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WFSBP* and IAWMH** Guidelines for the treatment of alcohol use disorders in pregnant women

Published on Jan 2, 2019in World Journal of Biological Psychiatry 4.04
· DOI :10.1080/15622975.2018.1510185
Florence Thibaut22
Estimated H-index: 22
(Paris V: Paris Descartes University),
Abdeslam Chagraoui4
Estimated H-index: 4
(French Institute of Health and Medical Research)
+ 8 AuthorsKim Yonkers (Wellbeing of Women)
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Abstract
AbstractObjectives: These practice guidelines for the treatment of alcohol use disorders during pregnancy were developed by members of the International Task Force of the World Federation of Societies of Biological Psychiatry and the International Association for Women’s Mental Health.Methods: We performed a systematic review of all available publications and extracted data from national and international guidelines. The Task Force evaluated the data with respect to the strength of evidence for the efficacy and safety of each medication.Results and Discussion: There is no safe level of alcohol use during pregnancy. Abstinence is recommended. Ideally, women should stop alcohol use when pregnancy is planned and, in any case, as soon as pregnancy is known. Detecting patterns of alcohol maternal drinking should be systematically conducted at first antenatal visit and throughout pregnancy. Brief interventions are recommended in the case of low or moderate risk of alcohol use. Low doses of benzodiazepines, for ...
  • References (205)
  • Citations (7)
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References205
Newest
Published on Feb 1, 2018in Journal of Neurology, Neurosurgery, and Psychiatry 8.27
Barbara Mostacci11
Estimated H-index: 11
,
Elisabetta Poluzzi6
Estimated H-index: 6
(UNIBO: University of Bologna)
+ 2 AuthorsPaolo Tinuper38
Estimated H-index: 38
(UNIBO: University of Bologna)
We undertook a population-based study to assess the comparative risk of spontaneous abortions, terminations of pregnancy (TOPs), major birth defects (MBDs), preterm births and small for gestational age (SGA) infants following intrauterine antiepileptic drug (AED) exposure in the Emilia Romagna region, Northern Italy (4 million inhabitants) over a 3-year period (2009–2011). The study was approved by the Local Ethical Committee and authorised by the Hospital Management Executive. Data were obtaine...
Published on Feb 1, 2018in Addiction 6.85
Clément Palpacuer4
Estimated H-index: 4
(French Institute of Health and Medical Research),
Renan Duprez1
Estimated H-index: 1
+ 4 AuthorsFlorian Naudet12
Estimated H-index: 12
(Stanford University)
BACKGROUND AND AIMS: Pharmacologically controlled drinking in the treatment of alcohol dependence or alcohol use disorders (AUDs) is an emerging concept. Our objective was to explore the comparative effectiveness of drugs used in this indication. DESIGN: Systematic review with direct and network meta-analysis of double-blind randomized controlled trials (RCTs) assessing the efficacy of nalmefene, naltrexone, acamprosate, baclofen or topiramate in non-abstinent adults diagnosed with alcohol depen...
Published on Dec 1, 2017in BMC Medicine 8.29
Areti Angeliki Veroniki15
Estimated H-index: 15
(St. Michael's Hospital),
Elise Cogo14
Estimated H-index: 14
(St. Michael's Hospital)
+ 12 AuthorsBrian Hutton48
Estimated H-index: 48
(Ottawa Hospital Research Institute)
Abstract Background Pregnant women with epilepsy frequently experience seizures related to pregnancy complications and are often prescribed anti-epileptic drugs (AEDs) to manage their symptoms. However, less is known about the comparative safety of AED exposure in utero. We aimed to compare the risk of congenital malformations (CMs) and prenatal outcomes of AEDs in infants/children who were exposed to AEDs in utero through a systematic review and Bayesian random-effects network meta-analysis. Me...
Published on Nov 1, 2017in JAMA Psychiatry 15.92
Kimberly A. Yonkers50
Estimated H-index: 50
(Yale University),
Kathryn Gilstad-Hayden7
Estimated H-index: 7
(Yale University)
+ 1 AuthorsHeather S. Lipkind19
Estimated H-index: 19
(Yale University)
Importance Registry data show that maternal panic disorder, or anxiety disorders in general, increase the risk for adverse pregnancy outcomes. However, diagnoses from registries may be imprecise and may not consider potential confounding factors, such as treatment with medication and maternal substance use. Objective To determine whether panic disorder or generalized anxiety disorder (GAD) in pregnancy, or medications used to treat these conditions, are associated with adverse maternal or neonat...
Published on Nov 1, 2017in European Neuropsychopharmacology 4.47
Andrew Thompson8
Estimated H-index: 8
(University of Liverpool),
Lynn Owens7
Estimated H-index: 7
(University of Liverpool)
+ 1 AuthorsMunir Pirmohamed79
Estimated H-index: 79
(University of Liverpool)
Abstract The popularity of baclofen as an anti-craving agent in the treatment of alcohol use disorders (AUDs) has increased, especially in patients with established liver disease. However, evidence-based guidelines to inform practice are lacking. The aim of this systematic review is explore the prescribing practices of baclofen in AUD treatment. Electronic databases were searched for relevant articles from 2002. Assessment of eligibility criteria for inclusion was performed independently by two ...
Published on Aug 1, 2017in Women and Birth 2.08
Ann-Charlotte Mårdby10
Estimated H-index: 10
(University of Gothenburg),
Angela Lupattelli13
Estimated H-index: 13
(University of Oslo)
+ 1 AuthorsHedvig Nordeng28
Estimated H-index: 28
(University of Oslo)
Abstract Background Although single-country studies indicate alcohol consumption among some pregnant European women, it is difficult to interpret European differences. Few multinational studies exist using the same methodology. Aim To estimate the proportion of women consuming alcohol during pregnancy in Europe, and to analyze whether between country variations could be explained by sociodemography and smoking. Methods An anonymous online questionnaire was accessible for pregnant women and new m...
