Evidence map›Paper›PMID 30573481›Full record

SynthesisBMJ open2018

Systematic literature review on which maternal alcohol behaviours are related to fetal alcohol spectrum disorders (FASD).

Sylvia Roozen, Gjalt-Jorn Ygram Peters, Gerjo Kok, David Townend, Jan Nijhuis, Ger Koek, Leopold Curfs

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 48 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Sylvia RoozenGovernor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Gjalt-Jorn Ygram PetersDepartment of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands.
Gerjo KokGovernor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
David TownendGovernor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Jan NijhuisGovernor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Ger KoekGovernor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Leopold CurfsGovernor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Maastricht University Medical Centre · NLMaastricht University · NLOpen University of the Netherlands · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFetal alcohol spectrum disorders (FASD) is a worldwide problem. Maternal alcohol consumption is an important risk factor for FASD. It remains unknown which alcohol consumption patterns most strongly predict FASD. The objective of this study was to identify these.

designSystematic literature review.

methodsWe searched in PubMed, PsychINFO, PsycARTICLES, ERIC, CINAHL, Embase and MEDLINE up to August 2018. The query consisted of keywords and their synonyms related to FASD, pregnancy and behaviour. Studies were excluded when not published in English, were reviews or involved non-human subjects. Substantial heterogeneity precluded aggregation or meta-analysis of the data. Instead, data were qualitatively inspected.

resultsIn total, 21 studies were eligible for further data analysis. All studies that measured both maternal alcohol drinking behaviours and FASD reported retrospective data on maternal drinking patterns, employing both continuous and categorical measures and exhibiting substantial heterogeneity in measures of alcohol consumption (eg, timing of exposure, quantification of alcohol measure and definition of a standard drink). Study quality improved over time and appeared higher for studies based on active case ascertainment, especially when conducted in schools and when behaviour was assessed through interviews.

conclusionsWe aimed to identify specific maternal drinking behaviour(s) related to FASD. The state of the literature precludes such conclusions. Evidence-based preventive measures necessitate identifying which prenatal alcohol drinking behaviour(s) are most in need of intervention. Therefore, we formulate three recommendations for future research. First, future studies can optimise the value of the collected dataset through specifying measurements and reporting of maternal drinking behaviours and avoiding categorised measures (nominal or ordinal) whenever possible. Second, samples should not be selected based on FASD status, but instead, FASD status as well as maternal alcohol consumption should both be measured in a general population sample. Finally, we provide 10 reporting guidelines for FASD research.

Indexed as

Maternal BehaviorAlcohol AbstinenceAlcohol DrinkingBehavior TherapyBlood Alcohol ContentFemaleFetal Alcohol Spectrum DisordersHumansInfant, NewbornInterview, PsychologicalPregnancyRetrospective StudiesRisk FactorsBlood Alcohol Contentprenatal diagnosispreventive medicinesubstance misuse

Identifiers

PMID30573481
PMCPMC6303602
OpenAlexW2905945152

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.