Two Prenatal Alcohol Use Screening Instruments Compared With a Physiologic Measure
Article first published online: 28 JUL 2006
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 29, Issue 2, pages 129–136, March 2000
How to Cite
Budd, K. W., Ross-Alaolmolki, K. and Zeller, R. A. (2000), Two Prenatal Alcohol Use Screening Instruments Compared With a Physiologic Measure. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 29: 129–136. doi: 10.1111/j.1552-6909.2000.tb02032.x
- Issue published online: 1 AUG 2006
- Article first published online: 28 JUL 2006
- Accepted: September 1999
- Carbohydrate-deficient transferrin;
- Fetal alcohol prevention;
- Prenatal alcohol use
Objective: To compare two prenatal alcohol use screening instruments with a physiologic measure of prenatal alcohol use.
Design: Retrospective comparison of the Prenatal Alcohol Use Interview (PAUI) and the ACOG Antepartum Record with CDTect.
Setting: An inner-city, high-volume, prenatal clinic.
Participants: Fifty-six women selected and enrolled at their first prenatal visits.
Main Outcome Measure: 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.
Conclusion: The PAUI is a more sensitive screen than the ACOG record and should be the instrument preferred for screening prenatal alcohol use.