Evidence map›Paper›PMID 18317893›Full record

ArticleMaternal and child health journal2009

Alcohol consumption by women before and during pregnancy.

Mary K Ethen, Tunu A Ramadhani, Angela E Scheuerle, Mark A Canfield, Diego F Wyszynski, Charlotte M Druschel, Paul A Romitti, National Birth Defects Prevention Study

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 183 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 3 pooled it
22.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

183 citing papers in PubMed, 3 syntheses or guidelines pooled it, 375 citations in OpenAlex.

  1. Identifying Effective Behavior Change Techniques for Alcohol and Illicit Substance Use During Pregnancy: A Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019
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  16. Using umbilical cord tissue to identify prenatal ethanol exposure and co-exposure to other commonly misused substances.Journal of perinatology : official journal of the California Perinatal Association · 2025
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  19. Adaptation of a couples intervention to promote coparenting and reduce hazardous drinking during transition to parenthood.Families, systems & health : the journal of collaborative family healthcare · 2025
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123 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Mary K EthenTexas Department of State Health Services, Birth Defects Epidemiology and Surveillance Branch, Austin, TX 78756, USA. mary.ethen@dshs.state.tx.us
Tunu A Ramadhani
Angela E Scheuerle
Mark A Canfield
Diego F Wyszynski
Charlotte M Druschel
Paul A Romitti
National Birth Defects Prevention Study
Texas Department of State Health Services · USNew York State Department of State · USUniversity of Iowa · US

Funding

CTRS. OF EXCELL. FOR SUR., RES. SERVICE &EVAL. AIMED AT BIRTH DEFECTSU50DD713238 · DD · UNIVERSITY OF IOWA · PI ROMITTI, PAUL A · 1996 to 2008
$2.2M
NCBDD CDC HHS U50 DD613232NCBDD CDC HHS U50 DD713238PHS HHS U50/CCU613232
6 · The paper itself

Abstract

objectivesTo determine the prevalence, patterns, and predictors of alcohol consumption prior to and during various intervals of pregnancy in the U.S.

methodsAlcohol-related, pregnancy-related, and demographic data were derived from computer-assisted telephone interviews with 4,088 randomly selected control mothers from the National Birth Defects Prevention Study who delivered live born infants without birth defects during 1997-2002. Alcohol consumption rates and crude and adjusted odds ratios (OR) were calculated.

results30.3% of all women reported drinking alcohol at some time during pregnancy, of which 8.3% reported binge drinking (4+ drinks on one occasion). Drinking rates declined considerably after the first month of pregnancy, during which 22.5% of women reported drinking, although 2.7% of women reported drinking during all trimesters of pregnancy and 7.9% reported drinking during the 3rd trimester. Pre-pregnancy binge drinking was a strong predictor of both drinking during pregnancy (adjusted OR = 8.52, 95% CI = 6.67-10.88) and binge drinking during pregnancy (adjusted OR = 36.02, 95% CI = 24.63-52.69). Other characteristics associated with both any drinking and binge drinking during pregnancy were non-Hispanic white race/ethnicity, cigarette smoking during pregnancy, and having an unintended pregnancy.

conclusionsOur study revealed that drinking during pregnancy is fairly common, three times the levels reported in surveys that ask only about drinking during the month before the survey. Women who binge drink before pregnancy are at particular risk for drinking after becoming pregnant. Sexually active women of childbearing ages who drink alcohol should be advised to use reliable methods to prevent pregnancy, plan their pregnancies, and stop drinking before becoming pregnant.

Indexed as

AdolescentAdultAlcohol DrinkingFemaleHealth SurveysHumansInterviews as TopicPregnancyUnited StatesYoung Adult

Identifiers

PMID18317893
PMCPMC6090563
OpenAlexW1976192406

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.