Recruitment |
Equitable recruitment of exposed and unexposed (cohort studies) |
Equitable recruitment of cases and controls (case-control studies) |
Recruitment allows for selection of participants representative of general population |
Minimal loss to follow-up (< 20% loss or < 5% non-participation rate) |
More than 80% of participants recruited prior to 10 weeks’ gestation |
Outcome Ascertainment |
Appropriate comparator group (pregnancies surviving past 20 weeks’ gestation) |
Exposure Ascertainment |
Exposure assessed prior to pregnancy outcome to minimize risk of bias (cohort studies) |
Exposure assessed through self-administered questionnaires to minimize reporting bias |
Study queried change in consumption during pregnancy |
Statistical Modeling |
Alcohol modeled as a time-varying exposure |
Adjusted for maternal age +/− other confounders |
Use of time-to event analysis |