Authors: Holly Vo Diana Cheng Tina L Cheng Kamila B Mistry
Publish Date: 2016/07/29
Volume: 20, Issue: 11, Pages: 2328-2335
Abstract
Objective To describe associated perinatal behaviors among women using fertility treatment Methods Data were obtained for 12197 Maryland women who delivered live neonates from 2004 to 2011 and completed the Pregnancy Risk Assessment Monitoring System survey postpartum We conducted weighted descriptive and multivariable analyses Results Among 1368 women using fertility treatments 284 did not take folic acid daily 1 month before pregnancy 581 consumed alcohol 160 were binge drinking and 75 smoked 3 months before pregnancy and 129 consumed alcohol and 37 smoked during pregnancy Additionally among those who consumed alcohol and smoked before pregnancy 360 and 257 respectively reported not receiving prenatal counseling about alcohol use and smoking Lack of counseling for these women was higher than for women with unintended pregnancies who consumed alcohol 360 vs 263 P 001 or smoked 257 vs 150 P 001 Women using fertility treatments were less likely to have inadequate folic acid intake adjusted odds ratio aOR 014 95 confidence interval CI 010–018 consume alcohol aOR 052 95 CI 040–069 and smoke aOR 035 95 CI 021–059 before pregnancy and no statistically significant differences were found during pregnancy for alcohol consumption aOR 089 95 CI 059–133 or smoking aOR 064 95 CI 028–145 compared to women with unintended pregnancies Conclusion A significant proportion of women using fertility treatments were not practicing recommended perinatal behaviors or receiving prenatal counseling on preventable risk factors Ongoing counseling before and during pregnancy may be especially effective for optimizing healthy behaviors among these motivated women undergoing often stressful treatments for fertility
Keywords: