Aims

This study aimed to examine the feasibility of a web-based questionnaire when collecting information on alcohol consumption in pregnancy to identify women with risk drinking behaviour, and to describe factors associated with risk drinking behaviour, and the use of specialized care for prenatal risk drinking.

Methods

In 2413 women referred to antenatal care at Odense University Hospital, Denmark, April–October 2018, self-reported alcohol intake was retrieved from a web-based questionnaire. Replies were screened for risk drinking behaviour: current intake of ≥7 drinks/week, ≥3 binge drinking episodes (intake of ≥5 drinks on a single occasion) in pregnancy, binge drinking after recognition of pregnancy and/or a TWEAK-score ≥ 2 points. Women with risk drinking behaviour were called to clarify the need for specialized care. A summary of the interview was obtained from the medical records.

Results

Overall, 2168 (90%) completed the questionnaire. Of 2097 women providing information on alcohol intake, 77 (4%) had risk drinking behaviour. Risk drinking was associated with higher alcohol intake prior to pregnancy, spontaneous conception, younger age, nulliparity and higher level of physical activity in pregnancy. Amongst 47 women with risk drinking behaviour reached by phone, five (11%, 95% CI 4–23%) accepted examinations of the child by paediatrician and child psychologist, and <3 (not further specified due to small numbers) were referred to specialized antenatal care.

Conclusions

A web-based questionnaire was feasible when collecting information on alcohol consumption in pregnancy to identify risk drinking behaviour. Women with risk drinking behaviour had a low acceptance of referral to specialized care.

中文翻译：

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使用基于网络的调查表来识别孕妇的饮酒危险性行为：产前保健中的大规模实施

目的

这项研究旨在检验在收集有关孕妇饮酒信息以识别具有危险饮酒行为的妇女，描述与危险饮酒行为相关的因素以及使用专门护理进行产前危险饮酒时基于网络问卷的可行性。

方法

2018年4月至10月，丹麦欧登塞大学医院的2413名妇女接受了产前检查，从基于网络的调查表中检索了自我报告的酒精摄入量。筛查有风险饮酒行为的答复：怀孕期间目前每周≥7次饮酒，≥3次暴饮暴食（一次摄入≥5次酒），识别出怀孕后暴饮暴食和/或TWEAK得分≥ 2分 呼吁有饮酒行为的女性明确需要专门护理的情况。从医疗记录中获得采访的摘要。

结果

总体而言，有2168（90％）人完成了调查问卷。提供有关饮酒信息的2097名妇女中，有77名（4％）有饮酒行为的危险。高危饮酒与怀孕前较高的酒精摄入量，自然受孕，年龄较小，无产妇以及怀孕期间的体育活动水平较高有关。在通过电话联系到的有饮酒危险的47名妇女中，有五名（11％，95％CI 4-23％）接受了儿科医生和儿童心理学家对孩子的检查，其中<3名（由于人数少而未作进一步说明）专门的产前护理。

结论

当收集有关孕妇饮酒的信息以识别饮酒危险行为时，基于网络的问卷调查是可行的。有饮酒危险的妇女对转诊至专门护理的接受率较低。