/ Comparison of the frequency of positive T-ACE questionnaire among mothers of term and preterm newborns

Authors

  • Inês Maria Crespo Gutierrez Pardo FCMS/PUC-SP
  • Lenita Machado Glass FCMS/PUC-SP
  • Felipe Mendes Oliveira FCMS/PUC-SP
  • Sandra Regina Dantas Nascimento FCMS/PUC-SP
  • Valéria Cristina Ramos Santucci FCMS/PUC-SP
  • José Eduardo Gomes Bueno Miranda FCMS/PUC-SP

Keywords:

questionnaires, alcoholism, smoking, pregnancy, infant premature, newborn.

Abstract

ABSTRACT
Objectives: the objectives of this study were to verify the frequency of positively T-ACE questionnaire during pregnancy of mothers of preterm newborns comparing to the term birth ones and to evaluate the association of alcohol consume referred by the questionnaires with maternal and paternal smoking. Methods: observational and cross-sectional study, with sequential recruitment of 142 puerperal women in a public maternity hospital. An interview had been applied, in order to collect clinical and socio demographical data, and the T-ACE questionnaire. The term and preterm newborn were measured (weight, length and cranial perimeter) at birth. The study was approved by the local ethical committee and the women's participation was made by signing a free and explained consent term. The analysis of the data was made by using SPSS program, with significance level of 5%. Results: 21.1% of the women interviewed were considered consumers of alcohol by the T-ACE questionnaire. When divided between mothers of term and preterm births, it was noticed that 21% of positive T-ACE test were from the term group and 21.3% from the preterm group (p = 0.98). There was a significant association between the T-ACE questionnaire positivity and mother -father smoking during pregnancy (p = 0.04). Conclusions: approximately two out of ten pregnant women have tested positive T-ACE, with no difference between the group of term and preterm births. The association between the alcohol and smoke during pregnancy suggests the importance of the T-ACE questionnaire, considering that these two agents potentiate adverse effects on the fetus.

Downloads

Download data is not yet available.

Author Biographies

Inês Maria Crespo Gutierrez Pardo, FCMS/PUC-SP

Professora do Depto. de Medicina FCMS/PUC-SP

Lenita Machado Glass, FCMS/PUC-SP

Acadêmica do curso de Medicina FCMS/PUC-SP

Felipe Mendes Oliveira, FCMS/PUC-SP

Acadêmico do curso de Medicina FCMS/PUC-SP

Sandra Regina Dantas Nascimento, FCMS/PUC-SP

Professora do Depto. de Medicina FCMS/PUC-SP

Valéria Cristina Ramos Santucci, FCMS/PUC-SP

Professora do Depto. de Medicina FCMS/PUC-SP

José Eduardo Gomes Bueno Miranda, FCMS/PUC-SP

Professor do Depto. de Medicina FCMS/PUC-SPa

References

Jones KL, Smith DW. Recognition of the fetal alcohol syndrome in early pregnancy. Lancet. 1973;ii:999-1001.

Hoyme HE, May PA, Kalberg WO, Kodituwakku P, Gossage JP, Trujillo PM, et al. A practical approach to diagnosis of fetal alcohol spectrum disorders: clarification of the 1996 Institute of Medicine criteria. Pediatrics. 2005;115(1):39-47.

Chaudhuri JD. Alcohol and developing fetus: a review. Med Sci Monit. 2000;6(5):1031-41.

Riley EP, Thomas JD, Goodlett CR, Klintsova AY, Greenough WT, Hungund BL, et al. Fetal alcohol effects: mechanisms and treatment. Alcohol Clin Exp Res. 2001;25(5 Suppl ISBRA):110S-6.

Dawson DA, Das A, Faden VB, Bhaskar B, Krulewitch CJ, Wesley B. Screening for high- and moderate risk drinking during pregnancy: a comparison of several TWEAK-based screeners. Alcohol Clin Exp Res. 2001;25(9):1342-9.

Abel EL. What really causes FAS? Teratology. 1999;59:4-6.

Godel JC, Pabst HF, Hodges PE, Johnson KE, Froese GJ, Joffres MR. Smoking and caffeine and alcohol intake during pregnancy in a northern population: effect on fetal growth. CMAJ. 1992;147:181-8.

