Evidence map›Paper›PMID 28277356›Full record

ArticleObstetrics and gynecology2017

Pregnancy Intention and Maternal Alcohol Consumption.

Jason Pryor, Stephen W Patrick, Alexandra C Sundermann, Pingsheng Wu, Katherine E Hartmann

Abstract read
In one paragraph

Article in Obstetrics and gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Alcohol Use in Pregnancy and Miscarriage: A Systematic Review and Meta-Analysis.Alcoholism, clinical and experimental research · 2019
    Pooled it
  3. An economic analysis of Native CHOICES.Journal of substance use and addiction treatment · 2026
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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

5 authors.

Jason PryorDepartment 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.
Stephen W Patrick
Alexandra C Sundermann
Pingsheng Wu
Katherine E Hartmann

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Consequences and Course of Uterine Fibroids in PregnancyR01HD043883 · NICHD · VANDERBILT UNIVERSITY · PI HARTMANN, KATHERINE E · 2004 to 2008
$3.1M
Non-steroidal anti-inflammatory use and miscarriageR01HD049675 · NICHD · VANDERBILT UNIVERSITY · PI HARTMANN, KATHERINE E · 2006 to 2010
$2.6M
Preventing Prematurity and Poor Pregnancy Outcomes Training GrantT32HD068256 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI REESE, JOHN JEFFREY, STARK, ANN R · 2011 to 2015
$1.2M
Neonatal Abstinence Syndrome: Risk of Drug Withdrawal in Opioid-Exposed InfantsK23DA038720 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PATRICK, STEPHEN W · 2015 to 2019
$844k
NCATS NIH HHS UL1 TR000445NICHD NIH HHS R01 HD043883NICHD NIH HHS R01 HD049675NICHD NIH HHS T32 HD068256NIDA NIH HHS K23 DA038720NIGMS NIH HHS T32 GM007347
6 · The paper itself

Abstract

objectiveTo evaluate whether women planning a pregnancy are less likely to use alcohol in early pregnancy than those with unintended pregnancies.

methodsRight From the Start (2000-2012) is a prospective, community-based pregnancy cohort. Maternal demographic, reproductive, and behavioral data were collected in telephone interviews at enrollment (mean±standard deviation 48±13 days of gestation) and later in the first trimester (mean±standard deviation 85±21 days of gestation). Alcohol consumption characteristics were included in the interviews. We used logistic regression to investigate the association of pregnancy intention with alcohol use.

resultsAmong 5,036 women, 55% reported using alcohol in the first trimester with 6% continuing use at the first-trimester interview. Pregnancy was planned by 70% of participants. Alcohol use occurred in 55% and 56% of intended and unintended pregnancies, respectively (P=.32). Adjusting for confounders, women with intended pregnancies were 31% less likely to consume any alcohol in early pregnancy (adjusted odds ratio [OR] 0.69, 95% confidence interval [CI] 0.60-0.81) or binge drink (adjusted OR 0.68, 95% CI 0.54-0.86). Most women, regardless of intention, stopped or decreased alcohol consumption in early pregnancy.

conclusionThe majority of women, irrespective of intention, stopped or decreased drinking after pregnancy recognition. This suggests promoting early pregnancy awareness could prove more effective than promoting abstinence from alcohol among all who could conceive.

Indexed as

Alcohol DrinkingIntentionPreventive Health ServicesAdultCohort StudiesFemaleHealth PromotionHumansPregnancyPregnancy Trimester, FirstPregnancy, UnplannedReproductive BehaviorReproductive Health ServicesRisk Reduction BehaviorTennessee

Identifiers

PMID28277356
PMCPMC5679257

What OpenQuestion holds

Textmetadata
LicenceTDM
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.