Talk:Alcohol and pregnancy

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 30 August 2018 and 6 December 2018. Further details are available on the course page. Student editor(s): Jessicaatwiki, Patel4r5, Nehamalhotra805.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 17:04, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 30 August 2021 and 21 September 2021. Further details are available on the course page. Student editor(s): Jmaru24, Db156, Rho r11n.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 17:04, 17 January 2022 (UTC)

More resources

More up-to-date resources on this topic can be found with the help of the following searches:

• Cochrane Women's Health search
• World Heath Organization
• All PebMed Resources
  • PebMed Books
• Australian Government Department of Health
• CDC
• Medline
• All PebMed Resources
  • PebMed Books
• American Congress of Obstetricians and Gynecologists
• WomensHealth
• International Federation of Gynecology and Obstetrics
• Royal College of Obstetricians and Gynealogists
• Maternal Health, Health Department of California
• Breasthealth.org
• American Journal of Obstetrics & Gynecology
• Google Scholar Review Articles

Peer review for UCSF Medical School Edits Fall 2021

NP: Great job on refining the intro and sections of medications, alcohol during pregnancy and epidemiology. I really like the inclusion of many statistics, details behind mechanisms of action for medications, and the objective and informative descriptions in the intro. The information seems accurate, posed objectively, and comes from reliable sources that are cited. One section that may still benefit from more edits is the treatment portion--there may be others that people would be interested in.

K: Good work! You've done a great job filling in the intro, making the treatment options clear, and elaborating on the epidemiology. There is one sentence in the epidemiology section that might use a little clarification: "Congenital abnormalities caused by alcohol consumption may be up to 1% in many places."

AA: Very clear writing that is informative and digestible. I appreciate how the introduction gives a preview to the following sections and highlights why it is essential to discuss alcohol in pregnancy. Similar to NP's point, adding more information about behavioral treatments in the treatment section would make the page even better. Also in the first sentence of the treatment section you could use more gender inclusive language saying "a person may elect to discontinue alcohol once they know they are pregnant. A person can have....".

Peer Review for Public Health Course

For starters, I think looking into use of some images are graphs can help nicely summarize some data collected within the article. However, more content to display in the graph may need to be researched. Within the treatment heading, there could be some discussion about conditions in early life that could be the result of the alcohol use during pregnancy. Also, there could be more elaboration on the disorders already listed, such as microcephaly. A topic that is often brought up with toxicants during pregnancy is the critical time points, and some research discussing critical points and alcohol use in pregnancy could be really interesting. Overall, a more diverse discussion of the subject could be expanded, which would encapsulate the literature and development of some policies and education surrounding the public health efforts surrounding the topic.

Wiki Education course for PH7020 Braunrs (talk) 03:07, 30 October 2018 (UTC)braunrs

Our group is planning to add more details in this article about the effects of alcohol on developing fetus during pregnancy. We will mention about various effects of alcohol before, during and after pregnancy. — Preceding unsigned comment added by Patel4r5 (talk • contribs) 23:59, 16 November 2018 (UTC) My group and I are planning to make edits to the article by adding information on effects of alcohol consumption by the pregnant women on the child during pregnancy and after birth. — Preceding unsigned comment added by Nehamalhotra805 (talk • contribs) 00:15, 17 November 2018 (UTC)

Thanks for your efforts to improve this article. Please review WP:MEDRS and WP:MEDMOS before you start to edit live. If you are not sure that an edit is appropriate, please post it first here on the talk page and speak with your instructors. I just removed a small section added on binge drinking so you can find an appropriate source to support evidence that you add to Wikipedia. Primary studies are not reliable as per WP:MEDRS. Please reach out to your instructors or online helpers before adding more if you are not sure! Thanks. JenOttawa (talk) 01:14, 17 November 2018 (UTC)

Thank you for your help Jen. Just had a quick question for you. Will it be fine if I include systemic reviews on binge drinking? — Preceding unsigned comment added by Patel4r5 (talk • contribs) 01:21, 17 November 2018 (UTC)

Thanks for following up so quickly Patel4r5. Yes, systematic reviews are acceptable (as long as from a reputable journal) See WP:MEDRS guideline: Here isa quote from the guideline. Hope this helps. "Ideal sources for biomedical information include: review articles (especially systematic reviews) published in reputable medical journals; academic and professional books written by experts in the relevant fields and from respected publishers; and guidelines or position statements from national or international expert bodies. Primary sources should generally not be used for medical content – as such sources often include unreliable or preliminary information, for example early in vitro results which don't hold in later clinical trials."

