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Implications for practice and research
Women with an alcohol-use disorder should be identified and offered supportive antenatal care services and treatment.
Alcohol-use disorder is associated with lifestyle and parenting styles that contribute to an increased risk of infant death; the prevention of and effective management of alcohol abuse has the potential of reducing infant deaths, particularly sudden infant death syndrome (SIDS).
Future research should include alcohol-related diagnosis in fathers and compare associations between maternal and paternal alcohol-related diagnosis and infant mortality in order to disentangle environmental factors from direct intrauterine effects of alcohol consumption on infant and child development.
Previous studies on prenatal exposure to alcohol and infant survival have reported conflicting results. This is in part because outcome definitions vary across studies, for example, deaths in the perinatal period, within the first week, month or year of life and including all causes of …
Competing interests None.
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