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Related Experiment Videos

Alcohol use and pregnancy: improving identification

G Chang1, L Wilkins-Haug, S Berman

  • 1Brigham and Women's Hospital and the Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA. gchang@bics.bwh.harvard.edu

Obstetrics and Gynecology
|June 4, 1998
PubMed
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The T-ACE screening tool effectively identifies pregnant women with alcohol use disorders, outperforming standard obstetric staff assessments. This self-administered questionnaire is crucial for prenatal care and early intervention.

Area of Science:

  • Obstetrics and Gynecology
  • Addiction Medicine
  • Public Health

Background:

  • Prenatal alcohol exposure poses significant risks to fetal development.
  • Accurate screening for alcohol use in pregnant women is essential for intervention.
  • Existing screening methods may have limitations in diverse populations.

Purpose of the Study:

  • To evaluate the effectiveness of the T-ACE (Tolerance, Annoyed, Cut down, Eye-opener) screening tool.
  • To assess the T-ACE's performance in an ethnically and socioeconomically diverse sample of pregnant women.
  • To compare T-ACE results with comprehensive alcohol use assessments and obstetric staff documentation.

Main Methods:

  • A diverse sample of pregnant women (n=350) were screened using the T-ACE questionnaire.

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  • T-ACE-positive and T-ACE-negative women underwent a comprehensive alcohol use assessment.
  • Criterion standards included DSM-III-R lifetime alcohol diagnoses, risk drinking, and current drinking.

    • Main Results:

    • T-ACE-positive women were significantly more likely to meet criteria for lifetime alcohol diagnoses (40% vs. 14%), risk drinking (39% vs. 8%), and current alcohol consumption (43% vs. 13%).
    • The T-ACE demonstrated higher sensitivity compared to obstetric staff's documentation of alcohol use (9% documented).
    • P-values < .001 indicate statistically significant differences for all comparisons.

    Conclusions:

    • The T-ACE is a highly sensitive screening tool for identifying alcohol use and alcohol use disorders in pregnant women.
    • The T-ACE outperforms routine obstetric staff assessments in detecting alcohol use during pregnancy.
    • Effective screening with T-ACE can facilitate timely interventions to improve maternal and child health outcomes.