{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T21:12:00Z","timestamp":1718658720922},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,6,13]],"date-time":"2013-06-13T00:00:00Z","timestamp":1371081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Alcohol use disorders (<jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content>) during pregnancy can have profound lifelong effects on the baby, including fetal alcohol spectrum disorders (<jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content>). Hospital admission for <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> during pregnancy provides an opportunity for intervention. Characterization of women along the <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> spectrum during pregnancy aids the development of prevention strategies, policy, and clinical management guidelines aimed at this population. This study describes the hospital admission levels for <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> between the sixth month before pregnancy and the first year after birth and explores risk factors associated with the hospital admissions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was based on linked population data between 2002 and 2005 using the New South Wales (<jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content>) Midwives Data Collection (<jats:styled-content style=\"fixed-case\">MDC<\/jats:styled-content>) and the <jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content> Admitted Patients Data Collection (<jats:styled-content style=\"fixed-case\">APDC<\/jats:styled-content>), Australia. The study subjects included primiparous mothers who were admitted to hospital in the period from the sixth month before pregnancy to 1\u00a0year after birth with at least 1 of the following diagnoses (<jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">AM<\/jats:styled-content>): mental and behavioral disorders due to the use of alcohol (<jats:styled-content style=\"fixed-case\">MBDA<\/jats:styled-content>) (F10.0\u201310.9); toxic effects of alcohol (T51.0\u201351.9); maternal care for suspected damage to fetus from alcohol (O35.4); or alcohol rehabilitation (Z50.2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 175 new mothers had 287 hospital admissions with the principal or stay <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> diagnoses during the study period in <jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content>. Of the 287 admissions, 181 admissions (63.07%) were reported for an alcohol\u2010related disorder as the principal diagnosis. The hospital admission rate for <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> was 1.76\/1,000 person\u2010years (<jats:styled-content style=\"fixed-case\">PY<\/jats:styled-content>) (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.45 to 2.07) during the 6\u00a0months prepregnancy. The rate decreased to 0.49\/1,000 <jats:styled-content style=\"fixed-case\">PY<\/jats:styled-content> (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.36 to 0.63) during pregnancy and to 0.82\/1,000 <jats:styled-content style=\"fixed-case\">PY<\/jats:styled-content> (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.67 to 0.97) in the first year after birth. Women who smoked during pregnancy, lived in a remote area and were younger than 25\u00a0years, were more likely to be admitted to hospital with <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> diagnoses. Women in the middle disadvantaged quintile and born in other countries were less likely to be admitted to hospital with <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hospital admission for <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> decreased significantly in pregnancy and the first year postpartum compared to the prepregnancy period.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.12138","type":"journal-article","created":{"date-parts":[[2013,6,13]],"date-time":"2013-06-13T15:20:05Z","timestamp":1371136805000},"page":"1706-1712","source":"Crossref","is-referenced-by-count":3,"title":["Hospital Admissions for Alcohol Use Disorders Before, During, and After Pregnancy: A Study Based on Linked Population Data in New South Wales, Australia"],"prefix":"10.1111","volume":"37","author":[{"given":"Fenglian","family":"Xu","sequence":"first","affiliation":[{"name":"National Perinatal Epidemiology and Statistics Unit University of New South Wales (UNSW) Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Bonello","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology and Statistics Unit University of New South Wales (UNSW) Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Burns","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre (NDARC) UNSW Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie\u2010Paule","family":"Austin","sequence":"additional","affiliation":[{"name":"St John of God Health Care &amp; School of Psychiatry UNSW Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhuoyang","family":"Li","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology and Statistics Unit University of New South Wales (UNSW) Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Sullivan","sequence":"additional","affiliation":[{"name":"National Perinatal Epidemiology and Statistics Unit University of New South Wales (UNSW) Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,13]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Socio\u2010Economic Indexes for Areas: Introduction, Use and Future Directions","author":"Adhikari P","year":"2006"},{"key":"e_1_2_7_3_1","volume-title":"Australia's Health 2010","author":"Australian Institute of Health and Welfare","year":"2010"},{"key":"e_1_2_7_4_1","volume-title":"2010 National Drug Strategy 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