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The preconception period provides a unique opportunity to optimize the health of women and children. High rates of alcohol use and unintended pregnancies are common across many Western societies and alcohol exposed pregnancies (AEPs) are a possible unintended outcome. The aim of the current study published in 2021 was to evaluate preconception interventions for the prevention of AEPs.

Date:
September 2021
Journal name:
Alcoholism Clinical and Experimental Research
Authors:
N Reid, L Schölin, M Erng, A Montag, J Hansen, L Smith
Page last updated 25 November 2021

Prevention approaches specific to prenatal alcohol exposure (PAE) and foetal alcohol spectrum disorder (FASD) have been identified as urgently needed in Australia, including in Aboriginal and Torres Strait Islander communities. However, very little work has aimed to describe and evaluate health promotion initiatives, especially those developed in rural and remote areas. The results of the work in Alice Springs was published in 2021.

Date:
October 2021
Journal name:
Health Promotion Journal of Australia
Authors:
Donna Lemon, Justine Swan-Castine, Elizabeth Connor, Fleur van Dooren, Jenna Pauli, John Boffa, James Fitzpatrick, Rebecca Anne Pedruzzi
Page last updated 25 November 2021

The aim of this study published in 2021 was to describe the birth prevalence and characteristics of congenital heart defects in a geographically defined Australian population.

Date:
October 2021
Journal name:
Journal pf Paediatrics and Child Health
Authors:
Hansen M.; Greenop K.; Yim D.; Ramsay J.; Thomas Y.; Baynam G.S.
Page last updated 25 November 2021

This study published in 2021 investigates the associations between maternal health and health-related behaviours (nutrition, physical activity, alcohol consumption and smoking) both during pregnancy and up to 15 months from childbirth and children's health outcomes during infancy and adolescence (general health, presence of a chronic illness, and physical health outcome index)

Date:
September 2021
Journal name:
PLoS ONE
Authors:
Ahmad K.; Kabir E.; Keramat S.A.; Khanam R.
Page last updated 25 November 2021

Case commentary from 2016. It has been recognised for over a decade that Fetal Alcohol Spectrum Disorders (FASDs), if not identified, can result in miscarriages of justice by reason of profoundly reducing the culpability, and on occasion even the responsibility, of criminal offenders. The potential for such disorders to result in the unreliability of admissions and confessions to police (which may be vital pieces of evidence against accused persons) had also been recognised in principle. However, the decision of the Privy Council in Pora v The Queen [2015] UKPC 9 provides an authoritative legal precedent for recognition of the fact that questioning by police has the potential to yield unreliable and confabulated confessions from persons with FASDs.

Date:
February 2016
Journal name:
Psychiatry, Psychology and Law
Authors:
Freckelton, I.
Page last updated 7 October 2021

Case commentary from 2017. LCM was a child of 15 whose diagnosis of FASD was not made prior to his being sentenced for manslaughter. The diagnosis arrived at by a multidisciplinary team shortly before his appeal to the Western Australian Court of Appeal in LCM v The State of Western Australia [2016] WASCA 164 resulted in a significant reduction in his sentence.

Date:
August 2017
Journal name:
Psychiatry, Psychology and Law
Authors:
Freckelton, I.
Page last updated 7 October 2021

This study published in 2021 examined the frequency of periconception alcohol use (prior to pregnancy awareness) and the extent to which adolescent and young adult alcohol use prospectively predict periconception use.

Date:
December 2021
Journal name:
Addiction
Authors:
Delyse Hutchinson, Elizabeth A Spry, Hanafi Mohamad Husin, Melissa Middleton, Stephen Hearps, Margarita Moreno-Betancur, Elizabeth J Elliott, Joanne Ryan, Craig A Olson and George C Patton
Page last updated 18 March 2022

Noncommunicable chronic disease underlies much of the life expectancy gap experienced by Aboriginal and Torres Strait Islander people. Modifying contributing risk factors; tobacco smoking, nutrition, alcohol consumption, physical activity, social and emotional wellbeing (SNAPS) could help close this disease gap. This scoping review published in 2021 identified and describes SNAPS health promotion programs implemented for Aboriginal and Torres Strait Islander people in Australia.

Date:
January 2021
Journal name:
Health Promotion Journal of Australia
Authors:
Canuto, Karla J; Aromataris, Edoardo; Burgess, Teresa; Davy, Carol; McKivett, Andrea; Schwartzkopff, Kate; Canuto, Kootsy; Tufanaru, Catalin; Lockwood, Craig; Brown, Alex
Page last updated 2 September 2021

This study published in 2021 examines the associations of substance use disorders in pregnancy with a set of neonatal outcomes. Three linked datasets of a 10-year period (2007-2016) from New South Wales, Australia, were examined. Pregnant women were identified positive for substance use disorders when at least one hospital admission during pregnancy or delivery had opioid, or cannabis, or stimulant, or alcohol or two or more of the four substance groups related ICD-10-AM diagnostic code.

Date:
July 2021
Journal name:
Substance Use & Misuse
Authors:
Oni, Helen T; Buultjens, Melissa; Mohamed, Abdel-Latif; Islam, Md Mofizul
Page last updated 2 September 2021

This systematic literature published in 2021 review aims to identify demographic, health and psycho-social variables associated with alcohol consumption during pregnancy which may lead to FASD.

Date:
August 2021
Journal name:
Archives of Gynecology and Obstetrics
Authors:
Naomi Ward; Helen Correia; Nyanda McBride
Page last updated 2 September 2021