Background of the Study:
Alcohol consumption during pregnancy is widely recognized as a major public health concern due to its potential to cause a spectrum of birth defects and developmental disorders, collectively referred to as fetal alcohol spectrum disorders (FASD). Scientific evidence indicates that prenatal exposure to alcohol can result in structural anomalies—such as congenital heart defects, facial dysmorphologies, and neurodevelopmental impairments—as well as long-term cognitive and behavioral deficits (Adamu et al., 2023). In many societies, alcohol use is embedded within cultural practices; however, its use during pregnancy poses significant risks. In Kano State, where traditional values and religious beliefs often shape lifestyle behaviors, data on maternal alcohol consumption remain limited due to underreporting and stigma. Nevertheless, emerging reports suggest that even occasional alcohol intake among pregnant women may be linked to adverse birth outcomes.
Studies conducted in various regions of Nigeria have demonstrated that maternal alcohol consumption, even at low to moderate levels, is associated with an increased incidence of birth defects and complications during delivery (Ibrahim & Musa, 2024). These complications include preterm births, low birth weight, and a range of congenital anomalies. Moreover, social determinants such as low socioeconomic status, limited health education, and insufficient prenatal care may further exacerbate the risks associated with alcohol intake during pregnancy. In Kano State, factors such as limited public health awareness campaigns and cultural reluctance to discuss alcohol use openly contribute to an incomplete understanding of the problem. Consequently, a comprehensive assessment is needed to determine the prevalence of alcohol consumption during pregnancy and its association with birth defects, with the aim of informing policy interventions and targeted maternal health programs.
Statement of the Problem:
Despite global awareness of the detrimental effects of alcohol consumption during pregnancy, many pregnant women in Kano State continue to consume alcohol due to a combination of cultural influences, lack of health education, and inadequate prenatal care services. The resultant increase in birth defects and adverse neonatal outcomes remains under-investigated in this region. Many healthcare facilities in Kano State report sporadic cases of congenital anomalies; however, the direct contribution of maternal alcohol consumption to these outcomes is poorly documented, largely because of underreporting driven by social stigma and cultural taboos.
The lack of robust data hampers the formulation of effective public health policies and targeted intervention programs. Without accurate information on the prevalence and patterns of alcohol consumption among pregnant women, efforts to mitigate the risk of birth defects are less effective. Furthermore, the financial and emotional burden imposed by caring for children with congenital disabilities strains families and the healthcare system. Addressing these issues necessitates an in-depth investigation into the relationship between prenatal alcohol exposure and birth defects, and the identification of barriers that prevent pregnant women from accessing appropriate health education and support services (Okafor et al., 2023).
Objectives of the Study:
To determine the prevalence of alcohol consumption among pregnant women in Kano State.
To examine the association between maternal alcohol intake during pregnancy and the incidence of birth defects.
To identify socio-cultural and healthcare-related barriers that contribute to alcohol use during pregnancy.
Research Questions:
What is the prevalence of alcohol consumption among pregnant women in Kano State?
How does maternal alcohol consumption correlate with the occurrence of birth defects in neonates?
What are the primary socio-cultural and systemic barriers that hinder effective prevention of alcohol use during pregnancy?
Research Hypotheses:
Pregnant women in Kano State who consume alcohol are at a higher risk of delivering infants with birth defects.
Low levels of health education and awareness significantly contribute to maternal alcohol consumption during pregnancy.
Socio-cultural factors and stigma reduce the likelihood of pregnant women seeking help to abstain from alcohol consumption.
Scope and Limitations of the Study:
This study focuses on pregnant women residing in both urban and rural areas of Kano State. It will assess self-reported alcohol consumption, review birth outcome records from selected healthcare facilities, and examine socio-cultural factors influencing behavior. Limitations include potential underreporting of alcohol use due to social desirability bias, difficulties in obtaining accurate medical records, and challenges in generalizing findings beyond Kano State.
Definitions of Terms:
Alcohol Consumption: The intake of alcoholic beverages, measured in frequency and quantity.
Birth Defects: Structural or functional anomalies present at birth, including congenital malformations and developmental disorders.
Fetal Alcohol Spectrum Disorders (FASD): A range of effects that can occur in an individual whose mother drank alcohol during pregnancy.
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