Committee opinion no. 496: At-risk drinking and alcohol dependence: obstetric and gynecologic implications.
Committee opinion no. 496: At-risk drinking and alcohol dependence: obstetric and gynecologic implications.
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DOI：
10.1097/aog.0b013e31822c9906
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发表时间：
2011-08-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
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作者：
与男子相比，妇女使用危险酒精对她们的健康和生活，包括生殖功能和妊娠结果产生了不成比例的影响。妇产科医生在筛查和提供简短的干预、患者教育以及为饮酒危险水平的患者提供治疗转诊方面发挥着关键作用。对于身体上没有酒精成瘾的妇女，临床医生可以有效地使用简短干预和动机性访谈等工具，并将其纳入办公室访问。对于孕妇和那些有怀孕风险的人来说，重要的是妇产科医生要给出令人信服和明确的建议，避免饮酒，为实现戒酒提供帮助，或为需要帮助的妇女提供有效的避孕措施。卫生保健提供者应建议妇女，在怀孕早期少量饮酒并不是终止妊娠的指征。
Compared with men, at-risk alcohol use by women has a disproportionate effect on their health and lives, including reproductive function and pregnancy outcomes. Obstetrician-gynecologists have a key role in screening and providing brief intervention, patient education, and treatment referral for their patients who drink alcohol at risk levels. For women who are not physically addicted to alcohol, tools such as brief intervention and motivational interviewing can be used effectively by the clinician and incorporated into an office visit. For pregnant women and those at risk of pregnancy, it is important for the obstetrician-gynecologist to give compelling and clear advice to avoid alcohol use, provide assistance for achieving abstinence, or provide effective contraception to women who require help. Health care providers should advise women that low-level consumption of alcohol in early pregnancy is not an indication for pregnancy termination.