Citation

Praestegaard C, Kesmodel PS, Kesmodel US. Acta Obstet. Gynecol. Scand. 2018; 97(4): 483-490.

Affiliation

Institute for Clinical Medicine, University of Copenhagen, Denmark.

Copyright

(Copyright © 2018, John Wiley and Sons)

DOI

10.1111/aogs.13314

PMID

29383707

Abstract

INTRODUCTION: Identification of pregnant alcohol risk drinkers is crucial to prevent adverse birth outcomes. The TWEAK screening instrument has shown promising results for identifying risk drinkers. However, as the effectiveness of the screening questionnaire has only been investigated among American women with mainly low socioeconomic status, we aimed to investigate the ability of TWEAK to identify alcohol risk drinkers among pregnant Danish women. MATERIAL AND METHODS: During 2000, Danish-speaking women referred to the Midwife Centre at Aarhus University Hospital (n = 1554) and Frederica Hospital (n = 499) for routine antenatal care were invited to participate in the study at their first visit. The women were interviewed about their periconceptional and current drinking habits including average weekly alcohol consumption and binge drinking. Additionally, the women were also asked the questions related to TWEAK questionnaire.

RESULTS: We found that the sensitivity of TWEAK to identify periconceptional risk drinking was quite low, whereas TWEAK's ability to identify risk drinkers during pregnancy was marginally higher. Our results suggested that older age (odd ratio 1.46, 95% CI; 0.95 to 2.23), current smoking (odd ratio 2.33, 95% CI; 1.63 to 3.33), being single (odd ratio 2.38, 95% CI; 1.38 to 4.11) and a TWEAK score with a cut off score of ≥1 (odd ratio 2.75, 95% CI; 2.02 to 3.76) increased the risk of high-risk drinking during pregnancy.

CONCLUSIONS: In a Danish setting, TWEAK does not seem as an optimal screening tool to identify periconceptional risk drinkers, but it may be useful in identifying high-risk drinking during pregnancy. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.

Language: en

Keywords

alcohol; binge drinking; brief interventions; brief screening questionnaires; pregnancy