Evidence map›Paper›PMID 42198539›Full record

ArticleToxics2026

Anonymous Diaper-Based Meconium Collection for Ethyl Glucuronide Analysis: A Pilot Feasibility Study.

Mirjami Jolma, Mikko Koivu-Jolma, Nunzia La Maida, Simona Pichini, Adele Minutillo, Ilona Autti-Rämö, Hanna Kahila

Abstract read
In one paragraph

Article in Toxics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mirjami JolmaPäijät-Häme Central Hospital, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0002-6760-0495
Mikko Koivu-JolmaFaculty of Science, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0002-2854-7927
Nunzia La MaidaNational Centre on Addiction and Doping, Istituto Superiore di Sanità, 00161 Rome, Italy.ORCID 0000-0003-0127-4225
Simona PichiniNational Centre on Addiction and Doping, Istituto Superiore di Sanità, 00161 Rome, Italy.ORCID 0000-0002-6347-0750
Adele MinutilloNational Centre on Addiction and Doping, Istituto Superiore di Sanità, 00161 Rome, Italy.ORCID 0000-0002-8137-0614
Ilona Autti-RämöFaculty of Medicine, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0002-4258-5778
Hanna KahilaObstetrics and Gynecology, Helsinki University Hospital, 00029 Helsinki, Finland.ORCID 0000-0001-9658-1193

Funding

Emil Aaltonen Foundation n/aFoundation for Pediatric Research HUS/222/2021/15
6 · The paper itself

Abstract

Prenatal alcohol exposure (PAE) is a major public health concern, yet maternal self-reporting remains unreliable. Meconium accumulates alcohol metabolites during the second half of gestation, and ethyl glucuronide (EtG) is considered a stable and specific biomarker of late-pregnancy alcohol exposure. Diapers containing meconium may serve as a noninvasive method for collecting anonymous biological samples, which could help reduce participation bias in studies of this sensitive subject. This pilot study assessed the feasibility of anonymously collecting meconium-containing diapers for subsequent quantitative EtG analysis after extended periods of frozen storage and international transport, and examined intra-pair consistency in samples from the same newborn. Mothers collected their newborns' diapers, which were then divided into two aliquots (A and B) by a study assistant and stored at -80 °C until analysis. Out of 178 samples collected from 105 infants, 137 samples were analyzable. Eleven samples exceeded the limit of quantification (10 ng/g), while two samples (one pair) surpassed the 30 ng/g cutoff, indicating significant PAE. EtG concentrations showed high intra-pair agreement, supporting the robustness of the biomarker and analytical method. Anonymous diaper-based meconium collection is feasible but operationally demanding. Although the low participation rate and methodological factors, including sample loss, precluded true prevalence estimation, making it exploratory, the detection of quantifiable EtG in 8% of analyzable samples suggests that PAE remains an issue.

Indexed as

ethyl glucuronidemeconiumprenatal alcohol exposure

Identifiers

PMID42198539
PMCPMC13211024

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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.