General information | Study | ||
1* | 2 | 3 | |
Martin et al 38 | Sarkola et al 40 | Terplan et al 41 | |
Type of publication | Peer-reviewed publication | Peer-reviewed publication | Peer-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 IP | To identify risk factors for children being placed into out-of-home care | To examine the relationship between pregnancy intention and continued drinking, or binge drinking, in last 3 months of pregnancy |
Population | Pregnant women in opioid treatment programme | Pregnant 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 design | Prospective cohort study | Retrospective cohort study | Retrospective cohort study |
Study setting | Recruited in antenatal period from AOD treatment clinics | Antenatal datasets and paediatric datasets | Recruited in postpartum period from PRAMS telephone survey |
Geographical region | North America (USA and Canada) and Europe (Austria) | Europe (Finland) | North America (33 USA states) |
Time period of recruitment | 4 May 2005 to 31 October 2008 | 1992 to 2001 | 2004 to 2008 |
Timing of recording of pregnancy intention | During pregnancy | During pregnancy | Retrospective (after pregnancy) |
Reporting of AOD use/SUD | Addiction severity index as a measure of impairment. Overall AOD intake not reported | AOD 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:
|
Tools used to assess UIP | Non-validated screening questionnaire Categorised: intended/unintended Unintended subgroups: mistimed, ambivalent or unwanted | Dichotomous: intended/unintended | Four-point questions. Reclassified into intended/mistimed or unwanted |
Total number of participants | 175 | 626 | 95 728 |
*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.