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Abstract
Limitations of Nail and Hair Ethyl Glucuronide (Etg) Levels to Assess Maternal Alcohol Use
Highlights
Guidelines from the US and international countries encourage women to abstain from alcohol consumption during their pregnancies in order to prevent the myriad of negative health consequences for their children [1,2,3]
While findings on specific risk factors for alcohol consumption during pregnancy are mixed, age, education level, and socioeconomic status have all been implicated as potential risk factors for increased alcohol use [7,8,9]
This study found that Ethyl Glucuronide (EtG) had good specificity (86.1%) and it reached 19.1% sensitivity; reported alcohol use was lower than expected in the weeks before pregnancy [11]
Summary
Guidelines from the US and international countries encourage women to abstain from alcohol consumption during their pregnancies in order to prevent the myriad of negative health consequences for their children [1,2,3]. Despite these recommendations, many women continue to drink alcohol while pregnant [4]. Identification of risk factors and overall use of alcohol during pregnancy is challenging, as historically conformation of maternal alcohol use during pregnancy relied on self-reported disclosure, often many years post-exposure. These self-reports can be inaccurate due to difficulties with recall as well as the stigma associated with reporting alcohol
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