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Pregnancy Intention and Maternal Alcohol Consumption
Jason Pryor1, Stephen W Patrick, Alexandra C Sundermann
1Department of Pediatrics, the Mildred Stahlman Division of Neonatology, the Vanderbilt Center for Health Services Research, the Department of Health Policy, the Vanderbilt Center for Addiction Research, the Institute for Medicine and Public Health, the Department of Biostatistics, and the Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee.
Obstetrics and Gynecology
|March 10, 2017
Summary
Women with planned pregnancies are less likely to drink alcohol in early pregnancy. Most women reduce alcohol intake after recognizing pregnancy, suggesting early awareness is key.
Area of Science:
- Reproductive Health
- Maternal Health
- Public Health
Background:
- Alcohol consumption during pregnancy poses risks to fetal development.
- Understanding the role of pregnancy intention in prenatal alcohol use is crucial for targeted interventions.
Purpose of the Study:
- To determine if women with planned pregnancies consume less alcohol in early pregnancy compared to those with unintended pregnancies.
- To analyze the association between pregnancy intention and alcohol use patterns during the first trimester.
Main Methods:
- Prospective, community-based pregnancy cohort study (Right From the Start, 2000-2012).
- Maternal data collected via telephone interviews at enrollment (approx. 48 days gestation) and first trimester (approx. 85 days gestation).
- Logistic regression used to assess the relationship between pregnancy intention and alcohol consumption.
Main Results:
- Among 5,036 women, 70% had planned pregnancies.
- Alcohol use in the first trimester was reported by 55% of women with intended pregnancies and 56% with unintended pregnancies (P=.32).
- Adjusted analyses revealed women with intended pregnancies were 31% less likely to consume any alcohol (aOR 0.69) or binge drink (aOR 0.68) in early pregnancy.
Conclusions:
- The majority of women, regardless of pregnancy intention, reduced or stopped alcohol consumption after recognizing pregnancy.
- Promoting early pregnancy awareness may be more effective than universal alcohol abstinence recommendations for all women of reproductive age.
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