INVESTIGADORES
CREMONTE Mariana
congresos y reuniones científicas
Título:
Brief intervention for alcohol use in pregnant women: evidence of newborns health indicators in Argentina
Autor/es:
LICHTENBERGER, ALDANA; CONDE, KARINA; PELTZER, RAQUEL I.; GIMENEZ, PAULA VICTORIA; CREMONTE, MARIANA
Lugar:
Santiago de Chile
Reunión:
Conferencia; 15th annual conference of INEBRIA; 2018
Institución organizadora:
International Network on Brief Interventions for Alcohol & Other Drugs
Resumen:
Background: Alcohol is a teratogen that reaches the fetus through the placenta and increases the risk of fetal death, spontaneous abortions, under birth weight, premature birth, low gestational age, and fetal alcohol spectrum disorders. These consequences are 100% preventable if no alcohol is consumed during pregnancy. The aim of this work was to evaluate the efficacy of a brief intervention (BI) taking newborns health indicators as an objective outcome measure.Materials and methods: We screened 503 pregnant women up to 26 weeks of gestation attending Public Health Centers of the Municipality of General Pueyrredón, Argentina, during 2016. We performed a probabilistic sampling, with random assignment between two groups: alcohol screening and BI or alcohol screening and brief advice (BA). After childbirth, we obtained health indicators from the newborns: birth weight in kilograms, gestational age at birth in weeks, and APGAR score in a range from 1 to 10 (BI group = n = 77; BA group = n = 72). In addition, we included a third control group (EC) of newborns whose mothers did not participate in the alcohol screening groups (n = 150). We compared newborns health indicators from BI, BA and EC groups with each other using the Wilcoxon Ranke Test and the Cliff´s Delta analysis as a measure of effect size. Analyses were performed with the R Project for Statistical Computing, version 3.4.1.Results: We registered statistically significant differences in the birth weight (p