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Brief intervention: maternal alcohol counseling May improve development in older siblings.(Obstetrics)

OB GYN News

| April 15, 2004 | Sullivan, Michele G. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

NEW ORLEANS -- A brief intervention designed to reduce drinking during a second pregnancy not only improved developmental outcomes for those infants, but for their older siblings as well. Janet R. Hankin, Ph.D., said in a poster presentation at the annual meeting of the Society for Maternal-Fetal Medicine.

Sibling pairs of children born to women who received the intervention were half as likely to experience developmental delays as sibling pairs of women who received standard prenatal counseling about alcohol consumption. The finding is a ray of hope for physicians struggling to help patients reduce their drinking during pregnancy, said Dr. Hankin of Wayne State University, Detroit.

"This kind of thing is simple, it doesn't take a long time to do, and it benefits not only the new baby but the older child as well," she said.

Dr. Hankin's study group consisted of women who drank at risk levels during their index pregnancy (more than 2 ounces of absolute alcohol per week). About 84% of the women were black; their mean age at delivery of the index child was 25 years. All of them delivered their index infant at Hutzel Women's Hospital in Detroit between 1993 and 1995.

Six weeks after delivery, the women were randomized to an experimental group (70 women) or control group (26 women). The control group received standard care, which included counseling that they could have a healthier baby if they cut down on alcohol consumption. The experimental group received counseling that included a discussion about the alcoholic content of various beverages, asking the women if they wanted to set a goal of cutting down or abstaining from alcohol, and negotiating limits of ...

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Source: HighBeam Research, Brief intervention: maternal alcohol counseling May improve...

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