Thanks again for all your efforts to improve the article. JenOttawa (talk) 01:25, 17 November 2018 (UTC)

I appreciate your help. I will look for the ideal sources you just mentioned. Thank you for guiding me through my mistakes. — Preceding unsigned comment added by Nehamalhotra805 (talk • contribs) 00:15, 17 November 2018 (UTC)

I found a systemic review and meta analysis that says that alcohol during pregnancy increases the risk of acute myeloid leukemia in developing fetus. It is also evident that alcohol during pregnancy significantly increases the risk of acute myeloid leukemia in developing fetus. Children specially of the age group 5-9 years were affected. No significant association was found in older children. Acute myeloid leukemia was specifically significantly related to women who consumed wine. http://cebp.aacrjournals.org/content/19/5/1238 — Preceding unsigned comment added by Patel4r5 (talk • contribs) 02:03, 17 November 2018 (UTC)

Recent student contribution

Thank you for working to improve the article. Please see the comment to your peer above and speak with your instructor. JenOttawa (talk) 01:28, 17 November 2018 (UTC)

Drinking before pregnancy

Drinking is harmful for women before pregnancy.

A woman who plans to get a baby should avoid alcohol consumption as early as possible. If a mother has alcohol intake before she gets pregnant, her child is more likely to be born with potentially high blood sugar and the risk of developing diabetes will be increased with the growth of her child. Women who have more than one drink per day increase the risk of early miscarriage, especially for IVF patients. During the first weeks babies grow very fast, even before the mothers know they are pregnant. Crucial organs such as heart and eye start growing in the first weeks which are very sensitive and critical periods in human development. Therefore, it would be safer to stop drinking if you are trying to conceive. It is suggested to stop drinking during the second half of the cycle, after women have ovulated. The reason is women might be get pregnant during that time. Alcohol not only influences women but also has impact on men. It influences the quality of sperm and takes longer time for women who plans to get pregnant.

@Ian (Wiki Ed) and Ricky Leung: Could an instructor from the course please review the recent edits to this article? They are in need of copy editing, and some of the new content added is repeated info from the embryology paragraph that needs to be blended together into a heading that is appropriate under [WP:MEDMOS]. I will try to return to help clean it up, but there is significant work to do. Thanks! JenOttawa (talk) 01:00, 26 November 2018 (UTC)

References

Editing Work Plan

Editing Team: Rho r11n; Db156

Initial analysis of the article: Redundant, many vague statements, citing poor evidence source, does not introduce discussion of substance use disorder treatment in “Treatment” section, does not introduce high prevalence of alcohol consumption in pregnancy and in people of child bearing age until end of article, does not accurately convey the true state of poor understanding in medical literature surrounding the risk of alcohol consumption during pregnancy/early pregnancy.

What will be added: -Greatly expand section on tx for alcohol use in pregnancy -Add information on prevalence of alcohol consumption in pregnancy and child bearing age to introduction. Link to epidemiology of alcohol use wikipedia page -Alter language to more clearly describe current understanding (more drinks, and continued drinking to later stages of gestation have been associated with higher risk of developmental abnormality and still birth). --Alter language to more clearly explain that recommendation to abstain from alcohol during pregnancy is due to unknown safety levels, and that people should attempt alcohol cessation as soon as they find out they are pregnant or begin planning to become pregnant.

What will be removed: Treatment for FAS

What will be augmented: Link epidemiology of alcohol use wikipedia page in Epidemiology section

What coverage will be decreased: Treatment of FAS and FADS

Project roles:

Rho r11n--researcher/editor for Treatment, Signs and Symptoms

Db156--researcher/editor for Introduction, Epidemiology, Alcohol During Pregnancy

Rho r11n (talk) 02:34, 4 September 2021 (UTC)