Recorded presentation

Leslie E. Lipscomb, MPH¹, Timothy S. Naimi, MD, MPH², Robert D. Brewer, MD, MSPH², and Brenda Colley Gilbert, PhD, MSPH¹. (1) Division of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mailstop K-22, Atlanta, GA 30341, (770) 488-6335, LLipscomb@cdc.gov, (2) Division of Adult and Community Health, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, Mailstop K-47, Atlanta, GA 30341

Background: Unintended pregnancy and binge drinking (having 5 or more alcoholic beverages on one occasion) are each associated with adverse health outcomes for women and children. This study examined the relationship between unintended pregnancy and binge drinking in the 3 months prior to pregnancy (the preconception period). Methods: The authors conducted a study of women with pregnancies resulting in a live birth. Data from 15 states participating in the Pregnancy Risk Assessment Monitoring System (PRAMS) from 1996-2000 were analyzed. Data were collected 2-6 months postpartum using a mailed questionnaire; nonrespondents were followed up by phone. Response rates exceeded 70%. Results: Of 94,527 respondents, 14% reported preconception binge drinking and 43% reported an unintended pregnancy. Compared to women with intended pregnancy, women with unintended pregnancy were more likely to be young, black, less educated, and unmarried. In the preconception period, those with unintended pregnancies were more likely to receive Medicaid, smoke cigarettes, be exposed to physical violence, and report preconception binge drinking (16.2% vs. 11.8%; OR=1.45, 95% CI: 1.36, 1.54). After adjusting for potential confounders, preconception binge drinking was associated with unintended pregnancy for white women (AOR=1.63, 95% CI: 1.49, 1.79), but not for black women (AOR=0.99, 95% CI: 0.81, 1.22). Conclusions: Binge drinking prior to pregnancy was associated with unintended pregnancies resulting in a live birth among white women, but not among black women. Comprehensive interventions to reduce binge drinking may reduce unintended pregnancies, as well as other adverse maternal and pediatric outcomes associated with this behavior.

Learning Objectives:

• Describe the prevalence of preconception binge drinking among women having a live birth in 15 states.
• Describe the prevalence of unintended pregnancy among women having a live birth in 15 states.
• Identify 4 maternal demographic factors associated with unintended pregnancy among women having a live birth in 15 states.
• Identify 3 risky behaviors associated with unintended pregnancy among women having a live birth in 15 states.
• Recognize the importance of reducing preconception binge drinking.

Keywords: Pregnancy, Binge Drinking

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation