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Reproductive Health
Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Research

Warning about drinking during pregnancy: lessons from the French experience

Authors: Agnès Dumas, Stéphanie Toutain, Catherine Hill, Laurence Simmat-Durand

Published in: Reproductive Health | Issue 1/2018

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Abstract

Background

In France, since 2007, there is a compulsory warning recommending abstinence during pregnancy on every container of alcohol. Awareness of this warning, which consists of a small pictogram, is unknown. The aim of this study was to assess awareness of the warning and risk perceptions about prenatal drinking in pregnant and postpartum women.

Methods

A cross-sectional survey was carried out by telephone five years after the introduction of the warning label. A total of 3603 pregnant or postpartum French women participated. A quota sampling method was used to ensure the sample reflected the population. Multivariate analyses examined the characteristics associated with knowledge of risks and with awareness of the warning label.

Results

The warning label had been noticed by 66.1% of women and 77.3% of drinkers. Of those who had noticed the warning, 98.6% thought that it suggested abstinence. Overall, 40.8% of the women thought that spirits were more harmful than wine or beer, and 8.9% thought that drinking beer was recommended for lactation.

Conclusion

Awareness of the warning is high but knowledge about the risks associated with wine and beer is poor.

Practice Implications

Future information campaigns should educate women about standard drinks and their pure alcohol equivalent. They should emphasize the risks associated with drinking during breastfeeding.
Literature
1.
2.
Patra J, Bakker R, Irving H, Jaddoe VW, Malini S, Rehm J. Dose-response relationship between alcohol consumption before and during pregnancy and the risks of low birthweight, preterm birth and small for gestational age (SGA)-a systematic review and meta-analyses. BJOG. 2011;118:1411–21.CrossRefPubMedPubMedCentral
3.
4.
Henderson J, Gray R, Brocklehurst P. Systematic review of effects of low-moderate prenatal alcohol exposure on pregnancy outcome. BJOG. 2007;114:243–52.CrossRefPubMed
5.
Mamluk L, Edwards HB, Savovic J, Leach V, Jones T, Moore THM, Ijaz S, Lewis SJ, Donovan JL, Lawlor D, et al. Low alcohol consumption and pregnancy and childhood outcomes: time to change guidelines indicating apparently 'safe' levels of alcohol during pregnancy? A systematic review and meta-analyses. BMJ Open. 2017;7:e015410.CrossRefPubMedPubMedCentral
6.
Little RE, Anderson KW, Ervin CH, Worthington-Roberts B, Clarren SK. Maternal alcohol use during breast-feeding and infant mental and motor development at one year. N Engl J Med. 1989;321:425–30.CrossRefPubMed
7.
Mennella JA. Infants’ suckling responses to the flavor of alcohol in mothers’ milk. Alcohol Clin Exp Res. 1997;21:581–5.PubMed
8.
American Academy of Pediatrics Committee on D. Transfer of drugs and other chemicals into human milk. Pediatrics. 2001;108:776–89.CrossRef
9.
Little RE, Northstone K, Golding J, Team AS. Alcohol, breastfeeding, and development at 18 months. Pediatrics. 2002;109:E72.CrossRefPubMed
10.
Mennella JA. Regulation of milk intake after exposure to alcohol in mothers' milk. Alcohol Clin Exp Res. 2001;25:590–3.PubMedPubMedCentral
11.
12.
Skagerstrom J, Chang G, Nilsen P. Predictors of drinking during pregnancy: a systematic review. J Women’s Health (Larchmt). 2011;20:901–13.CrossRef
13.
Little RE, Grathwohl HL, Streissguth AP, McIntyre C. Public awareness and knowledge about the risks of drinking during pregnancy in Multnomah County, Oregon. Am J Public Health. 1981;71:312–4.CrossRefPubMedPubMedCentral
14.
Peadon E, Payne J, Henley N, D'Antoine H, Bartu A, O'Leary C, Bower C, Elliott EJ. Women's knowledge and attitudes regarding alcohol consumption in pregnancy: a national survey. BMC Public Health. 2010;10:510.CrossRefPubMedPubMedCentral
