Two prenatal alcohol use screening instruments compared with a physiologic measure.
OBJECTIVE
To compare two prenatal alcohol use screening instruments with a physiologic measure of prenatal alcohol use.


METHODS
Retrospective comparison of the Prenatal Alcohol Use Interview (PAUI) and the ACOG Antepartum Record with CDTect.


METHODS
An inner-city, high-volume, prenatal clinic.


METHODS
Fifty-six women selected and enrolled at their first prenatal visits.


METHODS
An assessment of relative sensitivity and specificity of two prenatal alcohol use screening instruments.


RESULTS
Women identified as Drinkers by the CDTect were more likely to be identified as Drinkers by the PAUI (59%) than by the ACOG Antepartum Record (19%). Also, the PAUI had a lower false negative rate (41%) than the ACOG record (80%). That is, the PAUI was less likely to identify as Quitters women the CDTect identified as Drinkers than was the ACOG record.


CONCLUSIONS
The PAUI is a more sensitive screen than the ACOG record and should be the instrument preferred for screening prenatal alcohol use.
Budd
K W
KW
College of Nursing, Kent State University, OH 44242-0001, USA. kbudd@kent.edu
Ross-Alaolmolki
K
K
Zeller
R A
RA
D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control; D000554:Ambulatory Care Facilities; D003625:Data Collection / Q000379:methods; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000451:nursing* / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D007407:Interviews as Topic / Q000379:methods; D008403:Mass Screening / Q000379:methods*; D008499:Medical Records; D008875:Middle Aged; D017283:Neonatal Nursing / Q000379:methods*; D010808:Physical Examination; D011247:Pregnancy; D011295:Prenatal Care; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D014168:Transferrin / Q000031:analogs & derivatives* / Q000032:analysis; D014481:United States; D014505:Urban Population
D014168:Transferrin; C056759:carbohydrate-deficient transferrin