Kline J, Levin B, Stein Z, Susser M, Warburton D. Epidemiologic detection of low dose effects on developing fetus. Environ Health Perspect. 1981;42:119-26.

Kaup ZOL, Merighi MAB, Tsunechiro MA. Avaliação do consumo de bebida alcoólica durante a gravidez. Rev Bras Ginecol Obstet. 2001;23(9):575-80.

Sokol RJ, Martier SS, Ager JW. The T-ACE questions: practical prenatal detection of risk drinking. Am J Obstet Gynecol. 1989;160(4):863-8.

Fabri CE. Desenvolvimento e validação de instrumento para rastreamento do uso nocivo de álcool durante a gravidez (T-ACE) [dissertação]. Ribeirão Preto: Universidade de São Paulo; 2001.

Chang G, Wilkins-Haug L, Berman S, Goetz MA, Behr H, Hiley A. Alcohol use and pregnancy: improving identification. Obstet Gynecol.1998;91(6):892-8.

Grinfeld H, Goldenberg S, Segre CA, Chadi G. Fetal alcohol syndrome in São Paulo, Brazil. Paediatr Perinatal Epidemiol. 1999;13(4):496-7.

Souza GT, Rodrigues MC, Ciavaglia MC. Análise do grau de conhecimento da populaçäo sobre a teratogenia do álcool e a conduta de enfermagem. Rev Bras Enferm. 1996;49(2):287-304.

Associação Brasileira de Estudos Populacionais. Critério padrão de classificação econômica Brasil/2008 [Internet] [acesso em 31 mar. 2012]. Disponível em: http://www.viverbem.fmb.unesp.br/docs/classificaçãobrasil.pdf.

Passini Júnior R. Alcohol consumption during pregnancy. Rev Bras Ginecol. 2005;27(7):373-5.

Freire TM, Machado JC, Melo EV, Melo DG. Efeitos do consumo de bebida alcoólica sobre o feto. Rev Bras Ginecol Obstet. 2005;27(7):376-81.

O'Connor MJ, Kasari C. Prenatal alcohol exposure and depressive features in children. Alcohol Clin Exp Res. 2000;24(7):1084-92.

Sampson PD, Bookstein FL, Barr HM, Streissguth AP. Prenatal alcohol exposure, birthweight, and measures of child size from birth to age 14 years. Am J Public Health. 1994;84(9):1421-8.

Jacobson JL, Jacobson SW, Sokol RJ, Martier SS, Ager JW, Shankaran S. Effects of alcohol use, smoking and illicit drug use on fetal growth in black infants. J Pediatr. 1994;124(5):757-64.

Beratis NG, Varvarigou A, Markri M, Vagenakis AG. Increased levels and positive correlation between erythropoietin and hemoglobin concentrations in newborn children of mothers who are smoking. J Pediatr. 1994;124:480-2.

Lindblad A, Marsal K, Andersson K. Effect of nicotine on human fetal blood flow. Obstet Gynecol. 1988;72:371-82.

Mesquita MA, Segre, CAM. Frequência dos efeitos do álcool no feto e padrão de consumo de bebidas alcoólicas pelas gestantes de maternidade pública da cidade de São Paulo. Rev Bras Crescimento Desenvolv Hum. 2009;19(1):63-77.

May PA, Gossage P, Brooke LE, Hons BA, Snell CL, Marais AS. Maternal risk factors for fetal alcohol syndrome in the Western Cape Province of South Africa: a population-based study. Am J Public Health. 2005;95(7):1190-9.

Olegard R, Sabel KG, Aronsson M, Sandin B, Johansson PR, Carlsson C. Effects on the child of alcohol abuse during pregnancy. Retrospective and prospective studies. Acta Paediatr Scand Suppl. 1979;68:112-21.

Published

2013-12-16

How to Cite

1.
Pardo IMCG, Glass LM, Oliveira FM, Nascimento SRD, Santucci VCR, Miranda JEGB. / Comparison of the frequency of positive T-ACE questionnaire among mothers of term and preterm newborns. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2013Dec.16 [cited 2024Jul.18];15(4):105-8. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/10436

Issue

Section

Original Article