Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort.

<h4>Background</h4>Alcohol drinking during pregnancy has been well-known to cause the detrimental effects on fetal development; however, the adverse effects of pre-pregnancy drinking are largely unknown. We investigate whether alcohol drinking status before pregnancy is associated with t...

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Main Authors: Seul Koo, Ji Yeon Kim, Ji Hye Park, Gu Seob Roh, Nam Kyoo Lim, Hyun Young Park, Won-Ho Kim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0271291
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author Seul Koo
Ji Yeon Kim
Ji Hye Park
Gu Seob Roh
Nam Kyoo Lim
Hyun Young Park
Won-Ho Kim
author_facet Seul Koo
Ji Yeon Kim
Ji Hye Park
Gu Seob Roh
Nam Kyoo Lim
Hyun Young Park
Won-Ho Kim
author_sort Seul Koo
collection DOAJ
description <h4>Background</h4>Alcohol drinking during pregnancy has been well-known to cause the detrimental effects on fetal development; however, the adverse effects of pre-pregnancy drinking are largely unknown. We investigate whether alcohol drinking status before pregnancy is associated with the risk for macrosomia, an offspring's adverse outcome, in a Korean pregnancy registry cohort (n = 4,542) enrolled between 2013 and 2017.<h4>Methods</h4>Binge drinking was defined as consuming ≥5 drinks on one occasion and ≥2 times a week, and a total 2,886 pregnant, included in the final statistical analysis, were divided into 3 groups: never, non-binge, and binge drinking.<h4>Results</h4>The prevalence of macrosomia was higher in binge drinking before pregnancy than those with never or non-binge drinking (7.5% vs. 3.2% or 2.9%, p = 0.002). Multivariable logistic regression analysis demonstrated an independent association between macrosomia and prepregnancy binge drinking after adjusting for other confounders (adjusted odds ratio = 2.29; 95% CI, 1.08-4.86; p = 0.031). The model added binge drinking before pregnancy led to improvement of 10.6% (95% CI, 2.03-19.07; p = 0.0006) in discrimination from traditional risk prediction models.<h4>Conclusion</h4>Together, binge drinking before pregnancy might be an independent risk factor for developing macrosomia. Intensified intervention for drinking alcohol in women who are planning a pregnancy is important and may help prevent macrosomia.
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spelling doaj.art-06a374b2898040668225092ef8927a462022-12-22T02:06:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01177e027129110.1371/journal.pone.0271291Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort.Seul KooJi Yeon KimJi Hye ParkGu Seob RohNam Kyoo LimHyun Young ParkWon-Ho Kim<h4>Background</h4>Alcohol drinking during pregnancy has been well-known to cause the detrimental effects on fetal development; however, the adverse effects of pre-pregnancy drinking are largely unknown. We investigate whether alcohol drinking status before pregnancy is associated with the risk for macrosomia, an offspring's adverse outcome, in a Korean pregnancy registry cohort (n = 4,542) enrolled between 2013 and 2017.<h4>Methods</h4>Binge drinking was defined as consuming ≥5 drinks on one occasion and ≥2 times a week, and a total 2,886 pregnant, included in the final statistical analysis, were divided into 3 groups: never, non-binge, and binge drinking.<h4>Results</h4>The prevalence of macrosomia was higher in binge drinking before pregnancy than those with never or non-binge drinking (7.5% vs. 3.2% or 2.9%, p = 0.002). Multivariable logistic regression analysis demonstrated an independent association between macrosomia and prepregnancy binge drinking after adjusting for other confounders (adjusted odds ratio = 2.29; 95% CI, 1.08-4.86; p = 0.031). The model added binge drinking before pregnancy led to improvement of 10.6% (95% CI, 2.03-19.07; p = 0.0006) in discrimination from traditional risk prediction models.<h4>Conclusion</h4>Together, binge drinking before pregnancy might be an independent risk factor for developing macrosomia. Intensified intervention for drinking alcohol in women who are planning a pregnancy is important and may help prevent macrosomia.https://doi.org/10.1371/journal.pone.0271291
spellingShingle Seul Koo
Ji Yeon Kim
Ji Hye Park
Gu Seob Roh
Nam Kyoo Lim
Hyun Young Park
Won-Ho Kim
Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort.
PLoS ONE
title Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort.
title_full Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort.
title_fullStr Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort.
title_full_unstemmed Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort.
title_short Binge alcohol drinking before pregnancy is closely associated with the development of macrosomia: Korean pregnancy registry cohort.
title_sort binge alcohol drinking before pregnancy is closely associated with the development of macrosomia korean pregnancy registry cohort
url https://doi.org/10.1371/journal.pone.0271291
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