The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
ALCOHOL, SMOKING, AND INCIDENCE OF SPONTANEOUS ABORTIONS IN THE FIRST AND SECOND TRIMESTER
Abstract
32,019 women completed a questionnaire on alcohol use at their first antenatal visit; thereafter they were followed to assess the incidence of spontaneous abortions. 51.7% reported drinking no alcohol in early pregnancy; 44.7% had less than 1 drink daily; and 2.4, 0.4, and 0.1% had an average of 1-2, 3-5, or more than 6 drinks respectively. Life-table analysis showed that the age-adjusted relative risks of second-trimester losses (15-27 weeks) were 1.03 (not significant: ns), 1.98 (p < .01), and 3.53 (p < .01) for women taking less than 1, 1-2, and more than 3 drinks daily, compared with non-drinkers. The corresponding relative risks for first-trimester losses (5-14 weeks) were 1.12 (ns), 1.15(ns), and 1.15(ns). Smokers had relative risks of 1.01(ns) and 1.21(ns) in the first and second trimesters, compared with non-smokers. The increased risk of second-trimester miscarriage in drinkers was not explained by age, parity, race, marital status, smoking, or the number of previous spontaneous or induced abortions. Thus alcohol may harm human fetuses not only when it is abused but also when taken in moderation.
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Studies on sporadic miscarriage have shown associations with smoking, alcohol and caffeine.
“Studies on sporadic miscarriage have shown associations with smoking, 25,158 alcohol 26,159 and caffeine.27,160,161”
From Recurrent MiscarriageGreen‐top Guideline No. 17 (2023) · cites this paper as [159]
Citations
Cites
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Flagged first, then by citations
Research works printed but not linked: 2
- Harlap, 1975, Characteristics of pregnant women reporting previous induced abortion, Bull WHO, 52, 149
- Chernoff, 1975, A mouse model of the fetal alcohol syndrome, Teratology, 11, 14A
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Lashen, H. (2004) · Human Reproduction · doi:10.1093/humrep/deh277 · Cited by 577
Systematic review of effects of low–moderate prenatal alcohol exposure on pregnancy outcome
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Pineles, B. L., Park, E., & Samet, J. M. (2014) · American Journal of Epidemiology · doi:10.1093/aje/kwt334 · Cited by 387
Alcohol and caffeine consumption and decreased fertility
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MODERATE ALCOHOL INTAKE IN PREGNANCY AND THE RISK OF SPONTANEOUS ABORTION
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Risk factors for miscarriage from a prevention perspective: a nationwide follow-up study
Feodor Nilsson, S., Andersen, P., Strandberg‐Larsen, K., & Nybo Andersen, A. (2014) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12694 · Cited by 192
Recurrent MiscarriageGreen‐top Guideline No. 17
Regan, L., Rai, R., Saravelos, S., Li, T., & the Royal College of Obstetricians and Gynaecologists (2023) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17515 · Cited by 158
Age-specific risk of fetal loss observed in a second trimester serum screening population
Wyatt, P. R., Owolabi, T., Meier, C., & Huang, T. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.06.099 · Cited by 114
Does caffeine and alcohol intake before pregnancy predict the occurrence of spontaneous abortion?
Tolstrup, J. S. (2003) · Human Reproduction · doi:10.1093/humrep/deg480 · Cited by 87
Volume and type of alcohol during early pregnancy and the risk of miscarriage
Avalos, L. A., Roberts, S. C., Kaskutas, L. A., Block, G., & Li, D.-K. (2014) · Substance Use & Misuse · doi:10.3109/10826084.2014.912228 · Cited by 59
Moscrop, A. (2013) · Medical Humanities · doi:10.1136/medhum-2012-010284 · Cited by 50
Campbell, S., Lynch, J., Esterman, A., & McDermott, R. (2011) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2011.00729.x · Cited by 25
Metadata
- Authors
- Harlap, S., & Shiono, P. H.
- Affiliations
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (US)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1980-07
- Volume
- 316
- Issue
- 8187
- Pages
- 173-176
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2054047398
- Cited by
- 367
- References
- 14
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 10 · 2013: 7 · 2012: 13
- FWCI
- 24.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- alcohol consumption in pregnancy, smoking during pregnancy, miscarriage, second-trimester pregnancy loss, early pregnancy loss, fetal alcohol effects, moderate drinking
- MeSH terms
- Abortion, Spontaneous, Adult, Alcohol Drinking, Ethanol, Black or African American, California, Education, Female, Fetus, Humans, Maternal-Fetal Exchange, Parity, Pregnancy, Pregnancy Trimester, First, Pregnancy Trimester, Second, Risk, Smoking, Black People, White People
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