The role of prenatal alcohol exposure in abruptio placentae

dc.contributor.authorDu Toit, M. M.
dc.contributor.authorSmith, M.
dc.contributor.authorOdendaal, H. J.
dc.date.accessioned2013-09-03T08:06:48Z
dc.date.available2013-09-03T08:06:48Z
dc.date.issued2010-12
dc.descriptionThe original publication is available at http://www.samj.org.zaen_ZA
dc.description.abstractObjective. To investigate the association between preconception and prenatal alcohol use and abruptio placentae. Methods. A case-control study of women with the clinical diagnosis of abruptio placentae, 65 cases and 66 controls, at Tygerberg Academic Hospital, Western Cape, South Africa. Women in whom a retroplacental blood clot, covering at least 15% of the placental surface, was found at delivery at 24 weeks’ gestation or later were asked to complete a timeline follow-back questionnaire to determine their alcohol intake 12 and 3 months before and during pregnancy. The same questionnaire was administered to a control group of high-risk women who had no antepartum haemorrhage. Outcome. Women who drank alcohol 12 months before conception were more than 4 times more likely to develop abruptio placentae than the control group (odds ratio (OR) 4.49, p=0.00009). Women who drank alcohol 3 months prior to conception were 3 times more likely to develop abruptio placentae than the control group (OR 3.06, p=0.003). Drinking alcoholic beverages during pregnancy carried a more than 3 times greater risk of developing abruptio placentae (OR 3.52, p=0.0006). In the study group, women consumed a mean of 13.6, 12.0 and 11.2 standard drinks in a typical week at 12 and 3 months before and during pregnancy, respectively. The study group demonstrated a binge-drinking pattern, with two to four sessions per month. Conclusion. An association was found between preconception and prenatal consumption of alcohol and abruptio placentae.en_ZA
dc.description.versionPublishers' Versionen_ZA
dc.format.extent4 p.
dc.identifier.citationDu Toit, M. M., Smith, M. & Odendaal, H. J. 2010. The role of prenatal alcohol exposure in abruptio placentae. South African Medical Journal, 100(12):832-835.en_ZA
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/85395
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Group (HMPG)en_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectAlcoholism in pregnancyen_ZA
dc.subjectAbruptio placentaeen_ZA
dc.titleThe role of prenatal alcohol exposure in abruptio placentaeen_ZA
dc.typeArticleen_ZA
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