Table 3

Results of included studies

ResultsStudy
1*23
Martin et al 38 Sarkola et al 40 Terplan et al 41
Outcome typesHealth: maternalSocialHealth: maternal
Outcomes1 Mean duration in prenatal AOD treatment duration (crude):
UIP: 16.3 weeks vs IP: 21.3 weeks (p=0.01)*
Cumulative placement into out-of-home care at less than 2 years of age
UIP: 42.5% vs IP: 24.1% (no p-value provided)†
Crude OR 1.76 (1.25–2.48, p=0.01)
Continued drinking during pregnancy (during the last 3 months of pregnancy)
aOR‡ 1.15 (0.99–1.33)
Outcomes2 Treatment continuation before delivery of a live infant
UIP: 72% vs IP: 82% (p=0.28)
Cox proportional hazard ratio (adjusted) 0.73, p=0.21
Cumulative placement into out-of-home care for more than half their life
UIP: 23% vs IP: 11.2% (no p-value provided)‡
Crude OR 2.06 (1.19–3.45, p=0.021)
Binge drinking during pregnancy
(during the last 3 months of pregnancy)
aOR‡ 1.40 (1.07–1.83)
Summary
Association between outcome and UIPIn pregnant women in opioid treatment programmes, UIPs are associated with:
  • A 5-week reduction in the duration spent in opioid treatment programmes

  • No difference in the likelihood of staying in opioid treatment programmes until birth

In pregnant women with AOD use, UIPs are associated with:
  • 1.76 the odds of the child being placed into out-of-home care by the age of 2 years†

  • Twice the odds of the child being placed into out-of-home care for more than half their life†

In women who drank alcohol in the 3 months prior to pregnancy, unwanted pregnancy, compared with intended and mistimed pregnancies, is associated with:
  • 1.4 the odds of binge drinking, in the final 3 months of pregnancy

  • No difference in continued drinking in the final 3 months of pregnancy

  • *Demographic data obtained from primary study (this study is a secondary analysis).39

  • †Adjustment for confounders not provided.

  • ‡Unwanted vs intended/mistimed pregnancies

  • AOD, alcohol or drugs; aOR, adjusted odds ratio; IP, intended pregnancy; OR, odds ratio; UIP, unintended pregnancy.