Changes in drinking patterns during and after pregnancy among mothers of children with fetal alcohol syndrome: A study in three districts of South Africa
Abstract
Background Mixed ancestry populations in South Africa have amongst the highest rates of fetal alcohol syndrome (FAS) worldwide. Defining the drinking patterns of women with a FAS child guides FAS preventive interventions.Methods Data were drawn from FAS prevalence surveys conducted in three districts: Witzenberg (Cape Winelands), Frances Baard (inland mining town) and Saldanha Bay (coastal towns). 156 mothers and 50 proxy informants of school-entry children diagnosed with FAS and partial-FAS were interviewed, and compared with 55 controls recruited in Saldanha Bay.Results Study participants were of low socio-economic status (SES), and a majority of children were either in foster care (12%) or had been cared for by relatives for long periods (44%). Of cases, 123/160 (77%) reported current drinking, similar between sites. During pregnancy, only 35% (49/139) of cases had stopped drinking, varying between sites (from 21% to 54% in chronological order of surveys; p<0.001), while 6% (7/109) increased drinking. Though many women who stopped in pregnancy resumed postpartum, cessation in pregnancy was strongly associated with discontinuation in the long run (OR=3.3; 95%CI=1.2-8.9; p=0.005). At interview, 36% of cases (54/151) and 18% of controls (9/51) were at risk of an alcohol-exposed pregnancy (p=0.02). Median maternal mass of cases was 22kg lower than controls, with 20% being underweight and 14% microcephalic.Conclusions Increasing rates of drinking cessation during pregnancy over time suggest rising awareness of FAS. Cessation is associated with recidivism after pregnancy but also with reduced long-term drinking. Interventions should target alcohol abstinence in pregnancy, but extend into the puerperium.
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The maternal interview questionnaire has been used extensively in prevalence studies in South Africa to identify whether children were exposed to alcohol during pregnancy.
“The interview questionnaire has been used extensively in prevalence studies in South Africa to identify whether children were exposed to alcohol during pregnancy [3,31-33].”
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- Authors
- Urban, M. F., Olivier, L., Louw, J. G., Lombard, C., Viljoen, D. L., Scorgie, F., & Chersich, M. F.
- Affiliations
- Stellenbosch University (ZA)
- Foundation for Alcohol Related Research (ZA)
- University of the Witwatersrand (ZA)
- Corresponding author
- Urban, Michael F.
- ORCID
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 168
- Pages
- 13-21
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W2508439821
- Cited by
- 19
- References
- 41
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 1 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 4
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- Departments of Social Development in the Northern and Western Cape Provinces
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- fetal alcohol syndrome, maternal alcohol consumption, pregnancy, alcohol cessation, alcohol-exposed pregnancy, maternal underweight, microcephaly, admixed populations, South Africa
- MeSH terms
- Adult, Alcohol Drinking, Drinking Behavior, Female, Humans, Infant, Infant, Newborn, Mothers, Pregnancy, Risk Factors, Social Class, South Africa, Prevalence, Postpartum Period, Fetal Alcohol Spectrum Disorders, Alcohol Abstinence
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