Table 1

Methodology of included studies

General informationStudy
1*23
Martin et al 38 Sarkola et al 40 Terplan et al 41
Type of publicationPeer-reviewed publicationPeer-reviewed publicationPeer-reviewed publication
Research question(s)To compare treatment continuation and duration (in opioid treatment programmes) before delivery of a live infant in women with UIP vs IPTo identify risk factors for children being placed into out-of-home careTo examine the relationship between pregnancy intention and continued drinking, or binge drinking, in last 3 months of pregnancy
PopulationPregnant women in opioid treatment programmePregnant women in specialised AOD antenatal care services (mix of types of AOD)Postpartum women who drank alcohol in the 3 months prior to pregnancy
Methodology
Study designProspective cohort studyRetrospective cohort studyRetrospective cohort study
Study settingRecruited in antenatal period from AOD treatment clinicsAntenatal datasets and paediatric datasetsRecruited in postpartum period from PRAMS telephone survey
Geographical regionNorth America (USA and Canada) and Europe (Austria)Europe (Finland)North America (33 USA states)
Time period of recruitment4 May 2005 to 31 October 20081992 to 20012004 to 2008
Timing of recording of pregnancy intentionDuring pregnancyDuring pregnancyRetrospective (after pregnancy)
Reporting of AOD use/SUDAddiction severity index as a measure of impairment. Overall AOD intake not reportedAOD use recorded in maternal records pre-conception, during pregnancy and postpartum. Alcohol use recorded as daily, weekly, less than daily. Opioid use recorded as ‘regular’ (daily or weekly)
Urine toxicology results recorded
Self-reported using retrospective recall during the 3 months prior to pregnancy and final 3 months of pregnancy for:
  • Average number of standard alcohol drinks per week drinking

  • Any binge drinking episodes (five or more standard drinks at a time)

Tools used to assess UIPNon-validated screening questionnaire Categorised: intended/unintended Unintended subgroups: mistimed, ambivalent or unwantedDichotomous: intended/unintendedFour-point questions. Reclassified into intended/mistimed or unwanted
Total number of participants17562695 728
  • *Demographic data obtained from primary study (this study is a secondary analysis).39

  • AOD, alcohol or other drugs; IP, intended pregnancy; PRAMS, Pregnancy Risk Assessment Monitoring System; SUD, substance use disorder; UIP, unintended pregnancy.