Top

Published in:

01-07-2011

Alcohol Consumption During Pregnancy and Risk of Placental Abruption and Placenta Previa

Authors: Muktar H. Aliyu, O’Neil Lynch, Philip N. Nana, Amina P. Alio, Roneé E. Wilson, Phillip J. Marty, Roger Zoorob, Hamisu M. Salihu

Published in: Maternal and Child Health Journal | Issue 5/2011

Abstract

The purpose of this study was to examine the association between prenatal alcohol consumption and the occurrence of placental abruption and placenta previa in a population-based sample. We used linked birth data files to conduct a retrospective cohort study of singleton deliveries in the state of Missouri during the period 1989 through 2005 (n = 1,221,310). The main outcomes of interest were placenta previa, placental abruption and a composite outcome defined as the occurrence of either or both lesions. Multivariate logistic regression was used to generate adjusted odd ratios, with non-drinking mothers as the referent category. Women who consumed alcohol during pregnancy had a 33% greater likelihood for placental abruption during pregnancy (adjusted odds ratio (OR), 95% confidence interval (CI) = 1.33 [1.16–1.54]). No association was observed between prenatal alcohol use and the risk of placenta previa. Alcohol consumption in pregnancy was positively related to the occurrence of either or both placental conditions (adjusted OR [95% CI] = 1.29 [1.14–1.45]). Mothers who consumed alcohol during pregnancy were at elevated risk of experiencing placental abruption, but not placenta previa. Our findings underscore the need for screening and behavioral counseling interventions to combat alcohol use by pregnant women and women of childbearing age.

Sokol, R. J., Delaney-Black, V., & Nordstrom, B. (2003). Fetal alcohol spectrum disorder. The journal of the American Medical Association, 290, 2996–2999.CrossRef

O’Leary, C. M., Nassar, N., Kurinczuk, J. J., & Bower, C. (2009). The effect of maternal alcohol consumption on fetal growth and preterm birth. An international journal of obstetrics and gynaecology, 116, 390–400.CrossRef

Aliyu, M. H., Wilson, R. E., Zoorob, R., Chakrabarty, S., Alio, A. P., Kirby, R. S., et al. (2008). Alcohol consumption during pregnancy and the risk of early stillbirth among singletons. Alcohol, 42, 369–374.PubMedCrossRef

Gundogan, F., Elwood, G., Longato, L., Tong, M., Feijoo, A., Carlson, R. I., et al. (2008). Impaired placentation in fetal alcohol syndrome. Placenta, 29, 148–157.PubMedCrossRef

Ananth, C. V., & Wilcox, A. J. (2001). Placental abruption and perinatal mortality in the United States. American Journal of Epidemiology, 153, 332–337.PubMedCrossRef

Rasmussen, S., Irgens, L. M., & Dalaker, K. (2000). Outcome of pregnancies subsequent to placental abruption: a risk assessment. Acta Obstetricia et Gynecologica Scandinavica, 79, 496–501.PubMedCrossRef

Salihu, H. M., Bekan, B., Aliyu, M. H., Rouse, D. J., Kirby, R. S., & Alexander, G. R. (2005). Perinatal mortality associated with abruptio placenta in singletons and multiples. American Journal of Obstetrics and Gynecology, 193, 198–203.PubMedCrossRef

Ananth, C. V., Smulian, J. C., Demissie, K., Vintzileos, A. M., & Knuppel, R. A. (2001). Placental abruption among singleton and twin births in the United States: Risk factor profiles. American Journal of Epidemiology, 153, 771–778.PubMedCrossRef

Ananth, C. V., Demissie, K., Smulian, J. C., & Vintzileos, A. M. (2001). Relationship among placenta previa, fetal growth restriction, and preterm delivery: A population-based study. Obstetrics and Gynecology, 98, 299–306.PubMedCrossRef

10.

Salihu, H. M., Li, Q., Rouse, D. J., & Alexander, G. R. (2003). Placenta previa: neonatal death after live births in the United States. American Journal of Obstetrics and Gynecology, 188, 1305–1309.PubMedCrossRef

11.

