15 November 2007

Alcohol in pregnancy: the saga continues

I finally feel vindicated in all my posts about risk culture and alcohol during pregnancy. According to the Sydney Morning Herald, medical experts are in a furore over the latest recommendations that pregnant women abstain from drinking completely during pregnancy. The 'zero tolerance' policy, as it has come to be known in other countries, has caused quite a bit of unrest among pregnant women who are scared to death that their babies will be damaged for life after consuming one drink.

I probably shouldn't say 'I told you so'..but...I TOLD YOU SO.

The president of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, Christine Tippett, says:

"Specialists practising in obstetrics and gynaecology in Canada have had requests from women to terminate their pregnancy because they're concerned they may have harmed their foetuses through alcohol exposure early in their pregnancy."

How ridiculous is this? Why is it that doctors are surprised that women are so freaked out in light of all of these 'rules' about alcohol they think that one drink is going to cause fetal alcohol syndrome?

I think it's great to encourage women to have healthy pregnancies; I think it's paternalistic and just wrong to monitor pregnant women so closely and scare them so much that they do not feel responsible enough or too guilty to continue with a pregnancy because they've had a few drinks.

Dr. Tippett continues:

"It's extremely unlikely that a small amount of alcohol or a single case of binge drinking is going to be harmful to the foetus … We need to establish what is a safe level rather than saying you shouldn't drink at all, because that does engender a great deal of anxiety."

Some of the women in my study were so distressed about drinking, especially early in pregnancy (when many of them did not actually know they were pregnant), they went into hyper-vigilance mode when it came to food, drink and exercise for the rest of the pregnancy because they felt so guilty about drinking in the first few weeks. New British research has revealed that binge drinking (more than 5 drinks) is actually NOT consistently harmful to fetuses.

"When pregnant women report isolated episodes of binge drinking in the absence of a consistently high daily alcohol intake ... the evidence of risk seems minimal," the researchers wrote in the Journal of Epidemiology and Community Health, published today.

This may be a comfort to women who drank early on in pregnancy without knowing they were pregnant but only highlights the absolute inconsistency in research findings on this topic. If one group of doctors is telling women not to drink at all, others say no more than one drink per day, and then another group says an occasional binge is okay, what are women to do?

Pregnancy is hard enough as it is...perhaps more research should be done before women stop having babies altogether because they are too afraid to breathe, or walk outside, or come into contact with cheese or be in the presence of alcohol, lest they harm their unborn.

What do you think?

Sources: http://www.smh.com.au/news/national/zerotolerance-alcohol-code-may-cause-panic/2007/11/14/1194766770310.html
http://www.theage.com.au/news/national/boozings-minimal-baby-harm/2007/11/14/1194766733789.html

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