Published on Jul 1, 2017in Journal of Psychiatric Research 3.92
S. Lamy3
Estimated H-index: 3
,
Benjamin Hennart6
Estimated H-index: 6
+ 6 AuthorsFlorence Thibaut22
Estimated H-index: 22
(Paris V: Paris Descartes University)
Abstract Prenatal psychoactive substance exposure has significant impact on neonatal health and child development and the development of reliable biomarkers is critical. Meconium presents several advantages for detecting prenatal exposure to psychoactive substances, as it is easy to collect and provides a broad time frame of exposure (third trimester). The aim of our study was to compare the prevalence of alcohol, tobacco and/or cannabis use during the third trimester of pregnancy (using materna...
Published on Jul 1, 2017in Drugs 4.99
Erin Kelty6
Estimated H-index: 6
(UWA: University of Western Australia),
Gary K. Hulse36
Estimated H-index: 36
(UWA: University of Western Australia)
Background Naltrexone may provide a suitable alternative to methadone and buprenorphine in the treatment of pregnant opioid-dependent women; however, little is known about its effects on neonatal morbidity and mortality.
Published on Apr 1, 2017in Preventive Medicine 3.45
Sehun Oh4
Estimated H-index: 4
(University of Texas at Austin),
Jennifer M. Reingle Gonzalez11
Estimated H-index: 11
(University of Texas at Austin)
+ 2 AuthorsDiana M. DiNitto14
Estimated H-index: 14
(University of Texas at Austin)
Abstract Alcohol and tobacco use during pregnancy are among the strongest and most preventable risk factors for adverse neonatal health outcomes, but few developmentally sensitive, population-based studies of this phenomenon have been conducted. To address this gap, the present study examined the prevalence and correlates of alcohol and tobacco use among pregnant adolescents (aged 12–17) and adults (aged 18–44) in the United States. Data were derived from the population-based National Survey of ...
Published on Mar 1, 2017in The Lancet Global Health 15.87
Svetlana Popova34
Estimated H-index: 34
,
Shannon Lange14
Estimated H-index: 14
(U of T: University of Toronto)
+ 2 AuthorsJürgen Rehm101
Estimated H-index: 101
Summary Background Alcohol use during pregnancy is the direct cause of fetal alcohol syndrome (FAS). We aimed to estimate the prevalence of alcohol use during pregnancy and FAS in the general population and, by linking these two indicators, estimate the number of pregnant women that consumed alcohol during pregnancy per one case of FAS. Methods We began by doing two independent comprehensive systematic literature searches using multiple electronic databases for original quantitative studies that...
Cited By7
Newest
Published on Oct 5, 2018in Archives of Womens Mental Health 2.35
Reda Boukakiou , Nine Glangeaud-Freudenthal10
Estimated H-index: 10
(Paris V: Paris Descartes University)
+ 2 AuthorsFlorence Gressier13
Estimated H-index: 13
Pregnancy in women with mental disorders is increasingly common. The aim of this study was to determine, in women with severe mental illnesses, whether a prenatal episode was related to neonatal complications and if a specific disorder was associated with a higher risk. A population of infants and their mothers (n = 1439) jointly admitted to psychiatric Mother-Baby Units in France and Belgium (2001–2010) was assessed respectively for prematurity, low birth weight (LBW), hospitalization in neonat...
Published on Jul 11, 2019in European Child & Adolescent Psychiatry 3.74
Florence Gressier2
Estimated H-index: 2
(Université Paris-Saclay),
Aurélie Letranchant + 2 AuthorsAnne-Laure Sutter-Dallay11
Estimated H-index: 11
Prenatal maternal depression is associated with developmental disorders in offspring. However, the specific effects of the intensity of prenatal depressive symptoms on infant behavior remain poorly explored. The aim of this work is to explore the links between early neonatal behavior and maternal prenatal depressive symptoms, independently from maternal pre- and postnatal anxiety and early postnatal maternal depressive symptoms. Five hundred and ninety-eight women and their newborns from the MAT...
Published on Apr 1, 2019in Archives of Womens Mental Health 2.35
S. Lamy3
Estimated H-index: 3
,
Estelle Houivet11
Estimated H-index: 11
(University of Rouen)
+ 5 AuthorsFlorence Thibaut25
Estimated H-index: 25
Tobacco and/or alcohol use during pregnancy is a major public health concern. The aim of our study was to identify risk factors associated to maternal alcohol and tobacco use assessed by maternal self-reports combined with biological measurements in meconium samples of cotinine and ethylglucuronide which reflect fetal exposure to tobacco and alcohol, respectively, during the 3rd trimester of pregnancy. We conducted a prospective study in three maternity hospitals in a large urban area during con...
Published on Jun 1, 2018in European Archives of Psychiatry and Clinical Neuroscience 3.19
Florence Thibaut22
Estimated H-index: 22
(Paris V: Paris Descartes University)
Europe is the heaviest drinking and smoking region in the world. Tobacco and alcohol use are gradually increasing in women with a close prevalence of tobacco and heavy alcohol use in girls and boys. Pharmacokinetics and pharmacodynamics differences, reward process specificities and female hormones play a major role in gender differences in addictive behaviors. Therefore, health consequences differ according to gender. Further research is needed on gender differences in addiction. Information, ed...