Study protocol: Asking QUestions about Alcohol in pregnancy (AQUA): a longitudinal cohort study of fetal effects of low to moderate alcohol exposure

BMC Pregnancy and Childbirth

Jane Halliday¹  Elizabeth Elliott⁵  Susan Donath⁴  Jeffrey M Craig¹  Cate Nagle⁶  Sharon Lewis¹  Peter Anderson⁴  Della Forster²  Colleen O’Leary³  Evelyne Muggli¹ 

[1] Department of Paediatrics, The University of Melbourne, Parkville 3052, Victoria, Australia;The Royal Women's Hospital, Parkville 3052, Victoria, Australia;Telethon Kids Institute, Perth 6845, Western Australia, Australia;Murdoch Childrens Research Institute, The Royal Children’s Hospital, Parkville, 3052, Victoria, Australia;Paediatrics & Child Health, Children's Hospital Westmead, The University of Sydney, Sydney 2006, New South Wales, Australia;Women’s and Children’s Division, Western Health, St Albans 3021, Victoria, Australia

关键词: Epigenetics;    Genetics;    Child health;    Pregnancy;    Epidemiology;    Cohort studies;    Fetal alcohol spectrum disorders;    Prenatal alcohol exposure;   

Others  :  1125550
DOI  :  10.1186/1471-2393-14-302

 received in 2014-08-12, accepted in 2014-09-01,  发布年份 2014

【 摘 要 】

Background

Despite extensive research, a direct correlation between low to moderate prenatal alcohol exposure (PAE) and Fetal Alcohol Spectrum Disorders has been elusive. Conflicting results are attributed to a lack of accurate and detailed data on PAE and incomplete information on contributing factors. The public health effectiveness of policies recommending complete abstinence from alcohol during pregnancy is challenged by the high frequency of unplanned pregnancies, where many women consumed some alcohol prior to pregnancy recognition. There is a need for research evidence emphasizing timing and dosage of PAE and its effects on child development.

Methods/Design

Asking QUestions about Alcohol (AQUA) is a longitudinal cohort aiming to clarify the complex effects of low to moderate PAE using specifically developed and tested questions incorporating dose, pattern and timing of exposure. From 2011, 2146 pregnant women completed a questionnaire at 8-18 weeks of pregnancy. Further prenatal data collection took place via a questionnaire at 26-28 weeks and 35 weeks gestation. Extensive information was obtained on a large number of risk factors to assist in understanding the heterogeneous nature of PAE effects. 1571 women (73%) completed all three pregnancy questionnaires. A biobank of DNA from maternal and infant buccal cells, placental biopsies and cord blood mononuclear cells will be used to examine epigenetic state at birth as well as genetic factors in the mother and child. Participants will be followed up at 12 and 24 months after birth to assess child health and measure infant behavioural and sensory difficulties, as well as family environment and parenting styles. A subgroup of the cohort will have 3D facial photography of their child at 12 months and a comprehensive developmental assessment (Bayley Scales of Infant & Toddler Development, Bayley-III) at two years of age.

Discussion

Using detailed, prospective methods of data collection, the AQUA study will comprehensively examine the effects of low to moderate alcohol consumption throughout pregnancy on child health and development, including the role of key mediators and confounders. These data will ultimately contribute to policy review and development, health professional education and information about alcohol consumption for pregnant women in the future.

【 授权许可】

   
2014 Muggli et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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