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Related Experiment Videos

Two prenatal alcohol use screening instruments compared with a physiologic measure.

K W Budd1, K Ross-Alaolmolki, R A Zeller

  • 1College of Nursing, Kent State University, OH 44242-0001, USA. kbudd@kent.edu

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|April 6, 2000
PubMed
Summary

The Prenatal Alcohol Use Interview (PAUI) is more effective than the ACOG Antepartum Record for screening prenatal alcohol consumption. PAUI demonstrates higher sensitivity and a lower false-negative rate in identifying alcohol use during pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Addiction Medicine
  • Public Health

Background:

  • Prenatal alcohol exposure is a leading preventable cause of birth defects and developmental disabilities.
  • Accurate screening for alcohol use during pregnancy is crucial for early intervention and improved outcomes.
  • Existing screening tools vary in their effectiveness, necessitating comparative studies.

Purpose of the Study:

  • To compare the sensitivity and specificity of two prenatal alcohol use screening instruments: the Prenatal Alcohol Use Interview (PAUI) and the ACOG Antepartum Record.
  • To evaluate these instruments against a physiologic measure, CDTect, for detecting prenatal alcohol use.

Main Methods:

  • A retrospective comparison of the PAUI and ACOG Antepartum Record was conducted.

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  • Data were collected from 56 women at their initial prenatal visits in an inner-city clinic.
  • The study assessed the relative sensitivity and specificity of the screening instruments against CDTect.

    • Main Results:

    • The PAUI identified significantly more women as 'Drinkers' (59%) compared to the ACOG Antepartum Record (19%) when compared against CDTect.
    • The PAUI exhibited a lower false-negative rate (41%) than the ACOG Antepartum Record (80%).
    • This indicates the PAUI is less likely to misclassify women who used alcohol as non-users.

    Conclusions:

    • The Prenatal Alcohol Use Interview (PAUI) demonstrates superior sensitivity for screening prenatal alcohol use compared to the ACOG Antepartum Record.
    • The PAUI is recommended as the preferred instrument for routine prenatal alcohol use screening.
    • Improved screening can facilitate timely interventions for pregnant individuals using alcohol.