Correlates of Multigravida Women's Binge Drinking During Pregnancy

摘要: Objective: To refine our understanding of prenatal psychosocial factors associated with binge drinking during pregnancy and the contribution to duration newborn hospitalization. Design: Prospective cohort. Setting: A large urban medical center in Wisconsin. Participants: One hundred thirty-nine women (106 multigravida) who were invited participate a clinic visit early their third trimester. Measures: Prenatal measures included social support (Maternal Social Support Index), depression (Center for Epidemiologic Studies Depression Scale), stress (Difficult Life Circumstances), substance use (Monitoring Future Substance Use Questionnaire T-ACE Scale [a screen questions about tolerance, annoyance, cutting down, using alcohol as an eye-opener]), maternal-fetal attachment (Maternal-Fetal Attachment Scale). After delivery, mothers' infants' record review form was used. Results: Multigravida pregnant (n=106) older than primigravida (n=33) (25.8±0.6 vs 20.5±0.5 years; P =.001), more children at home (2.3±0.2 1.3±0.3; =.01) less Index, 20.1±0.6 22.9±1.0; =.03). All binge-drinking this sample unmarried multigravida subgroup (17/101 [17%]). Compared did not drink pregnancy, (28.1±1.3 25.1±0.6 =.03) socially isolated 17.2±1.3 20.7±0.7; =.04) likely smoke (82% 39%; =.001). Even after controlling number other important biologic (duration maternal gravidity, racial heritage, education, second trimester, birth weight), by hierarchical multiple linear regression, within last 2 weeks before late second-trimester interview continued explain significant amount variance hospitalization (total R =.48, partial =.04; =.01). Conclusions: This study suggests that is related longer hospitalizations. Effective interventions improve outcome pregnancies abuse should screening provide augmentation support. (Arch Pediatr Adolesc Med. 1995;149:1325-1329)