Tikkanen, M., Nuutila, M., Hiilesmaa, V., Paavonen, J., & Ylikorkala, O. (2006). Clinical presentation and risk factors of placental abruption. Acta Obstetricia et Gynecologica Scandinavica, 85, 700–705.PubMedCrossRef

12.

Marbury, M. C., Linn, S., Monson, R., Schoenbaum, S., Stubblefield, P. G., & Ryan, K. J. (1983). The association of alcohol consumption with outcome of pregnancy. American Journal of Public Health, 73, 1165–1168.PubMedCrossRef

13.

Halmesmäki, E. (1988). Alcohol counselling of 85 pregnant problem drinkers: Effect on drinking and fetal outcome. British Journal of Obstetrics and Gynaecology, 95, 243–247.PubMedCrossRef

14.

Yang, Q., Wen, S. W., Phillips, K., Oppenheimer, L., Black, D., & Walker, M. C. (2009). Comparison of maternal risk factors between placental abruption and placenta previa. American Journal of Perinatology, 26, 279–286.PubMedCrossRef

15.

Kramer, M. S., Usher, R. H., Pollack, R., Boyd, M., & Usher, S. (1997). Etiologic determinants of abruptio placentae. Obstetrics and Gynecology, 89, 221–226.PubMedCrossRef

16.

Ananth, C. V., Demissie, K., Smulian, J. C., & Vintzileos, A. M. (2003). Placenta previa in singleton and twin births in the United States, 1989 through 1998: A comparison of risk factor profiles and associated conditions. American Journal of Obstetrics and Gynecology, 188, 275–281.PubMedCrossRef

17.

Rasmussen, S., Albrechtsen, S., & Dalaker, K. (2000). Obstetric history and the risk of placenta previa. Acta Obstetricia et Gynecologica Scandinavica, 79, 502–507.PubMedCrossRef

18.

Iyasu, S., Saftlas, A. K., Rowley, D. L., Koonin, L. M., Lawson, H. W., & Atrash, H. K. (1993). The epidemiology of placenta previa in the United States, 1979 through 1987. American Journal of Obstetrics and Gynecology, 168, 1424–1429.PubMed

19.

Sheiner, E., Shoham-Vardi, I., Hallak, M., Hershkowitz, R., Katz, M., & Mazor, M. (2001). Placenta previa: Obstetric risk factors and pregnancy outcome. The Journal of maternal-fetal medicine, 10, 414–419.PubMed

20.

Martin, J., Curtin, S., Saulnier, M., & Mousavi, J. (2003). Development of the matched multiple birth file. 1995–1998 matched multiple birth dataset. NCHS CD-ROM series 21, no. 13a. Hyattsville, MD: National Center for Health Statistics.

21.

Kensmodel, U., Wisborg, K., Olsen, S. F., Henriksen, T. B., & Secher, N. J. (2002). Moderate alcohol intake during pregnancy and risk of stillbirth and death in the first year of life. American Journal of Epidemiology, 155, 305–312.CrossRef

22.

Herman, A. A., McCarthy, B. J., Bakewell, J. M., et al. (1997). Data linkage methods used in maternally-linked birth and infant death surveillance data sets from the United States (Georgia, Missouri, Utah and Washington State), Israel, Norway, Scotland and Western Australia. Paediatric and Perinatal Epidemiology, 11, 5–22.PubMedCrossRef

23.

Aliyu, M. H., Wilson, R. E., Zoorob, R., et al. (2009). Prenatal alcohol consumption and fetal growth restriction: potentiation effect by concomitant smoking. Nicotine & Tobacco Research, 11, 36–43.CrossRef

24.

Alexander, G. R., Himes, J. H., Kaufman, R. B., Mor, J., & Kogan, M. (1996). A United States national reference for fetal growth. Obstetrics and Gynecology, 87, 163–168.PubMedCrossRef

25.

Taffel, S., Johnson, D., & Heuser, R. (1982). A method of imputing length of gestation on birth certificates. Vital and Health Statistics. Series 2, Data Evaluation and Methods Research, 93, 1–11.PubMed

26.

