| Main Authors: | , , , , |
|---|---|
| Format: | Journal Article |
| Published: |
Wiley-Blackwell Publishing Ltd.
2013
|
| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/13215 |
| _version_ | 1848748288080084992 |
|---|---|
| author | O'Leary, Colleen Halliday, J. Bartu, Anne D'Antoine, H. Bower, C. |
| author_facet | O'Leary, Colleen Halliday, J. Bartu, Anne D'Antoine, H. Bower, C. |
| author_sort | O'Leary, Colleen |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objectives: To examine alcohol-use disorders in pregnant women and the extent of under-reporting. Design: Population-based cohort study. Setting: Western Australia. Population: Women with a birth recorded on the Western Australian Midwives Notification System (1985–2006). Methods: Mothers with an International Classification of Diseases 9/10 alcohol-related diagnosis, indicating heavy alcohol consumption, recorded on population-based health datasets (non-Aboriginal n = 5839; Aboriginal n = 2583) were identified through the Western Australian data-linkage system. This ‘exposed’ cohort was frequency matched (on maternal age, year of birth of offspring, Aboriginal status) with comparison mothers without an alcohol-related diagnosis (non-Aboriginal n = 33 979; Aboriginal n = 8005). Main outcome measures: Trends in maternal alcohol diagnoses in relation to pregnancy for non-Aboriginal and Aboriginal women. The proportion of children diagnosed with fetal alcohol syndrome (FAS) who had a mother with an alcohol diagnosis recorded during pregnancy. Results: The proportion of Aboriginal mothers in Western Australia with an alcohol diagnosis (23.1%) is ten times greater than for non-Aboriginal mothers (2.3%). There has been a six-fold increase in the percentage of non-Aboriginal births with a maternal alcohol diagnosis recorded during pregnancy and a 100-fold increase for Aboriginal births. Around 70% of the mothers of children diagnosed with FAS did not have an alcohol diagnosis recorded during pregnancy and 18% of the mothers had no record of an alcohol diagnosis. Conclusions: Maternal alcohol exposure during pregnancy is significantly under-ascertained. Given the severe risks to the fetus from heavy prenatal alcohol exposure, assessment and recording of alcohol use should be routinely undertaken in maternity and other health settings. |
| first_indexed | 2025-11-14T07:02:39Z |
| format | Journal Article |
| id | curtin-20.500.11937-13215 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:02:39Z |
| publishDate | 2013 |
| publisher | Wiley-Blackwell Publishing Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-132152017-09-13T16:09:09Z Alcohol-use disorders during and within one year of pregnancy: A population-based cohort study 1985-2006 O'Leary, Colleen Halliday, J. Bartu, Anne D'Antoine, H. Bower, C. data linkage cohort alcohol and pregnancy epidemiology fetal alcohol syndrome alcohol-use disorders Aboriginal Objectives: To examine alcohol-use disorders in pregnant women and the extent of under-reporting. Design: Population-based cohort study. Setting: Western Australia. Population: Women with a birth recorded on the Western Australian Midwives Notification System (1985–2006). Methods: Mothers with an International Classification of Diseases 9/10 alcohol-related diagnosis, indicating heavy alcohol consumption, recorded on population-based health datasets (non-Aboriginal n = 5839; Aboriginal n = 2583) were identified through the Western Australian data-linkage system. This ‘exposed’ cohort was frequency matched (on maternal age, year of birth of offspring, Aboriginal status) with comparison mothers without an alcohol-related diagnosis (non-Aboriginal n = 33 979; Aboriginal n = 8005). Main outcome measures: Trends in maternal alcohol diagnoses in relation to pregnancy for non-Aboriginal and Aboriginal women. The proportion of children diagnosed with fetal alcohol syndrome (FAS) who had a mother with an alcohol diagnosis recorded during pregnancy. Results: The proportion of Aboriginal mothers in Western Australia with an alcohol diagnosis (23.1%) is ten times greater than for non-Aboriginal mothers (2.3%). There has been a six-fold increase in the percentage of non-Aboriginal births with a maternal alcohol diagnosis recorded during pregnancy and a 100-fold increase for Aboriginal births. Around 70% of the mothers of children diagnosed with FAS did not have an alcohol diagnosis recorded during pregnancy and 18% of the mothers had no record of an alcohol diagnosis. Conclusions: Maternal alcohol exposure during pregnancy is significantly under-ascertained. Given the severe risks to the fetus from heavy prenatal alcohol exposure, assessment and recording of alcohol use should be routinely undertaken in maternity and other health settings. 2013 Journal Article http://hdl.handle.net/20.500.11937/13215 10.1111/1471-0528.12167 Wiley-Blackwell Publishing Ltd. unknown |
| spellingShingle | data linkage cohort alcohol and pregnancy epidemiology fetal alcohol syndrome alcohol-use disorders Aboriginal O'Leary, Colleen Halliday, J. Bartu, Anne D'Antoine, H. Bower, C. Alcohol-use disorders during and within one year of pregnancy: A population-based cohort study 1985-2006 |
| title | Alcohol-use disorders during and within one year of pregnancy: A population-based cohort study 1985-2006 |
| title_full | Alcohol-use disorders during and within one year of pregnancy: A population-based cohort study 1985-2006 |
| title_fullStr | Alcohol-use disorders during and within one year of pregnancy: A population-based cohort study 1985-2006 |
| title_full_unstemmed | Alcohol-use disorders during and within one year of pregnancy: A population-based cohort study 1985-2006 |
| title_short | Alcohol-use disorders during and within one year of pregnancy: A population-based cohort study 1985-2006 |
| title_sort | alcohol-use disorders during and within one year of pregnancy: a population-based cohort study 1985-2006 |
| topic | data linkage cohort alcohol and pregnancy epidemiology fetal alcohol syndrome alcohol-use disorders Aboriginal |
| url | http://hdl.handle.net/20.500.11937/13215 |