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A comparison cohort of infants born to mothers without an alcohol diagnosis was frequency matched on maternal age, year of birth of the offspring, and Aboriginal status (non\u2010Aboriginal <jats:italic>n<\/jats:italic>\u00a0=\u00a040\u00a0148; Aboriginal <jats:italic>n<\/jats:italic>\u00a0=\u00a020\u00a0643).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Poisson regression\u2010generated adjusted relative risk (a<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>) and 95% confidence intervals (95% CIs) for small for gestational age (<jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content>), preterm birth, and low\u2010Apgar score, calculated separately for non\u2010Aboriginal and Aboriginal infants of mothers with an alcohol diagnosis recorded during pregnancy and any alcohol diagnosis. Population\u2010attributable fractions were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The a<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> for non\u2010Aboriginal infants when a maternal alcohol diagnosis was recorded during pregnancy ranged from 1.79 (95% CI 1.42\u20132.16) for <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content> to 2.57 (95% CI 1.69\u20134.27) for preterm birth &lt;32\u00a0weeks of gestation, and for Aboriginal infants ranged from 2.69 (95% CI 2.28\u20133.16) to 1.99 (95% CI 1.40\u20132.84), respectively. The highest population\u2010atributable fractions were for any alcohol diagnosis and for Aboriginal infants. For Aboriginal births, approximately 9% (95% CI 4.74\u201312.97) and 10.1% (95% CI 5.50\u201314.49) of moderate and very preterm births, respectively, and 24.4% (95% CI 13.5\u201321.2%) of SGAs were attributable to having a mother with any alcohol\u2010related diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Mothers with an alcohol diagnosis are at increased risk of poor pregnancy outcomes. The public health impact of maternal alcohol\u2010use disorders on fetal outcomes is significant.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12983","type":"journal-article","created":{"date-parts":[[2014,8,19]],"date-time":"2014-08-19T07:01:14Z","timestamp":1408431674000},"page":"795-804","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Pregnancy outcomes of mothers with an alcohol\u2010related diagnosis: a population\u2010based cohort study for the period 1983\u20132007"],"prefix":"10.1111","volume":"122","author":[{"given":"VM","family":"Srikartika","sequence":"first","affiliation":[{"name":"Centre for Population Health Research Curtin University Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CM","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Division of Population Sciences Telethon Kids Institute University of Western Australia Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,19]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Australian Guidelines to Reduce Health Risks from Drinking Alcohol","author":"National Health and Medical Research Council","year":"2009"},{"key":"e_1_2_7_3_1","volume-title":"Antenatal Care: Routine Care for the Healthy Pregnancy Woman","author":"National Institute for Health and Clinical Excellence","year":"2008"},{"key":"e_1_2_7_4_1","unstructured":"United States Surgeon General.Advisory on alcohol use in pregnancy.United States Department of Health & Human Services.2005[www.surgeongeneral.gov\/pressreleases\/sg02222005.html]. 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