Please note: In 2003, the CTF updated its Grades of Recommendations to include an "I Recommendation" for situations where insufficient evidence exists to allow a recommendation to be made. (Formerly, these situations were captured under a "C Recommendation".) This change is not retroactive, and all "C Recommendations" made prior to 2003 have not been reevaluated in light of the new "I" recommendation grade. For a discussion of these recommendation grades, please link to the 2003 article in the Canadian Medical Association Journal here.
| MANEUVER | EFFECTIVENESS | LEVEL OF EVIDENCE <REF> | RECOMMENDATION |
| Screening procedures (self-administered questionnaires, interviewes or clinical judgement) used to identify the drinking patterns of pregnant women. | Accuracy not known for many procedures which could be used in pregnant populaiton. Ten Question Drinking History (TQDH) is reliable in pregnant women and there is some evidence of validity. | Cohort studies <15-21> (II-2) | Fair evidence to include screening procedures in periodic health examination. (B) |
| Counselling of pregnant women. | Counselling reduces consumption of alcohol and morbidity in the offspring (Not established in certain high-risk groups, e.g., Native women). | Cohort studies <21-25> (II-2) | Fair evidence to undertake counselling with pregnant women who are comnsuming alcohol. (B) |
Link to Full Text of this review
Link to Structured Abstract of this review
Link to Selected References list of this review
Reprinted in modified format by the Canadian
Task Force on Preventive Health Care
with permission.
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© 1994 Minister of Supply and Services Canada.
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Last modified March 27, 1998.
