Preconception interventions to reduce the risk of alcohol‐exposed pregnancies: A systematic review
In: Alcoholism: Clinical and Experimental Research, Jg. 45 (2021-12-01), Heft 12, S. 2414-2429
serialPeriodical
Zugriff:
The preconception period provides a unique opportunity to optimize the health of women and children. High rates of alcohol use and unintended pregnancies are common across many Western societies, and alcohol‐exposed pregnancies (AEPs) are a possible unintended outcome. The aim of the current study was to evaluate preconception interventions for the prevention of AEPs. A systematic search of four electronic databases (PubMed, Embase, CINAHL, and PsycINFO) was undertaken for relevant peer‐reviewed articles published from 1970 onward. Studies were included if they enrolled women and/or their support networks during the preconception period. Nineteen studies met the inclusion criteria. The majority of studies (n= 14) evaluated CHOICES‐based interventions, which incorporate motivational interviewing approaches to change alcohol and/or contraceptive behavior. The other five interventions included a range of different approaches and modes of delivery. The majority of interventions were successful in reducing AEP risk. Changes in AEP risk were more often driven by changes in contraceptive behavior, although some approaches led to changes in both alcohol and contraceptive behavior. The review indicated that many interventions were efficacious at reducing AEP risk during the preconception period through preventing unplanned pregnancy. The effectiveness estimated from these clinical trials may be greater than that seen in interventions when implemented in practice where there is a lack of blinding and greater attrition of participants during follow‐up. Further research investigating the real‐world effectiveness of these intervention approaches implemented across a wide range of clinical settings would be beneficial. The preconception period provides an important opportunity to enhance the health of women, and their future offspring. The current review aimed to summarize all the available interventions focused on prevention of alcohol‐exposed pregnancies during the preconception period. Nineteen studies met the inclusion criteria. The majority of studies were successful in reducing alcohol‐exposed pregnancy risk, with reductions in risk more often due to changes in contraceptive behavior, although some interventions led to changes in both contraceptive and alcohol use behavior.
Titel: |
Preconception interventions to reduce the risk of alcohol‐exposed pregnancies: A systematic review
|
---|---|
Autor/in / Beteiligte Person: | Reid, Natasha ; Schölin, Lisa ; Erng, May Na ; Montag, Annika ; Hanson, Jessica ; Smith, Lesley |
Zeitschrift: | Alcoholism: Clinical and Experimental Research, Jg. 45 (2021-12-01), Heft 12, S. 2414-2429 |
Veröffentlichung: | 2021 |
Medientyp: | serialPeriodical |
ISSN: | 0145-6008 (print) ; 1530-0277 (print) |
DOI: | 10.1111/acer.14725 |
Sonstiges: |
|