204191 Drinking alcohol during pregnancy in Poland - incidences analysed according to geographical area of residence, education and family status of women

Tuesday, November 10, 2009: 1:24 PM

Andrzej Wojtyla, MD, PhD , Chief Sanitary Inspectorate, Warsaw, Poland
Przemyslaw Bilinski, MD, PhD , Chief Sanitary Inspectorate, Warsaw, Poland
Piotr Holownia, PhD , Chief Sanitary Inspectorate, Warsaw, Poland
  
A survey was performed on post-partum women in all 840 hospitals in Poland during one single 24 hour period in obstetrics & neonatal wards. The questionnaire was based on the Pregnancy Risk Assessment Monitoring System (PRAMS) recommended by CDC adapted to Polish conditions. With the aim of being more objective, an additional questionnaire was also undertaken by the treating doctors including additional data from the pregnancy and birth record charts (eg. interview on any previous pregnancies, infant weight, APGAR rating scale, any congenital problems, prematurity, dystrophy etc.). A total of 2300 women took part. Data were analysed statistically according to education, geographical location and family status (eg, single parent, married). The survey demonstrated that alcohol consumption at any time during pregnancy was mainly dependent on women's family status and education with no link to location of residence. The most frequent at-risk behaviour, including drinking, occurred in women either with unplanned pregnancies or in instances of a late diagnosis of pregnancy. Knowledge on the harmful effects of drinking when pregnant was also weak and independent of the studied variables. The authors thereby assert that an educational media campaign be implemented to warn of the dangers of drinking alcohol and smoking during pregnancy. These habits of behaviour are very commonly linked together and don't lend themselves to differentiation between these stimuli in relation to a given hazard.

Learning Objectives:
Describe the performed according to the PRAMS design. Describe those factors associated with the most at-risk behaviours together with a link to smoking. List 2 recommendations for remedial action through educational media campaigns.

Keywords: Pregnancy, Alcohol

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Education 1976 -1980 W. Broniewski High School, Belchatow, passed final exams, 1980-1986 Medical University of Lodz, M.D. medical diploma, 1987-1988 Medical University of Lodz – Training Centre for Academic Personnel 1990 II Clinic of Internal Medicine at the Medical University of Lodz; 1st degree specialization in internal medicine, 1995 Institute of Endocrinology, Lodz Medical University; 2nd degree specialization in internal medicine; PhD in Endocrinology, 1995 European Federation of Endocrine Societies, Switzerland, Geneva 2nd EFES Postgraduate Clinical Endocrinology Course, 1996 European Federation of Endocrine Societies, Italy, Turin 3rd EFES Postgraduate Clinical Endocrinology Course, 1997 European Federation of Endocrine Societies, Poland, Pultusk 4th EFES Postgraduate Clinical Endocrinology Course, 1998- Project HOPE Poland, Cracow 1999 Managerial Personnel for Health Protection in Poland, 1999 Institute of Endocrinology at the Medical University of Lodz; 2nd degree specialization in endocrinology, 2001 National School of Public Administration in Warsaw; Strategic Management, Negotiations, Macroeconomics, 2002 National Defence University, Warsaw Advanced Defence Course, 2004 National Institute of Hygiene – National Centre for Disease Prevention and Control, Warsaw; 2nd degree specialization in public health. Professional experience; 2006 Deputy Chief Sanitary Inspector, 1997-2006 Ministry of Health, Warsaw Deputy Director and Director of the Department of Science and Higher Education, 2004-2005 Institute of Hemathology and Transfusiology in Warsaw, Head of Daycare Unit and Consultant in Endocrinology, 2002-2004 National Institute of Hygiene, Warsaw Deputy Director of National Centre for Disease Prevention and Control, 1997-2003 Teaching Hospital N°3 of Medical University of Lodz, Deputy Head of Regional Centre for Osteoporosis and Menopause, 1990-1997 Teaching Hospital N°3 of Medical University of Lodz, Assistant in the Department of Thyroidology in the Institute of Endocrinology at the Medical University of Lodz, 1992-2001 Teaching Hospital N°3 of Medical University of Lodz, Director of the Prof. T. Pawlikowski Endocrine Research Foundation, 1986-1990 M. Kopernik Regional Specialist Hospital in Lodz Assistant in the II Clinic of Internal Medicine at the Medical University of Lodz. Membership in professional organisations; Polish Society for Endocrinology, Polish Society of Haematology and Transfusion Medicine, Polish Society of Internal Medicine, International Menopause Society. Awards Polish Silver Cross of Merit, Award for “Exemplary involvement in the area of Health Services”, Bronze Medal for Merit for Country Defence, An order of merit awarded by Medical University of Lodz, Jagiellonian University Medal issued at the occasion of 600 anniversary of the University. Golden Award of the Student’s Scientific Society.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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