15.
Fox SH, Brown C, Koontz AM, Kessel SS. Perceptions of risks of smoking and heavy drinking during pregnancy: 1985 NHIS findings. Public Health Rep. 1987;102:73–9.PubMedPubMedCentral
16.
Dossou G, Gallopel-Morvan K, Diouf JF. The effectiveness of current French health warnings displayed on alcohol advertisements and alcoholic beverages. Eur J Pub Health. 2017;27:699–704.CrossRef
17.
Lelong N, Kaminski M, Chwalow J, Bean K, Subtil D. Attitudes and behavior of pregnant women and health professionals towards alcohol and tobacco consumption. Patient Educ Couns. 1995;25:39–49.CrossRefPubMed
18.
Kesmodel U, Schioler Kesmodel P. Drinking during pregnancy: attitudes and knowledge among pregnant Danish women, 1998. Alcohol Clin Exp Res. 2002;26:1553–60.CrossRefPubMed
19.
Titran M, Gratias L. A sa santé ! Pour une prise de conscience des dangers de l'alcool pendant la grossesse. Paris: Albin-Michel; 2005.
20.
Giglia R, Binns C. Alcohol and breastfeeding : what do austrialan mothers know ? Asia Pac J Clin Nutr. 2007;16:473–7.PubMed
21.
Hammer R, Inglin S. I don't think it's risky, but...: pregnant women's risk perceptions of maternal drinking and smoking. Health, Risk and Society. 2014;16:22–35.CrossRef
22.
Meurk CS, Broom A, Adams J, Hall W, Lucke J. Factors influencing women's decisions to drink alcohol during pregnancy: findings of a qualitative study with implications for health communication. BMC Pregnancy Childbirth. 2014;14:246.CrossRefPubMedPubMedCentral
23.
Douglas M. Constructive drinking. Perspectives on drink from anthropology. Cambridge: The Press Syndicate of the University of Cambridge; 1987.
24.
Azar D, White V, Bland S, Livingston M, Room R, Chikritzhs T, Durkin S, Gilmore W, Wakefield M. ‘Something’s brewing’: the changing trends in alcohol coverage in Australian newspapers 2000-2011. Alcohol Alcohol. 2014;49:336–42.CrossRefPubMed
25.
Toutain S. Abstinence pendant la grossesse. Ce qu'en disent les femmes en France. Alcoologie et Addictologie. 2009;31:107–14.
26.
Richard J-B, Beck F. Tendances de long terme des consommations de tabac et d'alcool en France. Bulletin Epidémiologique Hebdomadaire. 2016;7-8:126–33.
27.
Delaisi De Parseval G, Lallemand S. L’art d’accommoder les bébés. Paris: Odile Jacob; 2001.
28.
Wigg S, Stafford LD. Health warnings on alcoholic beverages: perceptions of the health risks and intentions towards alcohol consumption. PLoS One. 2016;11:e0153027.CrossRefPubMedPubMedCentral
29.
Ross C, Chia-Ling W. The links between education and health. Am Sociol Rev. 1995;60:719–45.CrossRef
30.
Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Aff (Millwood). 2002;21:60–76.CrossRef
31.
Frohlich KL, Potvin L. Transcending the known in public health practice: the inequality paradox: the population approach and vulnerable populations. Am J Public Health. 2008;98:216–21.CrossRefPubMedPubMedCentral
32.
Abel EL. Prevention of alcohol abuse-related birth effects--I. Public education efforts. Alcohol Alcohol. 1998;33:411–6.CrossRefPubMed
33.
Anderson AE, Hure AJ, Kay-Lambkin FJ, Loxton DJ. Women’s perceptions of information about alcohol use during pregnancy: a qualitative study. BMC Public Health. 2014;14:1048.CrossRefPubMedPubMedCentral
34.
Diekman ST, Floyd RL, Decoufle P, Schulkin J, Ebrahim SH, Sokol RJ. A survey of obstetrician-gynecologists on their patients' alcohol use during pregnancy. Obstet Gynecol. 2000;95:756–63.PubMed
35.
Anderson BL, Dang EP, Floyd RL, Sokol R, Mahoney J, Schulkin J. Knowledge, opinions, and practice patterns of obstetrician-gynecologists regarding their patients' use of alcohol. J Addict Med. 2010;4:114–21.CrossRefPubMed
36.
37.
Régnier-Loilier A, Leridon H. La loi Neuwirth quarante ans après : une révolution inachevée? Population et sociétés. 2007;439:1–4.
Metadata
Title
Warning about drinking during pregnancy: lessons from the French experience
Authors
Agnès Dumas
Stéphanie Toutain
Catherine Hill
Laurence Simmat-Durand
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0467-x

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