Alexander, G. R., & Cornely, D. A. (1987). Prenatal care utilization: Its measurement and relationship to pregnancy outcome. American Journal of Preventive Medicine, 3, 243–253.PubMed

27.

Alexander, G. R., & Kotelchuck, M. (1996). Quantifying the adequacy of prenatal care: A comparison of indices. Public Health Reports, 111(5), 408–418.PubMed

28.

Clayton, D., & Hills, M. (1993). Statistical models in epidemiology. Oxford: Oxford University Press.

29.

Ananth, C. V., Smulian, J. C., & Vintzileos, A. M. (2003). The effect of placenta previa on neonatal mortality: A population-based study in the United States, 1989 through 1997. American Journal of Obstetrics and Gynecology, 188, 1299–1304.PubMedCrossRef

30.

Naeye, R. L. (1989). Pregnancy hypertension, placental evidences of low uteroplacental blood flow, and spontaneous premature delivery. Human Pathology, 20, 441–444.PubMedCrossRef

31.

Ylikorkala, O., Halmesmäki, E., & Viinikka, L. (1988). Urinary prostacyclin and thromboxane metabolites in drinking pregnant women and in their infants: Relations to the fetal alcohol effects. Obstetrics and Gynecology, 71, 61–66.PubMed

32.

Jones, P. J., Leichter, J., & Lee, M. (1981). Placental blood flow in rats fed alcohol before and during gestation. Life Sciences, 29, 1153–1159.PubMedCrossRef

33.

Little, R. E., Mandell, W., & Schultz, F. A. (1977). Consequences of retrospective measurement of alcohol consumption. Journal of studies on alcohol, 38, 1777–1780.PubMed

34.

Jacobson, S. W., Chiodo, L. M., Sokol, R. J., & Jacobson, J. L. (2002). Validity of maternal report of prenatal alcohol, cocaine, and smoking in relation to neurobehavioral outcome. Pediatrics, 109, 815–825.PubMedCrossRef

35.

Greene, T., Ernhart, C. B., Martier, S., Sokol, R., & Ager, J. (1990). Prenatal alcohol exposure and language development. Alcoholism, Clinical and Experimental Research, 14, 937–945.PubMedCrossRef

36.

da Costa Pereira, A., Olsen, J., & Ogston, S. (1993). Variability of self reported measures of alcohol consumption: implications for the association between drinking in pregnancy and birth weight. Journal of Epidemiology and Community Health, 47, 326–330.PubMedCrossRef

37.

Verkerk, P. H., Buitendijk, S. E., & Verloove-Vanhorick, S. P. (1994). Differential misclassification of alcohol and cigarette consumption by pregnancy outcome. International Journal of Epidemiology, 23, 1218–1225.PubMedCrossRef

38.

Morgenstern, H., & Thomas, D. (1993). Principles of study design in environmental epidemiology. Environmental Health Perspectives, 101, 23–38.PubMedCrossRef

Title: Alcohol Consumption During Pregnancy and Risk of Placental Abruption and Placenta Previa
Authors: Muktar H. Aliyu
O’Neil Lynch
Philip N. Nana
Amina P. Alio
Roneé E. Wilson
Phillip J. Marty
Roger Zoorob
Hamisu M. Salihu
Publication date: 01-07-2011
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 5/2011
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-010-0615-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Alcohol Consumption During Pregnancy and Risk of Placental Abruption and Placenta Previa

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2011

Does Distance Matter? Access to Family Planning Clinics and Adolescent Sexual Behaviors

Effect of Components of a Workplace Lactation Program on Breastfeeding Duration Among Employees of a Public-Sector Employer

The Great Recession’s Impact on Children

Understanding Exercise Self-Efficacy and Barriers to Leisure-Time Physical Activity Among Postnatal Women

Do Children with Developmental Disabilities and Mental Health Conditions have Greater Difficulty Using Health Services than Children with Physical Disorders?

Recent Immigration and Adverse Pregnancy Outcomes in an Urban Setting in Spain