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Protecting the Next Pregnancy: Maternal Drinking and Infant Developmental Outcomes

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Abstract:

Did a brief intervention designed to prevent risk drinking improve developmental outcomes for alcohol-exposed infants and their subsequent siblings? A randomized clinical trial recruited women drinking at risk levels during an index pregnancy and followed them until they delivered a subsequent infant. The Experimental Group (E, n=70) received a brief intervention, the Control Group (C, n=26) received standard clinical care. The Bayley Scale of Infant Development II was administered at 15 months of age. The difference between the developmental age and the chronological age was calculated for MDI and PDI subscales. If the delay was greater than .5 month, the infant was labeled as “delayed = 1.” No delay = 0. If MDI(i) and MDI(s) were both 1, then both index and subsequent infants were delayed on the MDI. The same coding was used for PDI(i) and PDI(s). Three outcomes were predicted using 3 logistic regression equations: MDI(i) and MDI(s) both 1, PDI(i) and PDI(s) both 1, and MDI (i,s), PDI(i,s) all 1. Predictors included Experimental (1=E), any drinking 15 months postpartum (1=yes), and an interaction term of Experimental and drinking at 15 months. Sixteen pairs of siblings were delayed on both MDI(i.s) and PDI(i,s) 11 pairs were delayed on MDI(i,s) only, 10 pairs were delayed on PDI(i,s) only. While 26.2 percent- of the C sibling pairs were delayed on both MDI(i,s) and PDI(i,s), fewer E pairs (12.9 percent-) were delayed on both. Logistic regression revealed a protective, significant effect of being in the Experiment (p <.03 for all equations) for both siblings.

Most Common Document Word Stems:

drink (66), alcohol (61), women (55), pregnanc (42), group (36), experiment (26), delay (25), infant (24), intervent (22), 1 (21), control (21), use (21), index (21), mdi (20), prevent (20), pdi (19), age (19), subsequ (18), development (16), pregnant (16), month (16),

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alcohol
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Hankin, Janet. "Protecting the Next Pregnancy: Maternal Drinking and Infant Developmental Outcomes" Paper presented at the annual meeting of the American Sociological Association, Atlanta Hilton Hotel, Atlanta, GA, Aug 16, 2003 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p107492_index.html>

APA Citation:

Hankin, J. R. , 2003-08-16 "Protecting the Next Pregnancy: Maternal Drinking and Infant Developmental Outcomes" Paper presented at the annual meeting of the American Sociological Association, Atlanta Hilton Hotel, Atlanta, GA Online <.PDF>. 2009-05-26 from http://www.allacademic.com/meta/p107492_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: Did a brief intervention designed to prevent risk drinking improve developmental outcomes for alcohol-exposed infants and their subsequent siblings? A randomized clinical trial recruited women drinking at risk levels during an index pregnancy and followed them until they delivered a subsequent infant. The Experimental Group (E, n=70) received a brief intervention, the Control Group (C, n=26) received standard clinical care. The Bayley Scale of Infant Development II was administered at 15 months of age. The difference between the developmental age and the chronological age was calculated for MDI and PDI subscales. If the delay was greater than .5 month, the infant was labeled as “delayed = 1.” No delay = 0. If MDI(i) and MDI(s) were both 1, then both index and subsequent infants were delayed on the MDI. The same coding was used for PDI(i) and PDI(s). Three outcomes were predicted using 3 logistic regression equations: MDI(i) and MDI(s) both 1, PDI(i) and PDI(s) both 1, and MDI (i,s), PDI(i,s) all 1. Predictors included Experimental (1=E), any drinking 15 months postpartum (1=yes), and an interaction term of Experimental and drinking at 15 months. Sixteen pairs of siblings were delayed on both MDI(i.s) and PDI(i,s) 11 pairs were delayed on MDI(i,s) only, 10 pairs were delayed on PDI(i,s) only. While 26.2 percent- of the C sibling pairs were delayed on both MDI(i,s) and PDI(i,s), fewer E pairs (12.9 percent-) were delayed on both. Logistic regression revealed a protective, significant effect of being in the Experiment (p <.03 for all equations) for both siblings.

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Document Type: .PDF
Page count: 14
Word count: 3421
Text sample:
Protecting the Next Pregnancy: Maternal Drinking and Infant Developmental Outcomes Janet R. Hankin INTRODUCTION A pregnant woman never drinks alone. When she drinks her fetus is exposed to a known teratogen that may cause physical abnormalities and developmental delay. The paper describes a brief intervention designed to prevent drinking during pregnancy and examines its impact on the development of alcohol-exposed infants and their younger siblings. Consequences of Drinking During Pregnancy. Alcohol ingested during pregnancy has a range of consequences
Services 2000a. National Institute on Alcohol Abuse and Alcoholism. Fetal Alcohol Exposure and the Brain. Alcohol Alert 50:1-4. Washington D.C.: U.S. Department of Health and Human Services 2000b. Sokol R.J.; Martier S.S.; Ager J.W. The T-ACE questions: Practical prenatal detection of risk drinking. American Journal of Obstetrics and Gynecology 160:863-871 1989. Stratton K.; Howe C.; Battaglia F. (eds.) Fetal Alcohol Syndrome: Diagnosis Prevention and Treatment. Washington D.C.: National Academy Press 1996. Streissguth Ann. Fetal Alcohol Syndrome: A Guide for


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