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    The Association between Maternal Alcohol Use in Early Pregnancy and Congenital Cardiac Defects: An Exploratory Study

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    Genre
    Thesis/Dissertation
    Date
    2009
    Author
    Mateja, Walter A. Jr.
    Advisor
    Nelson, Deborah B.
    Committee member
    Segal, Jay S.
    Kroelinger, Charlan
    Ruzek, Sheryl Burt
    Department
    Public Health
    Subject
    Health Sciences, Public Health
    Health Sciences, Epidemiology
    Alcohol
    Binge
    Defect
    Heart
    Infant
    Pregnancy
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/1848
    
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    DOI
    http://dx.doi.org/10.34944/dspace/1830
    Abstract
    Background. Alcohol-use is an identifiable and preventable risk factor among women seeking to become pregnant. Maternal alcohol-use during pregnancy may be related to congenital cardiac defects, one of the leading types of birth defects. Methods. This study used data from the Pregnancy Risk Assessment Monitoring Surveillance (PRAMS), an ongoing national study administered in selected participating states. Alcohol use and other risk factors were obtained from the PRAMS survey linked to birth defects data from birth certificates in 9 participating states over a ten year period (1996-2005). In this study cases included infants born with a congenital cardiac defect as indicated on the birth certificate. Cases were compared to two control groups. One control group consisted of infants with no indication of a congenital abnormality on their birth certificate. A second control group consisted of infants born with Down's syndrome indicated on their birth certificate. Odds ratios for congenital cardiac defects were computed for maternal alcohol use, frequent drinking, binge drinking and continued drinking through logistic regression. Results. Differences were found in the odds of congenital cardiac defects among mothers who reported binge drinking on more than once occasion in the 3 months prior to pregnancy. Maternal binge drinking on multiple occasions was found to be a risk factor for congenital cardiac defects (OR 2.99; CI 1.19-7.51) when nonaffected controls were used as a reference group. Significant interaction between binge drinking and smoking in the 3 months prior to pregnancy was noted with both control groups. Conclusion. Binge drinking in early pregnancy may be a risk factor for congenital cardiac defects, particularly when combined with smoking.
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