{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:17:48Z","timestamp":1778822268530,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Reports indicate that up to 60% of pregnant women in Ireland consume alcohol and Ireland may have the third highest prevalence of fetal alcohol syndrome in the world. We sought objective evidence of alcohol intake and the acceptability of urinary alcohol screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This was a multicenter, prospective study conducted at one urban and two semirural maternity units. Pregnant women at their first visit (\u224813\u2009weeks gestation) were invited to participate. Urinary samples were obtained with individual consent. Samples were anonymized and tested for alcohol and ethyl glucuronide at a central laboratory. The rate of sample positivity for ethanol (at a cut\u2010off of 30\u2009mg\/dL) and ethyl glucuronide (at a cut\u2010off of 500\u2009ng\/mL) was reported. The percentage of women consenting to testing was recorded. Results were compared with previous questionnaire or interview\u2010based studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One thousand fifty\u2010three urine samples were analyzed. None tested positive for ethanol but 4\/1053 (0.38%) contained ethyl glucuronide. Three samples were positive in the urban cohort, 3\/730 (0.41%) and 1\/323 (0.31%) in the semirural centers. Consent was obtained in 96% and 98% in two semirural centers compared to 78% in the urban center (565\/722 vs. 323\/336.\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Acceptability in the urban center depended on who requested consent and varied between 65% and 100% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Consent to participate was significantly higher and detected alcohol use was significantly lower than in previous, interview or questionnaire\u2010based studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Alcohol intake appears to be much less common than previously estimated. The consent rates for urinary alcohol testing are high and are influenced by who is requesting consent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70164","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T04:50:43Z","timestamp":1771390243000},"page":"743-747","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Urinary alcohol and ethyl glucuronide as a screening tool for alcohol use in pregnancy: A multicenter prospective study"],"prefix":"10.1111","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2142-1678","authenticated-orcid":false,"given":"Ciara A.","family":"McCormick","sequence":"first","affiliation":[{"name":"National Maternity Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Mealy","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre National Maternity Hospital, University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Donaghy","sequence":"additional","affiliation":[{"name":"National Drug Treatment Centre  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Gordon","sequence":"additional","affiliation":[{"name":"Wexford General Hospital  Wexford Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Dunn","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre National Maternity Hospital, University College Dublin  Dublin Ireland"},{"name":"Wexford General Hospital  Wexford Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Carroll","sequence":"additional","affiliation":[{"name":"St Lukes's Hospital  Kilkenny Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfonso","family":"Rodriguez\u2010Herrera","sequence":"additional","affiliation":[{"name":"St Lukes's Hospital  Kilkenny Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conrado M.","family":"Cusnaider","sequence":"additional","affiliation":[{"name":"St Lukes's Hospital  Kilkenny Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Ebbitt","sequence":"additional","affiliation":[{"name":"National Drug Treatment Centre  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter A.","family":"McCormick","sequence":"additional","affiliation":[{"name":"Liver Unit St Vincent's University Hospital  Dublin Ireland"},{"name":"Conway Institute University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3477-6494","authenticated-orcid":false,"given":"Fionnuala M.","family":"McAuliffe","sequence":"additional","affiliation":[{"name":"National Maternity Hospital  Dublin Ireland"},{"name":"UCD Perinatal Research Centre National Maternity Hospital, University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-023-00420-x"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.1919"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30021-9"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182a6b226"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006323"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph110202049"},{"key":"e_1_2_14_8_1","volume-title":"Maternal Health Behaviours and Child Growth in 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