{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:41:13Z","timestamp":1787013673520,"version":"build-2736575974"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,2,19]],"date-time":"2013-02-19T00:00:00Z","timestamp":1361232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2013,5]]},"abstract":"\n Objectives<\/jats:title>\n To examine alcohol\u2010use disorders in pregnant women and the extent of under\u2010reporting.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Population\u2010based cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Western Australia.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n \n Women with a birth recorded on the\n W<\/jats:styled-content>\n estern\n A<\/jats:styled-content>\n ustralian\n M<\/jats:styled-content>\n idwives\n N<\/jats:styled-content>\n otification\n S<\/jats:styled-content>\n ystem (1985\u20132006).\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Mothers with an\n I<\/jats:styled-content>\n nternational\n C<\/jats:styled-content>\n lassification of\n D<\/jats:styled-content>\n iseases 9\/10 alcohol\u2010related diagnosis, indicating heavy alcohol consumption, recorded on population\u2010based health datasets (non\u2010\n A<\/jats:styled-content>\n boriginal\n n<\/jats:italic>\n \u00a0=\u00a05839;\n A<\/jats:styled-content>\n boriginal\n n<\/jats:italic>\n \u00a0=\u00a02583) were identified through the\n W<\/jats:styled-content>\n estern\n A<\/jats:styled-content>\n ustralian data\u2010linkage system. This \u2018exposed\u2019 cohort was frequency matched (on maternal age, year of birth of offspring,\n A<\/jats:styled-content>\n boriginal status) with comparison mothers without an alcohol\u2010related diagnosis (non\u2010\n A<\/jats:styled-content>\n boriginal\n n<\/jats:italic>\n \u00a0=\u00a033\u00a0979;\n A<\/jats:styled-content>\n boriginal\n n<\/jats:italic>\n \u00a0=\u00a08005).\n <\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n \n Trends in maternal alcohol diagnoses in relation to pregnancy for non\u2010\n A<\/jats:styled-content>\n boriginal and\n A<\/jats:styled-content>\n boriginal women. The proportion of children diagnosed with fetal alcohol syndrome (FAS) who had a mother with an alcohol diagnosis recorded during pregnancy.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The proportion of\n A<\/jats:styled-content>\n boriginal mothers in\n W<\/jats:styled-content>\n estern\n A<\/jats:styled-content>\n ustralia with an alcohol diagnosis (23.1%) is ten times greater than for non\u2010Aboriginal mothers (2.3%). There has been a six\u2010fold increase in the percentage of non\u2010\n A<\/jats:styled-content>\n boriginal births with a maternal alcohol diagnosis recorded during pregnancy and a 100\u2010fold increase for\n A<\/jats:styled-content>\n boriginal births. Around 70% of the mothers of children diagnosed with\n FAS<\/jats:styled-content>\n did not have an alcohol diagnosis recorded during pregnancy and 18% of the mothers had no record of an alcohol diagnosis.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Maternal alcohol exposure during pregnancy is significantly under\u2010ascertained. Given the severe risks to the fetus from heavy prenatal alcohol exposure, assessment and recording of alcohol use should be routinely undertaken in maternity and other health settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.12167","type":"journal-article","created":{"date-parts":[[2013,2,19]],"date-time":"2013-02-19T13:12:02Z","timestamp":1361279522000},"page":"744-753","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Alcohol\u2010use disorders during and within one year of pregnancy: a population\u2010based cohort study 1985\u20132006"],"prefix":"10.1111","volume":"120","author":[{"given":"CM","family":"O'Leary","sequence":"first","affiliation":[{"name":"Centre for Population Health Research Curtin University Perth WA Australia"},{"name":"Division of Population Sciences Telethon Institute for Child Health Research Centre for Child Health Research University of Western Australia Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Halliday","sequence":"additional","affiliation":[{"name":"Public Health Genetics Genetic Disorders Murdoch Children's Research Institute"},{"name":"Department of Paediatrics University of Melbourne Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Bartu","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences School of Nursing and Midwifery Curtin University Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"D'Antoine","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research Darwin NT Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Bower","sequence":"additional","affiliation":[{"name":"Division of Population Sciences Telethon Institute for Child Health Research Centre for Child Health Research University of Western Australia Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,2,19]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Alcohol Misuse: tackling the UK Epidemic","author":"British Medical Association Board of Science","year":"2008"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2002.10617.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(99)70164-2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2007.00012.x"},{"key":"e_1_2_7_6_1","volume-title":"Alcohol Consumption in Australia: a Snapshot, 2004\u201305","author":"Australian Bureau of Statistics","year":"2006"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.09.871"},{"key":"e_1_2_7_8_1","unstructured":"S Robinson H Harris 2011 Office for National Statistics Wales UK"},{"key":"e_1_2_7_9_1","volume-title":"Drinking in the UK: an Exploration of Trends","author":"Smith L","year":"2009"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2005.06.007"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2005.05.014"},{"key":"e_1_2_7_12_1","volume-title":"Alcohol Needs Assessment Research Project","author":"Drummond C","year":"2005"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340600589677"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02058.x"},{"key":"e_1_2_7_15_1","volume-title":"Alcohol Use Among Pregnant and Nonpregnant Women of Childbearing Age in the United States, 1991\u20132005","author":"Denny CH","year":"2009"},{"key":"e_1_2_7_16_1","volume-title":"Alcohol Use and Pregnancy: an Important Canadian Public Health and Social Issue","author":"Dell CA","year":"2006"},{"key":"e_1_2_7_17_1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1093\/oxfordjournals.alcalc.a044880","article-title":"Drinking and smoking patterns amongst women attending an antenatal clinic \u2013 II. 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