Journal ArticleDOI
Alcohol use and pregnancy consensus clinical guidelines.
George Carson,Lori Vitale Cox,Joan Crane,Pascal Croteau,Lisa Graves,Sandra Kluka,Gideon Koren,Marie-Jocelyne Martel,Deana Midmer,Irena Nulman,Nancy Poole,Vyta Senikas,Rebecca Wood +12 more
TLDR
National standards of care for the screening and recording of alcohol use and counselling on alcohol use of women of child-bearing age and pregnant women based on the most up-to-date evidence are established.Abstract:
Objective To establish national standards of care for the screening and recording of alcohol use and counselling on alcohol use of women of child-bearing age and pregnant women based on the most up-to-date evidence. Evidence Published literature was retrieved through searches of PubMed, CINAHL, and the Cochrane Library in May 2009 using appropriate controlled vocabulary (e.g., pregnancy complications, alcohol drinking, prenatal care) and key words (e.g., pregnancy, alcohol consumption, risk reduction). Results were restricted to literature published in the last five years with the following research designs: systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no language restrictions. Searches were updated on a regular basis and incorporated in the guideline to May 2010. Grey (unpublished) literature was identified through searching the websites of health technology assessment (HTA) and HTA-related agencies, national and international medical specialty societies, clinical practice guideline collections, and clinical trial registries. Each simple-article was screened for relevance and the full text acquired if determined to be relevant. The evidence obtained was reviewed and evaluated by the members of the Expert Workgroup established by the Society of Obstetricians and Gynaecologists of Canada. The quality of evidence was evaluated and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care. Values The quality of evidence was rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table 1). Sponsor The Public Health Agency of Canada and the Society of Obstetricians and Gynaecologists of Canada. Endorsement These consensus guidelines have been endorsed by the Association of Obstetricians and Gynecologists of Quebec; the Canadian Association of Midwives; the Canadian Association of Perinatal, Women's Health and Neonatal Nurses (CAPWHN); the College of Family Physicians of Canada; the Federation of Medical Women of Canada; the Society of Rural Physicians of Canada; and Motherisk. Summary Statements 1.There is evidence that alcohol consumption in pregnancy can cause fetal harm. (II-2) There is insufficient evidence regarding fetal safety or harm at low levels of alcohol consumption in pregnancy. (III) 2.There is insufficient evidence to define any threshold for low-level drinking in pregnancy. (III) 3.Abstinence is the prudent choice for a woman who is or might become pregnant. (III) 4.Intensive culture-, gender-, and family-appropriate interventions need to be available and accessible for women with problematic drinking and/or alcohol dependence. (II-2) Recommendations 1.Universal screening for alcohol consumption should be done periodically for all pregnant women and women of child-bearing age. Ideally, at-risk drinking could be identified before pregnancy, allowing for change. (II-2B) 2.Health care providers should create a safe environment for women to report alcohol consumption. (III-A) 3.The public should be informed that alcohol screening and support for women at risk is part of routine women's health care. (III-A) 4.Health care providers should be aware of the risk factors associated with alcohol use in women of reproductive age. (III-B) 5.Brief interventions are effective and should be provided by health care providers for women with at-risk drinking. (II-2B) 6.If a woman continues to use alcohol during pregnancy, harm reduction/treatment strategies should be encouraged. (II-2B) 7.Pregnant women should be given priority access to withdrawal management and treatment. (III-A) 8.Health care providers should advise women that low-level consumption of alcohol in early pregnancy is not an indication for termination of pregnancy. (II-2A)read more
Citations
More filters
Journal ArticleDOI
Estimation of national, regional, and global prevalence of alcohol use during pregnancy and fetal alcohol syndrome: a systematic review and meta-analysis
Svetlana Popova,Shannon Lange,Shannon Lange,Charlotte Probst,Charlotte Probst,Gerrit Gmel,Gerrit Gmel,Jürgen Rehm +7 more
TL;DR: The global prevalence of alcohol use during pregnancy was estimated to be 9·8% and the estimated prevalence of FAS in the general population was 14·6 per 10 000 people (95% CI 9·4-23·3).
Journal ArticleDOI
BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: recommendations from BAP
TL;DR: The guidelines primarily cover the pharmacological management of withdrawal, short- and long-term substitution, maintenance of abstinence and prevention of complications, where appropriate, for substance abuse or harmful use or addiction as well management in pregnancy, comorbidity with psychiatric disorders and in younger and older people.
Journal ArticleDOI
ABM Clinical Protocol #21: Guidelines for Breastfeeding and Substance Use or Substance Use Disorder, Revised 2015
TL;DR: These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care.
Journal ArticleDOI
The effect of surgery for endometrioma on ovarian reserve evaluated by antral follicle count: a systematic review and meta-analysis
Ludovico Muzii,Chiara Di Tucci,Mara Di Feliciantonio,Claudia Marchetti,Giorgia Perniola,Pierluigi Benedetti Panici +5 more
TL;DR: A meta-analysis of published data shows that surgery for endometrioma does not significantly affect ovarian reserve as evaluated by AFC, and surgical treatment of an endometioma may be considered safer for the ovarian reserve than previously thought.
Journal ArticleDOI
Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE): Proposed DSM-5 Diagnosis
Julie A. Kable,Mary J. O'Connor,Heather Carmichael Olson,Blair Paley,Sarah N. Mattson,Sally M. Anderson,Edward P. Riley +6 more
TL;DR: Neurobehavioral Disorder associated with PAE is proposed as a new clarifying term, intended to encompass the neurodevelopmental and mental health symptoms associated withPAE, to adequately characterize these symptoms and allow clinical assessment not possible using existing physically-based diagnostic schemes.
References
More filters
Book ChapterDOI
Timeline Follow-Back A Technique for Assessing Self-Reported Alcohol Consumption
Linda C. Sobell,Mark B. Sobell +1 more
TL;DR: Concerns about how best to measure drinking patterns and problems date back to at least 1926, when Pearl stressed the importance of separating steady daily drinkers from occasional heavy drinkers.
Journal ArticleDOI
Motivational interviewing: Preparing people for change, 2nd ed.
Journal Article
Motivational interviewing: a systematic review and meta-analysis
TL;DR: Motivational interviewing in a scientific setting outperforms traditional advice giving in the treatment of a broad range of behavioural problems and diseases.
Journal ArticleDOI
A self-administered Short Michigan Alcoholism Screening Test (SMAST)
TL;DR: The Michigan Alcoholism Screening Test and a shortened 13-item version can reliably be used as self-administered questionnaires.
Book
Motivational Interviewing in Health Care: Helping Patients Change Behavior
TL;DR: Motivational Interviewing (MI), a method of interacting with patients to enhance behavior change, is a welltested and established method with over 160 randomized clinical trials demonstrating its efficacy across an array of medical trials.