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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Light drinking in pregnancy 'does not harm baby'

118 replies

Miffster · 06/10/2010 07:01

A good summary from CBC News: Light drinking no risk to babies: study

'The children of mothers who drank small amounts of alcohol during their pregnancy are not at an increased risk for behavioral or intellectual developmental problems, a new British study suggests.

In fact, the study, which appears in the Journal of Epidemiology and Community Health, found that children born to light drinkers were 30 per cent less likely to have behavioural problems than children whose mothers did not drink during pregnancy.

As well, the study found that children of parents who were light drinkers achieved higher cognitive scores than those whose mothers had abstained from alcohol while pregnant.

The researchers used data from a study that tracked the health of more than 11,000 children in the U.K. born between September 2000 and January 2002. Mothers were asked questions about their children's behavioural and intellectual development at age three. They were subsequently assessed at the age of 5.

But the research found that the children of mothers who were heavy drinkers were more likely to be hyperactive, compared with children of mothers who did not drink.

The researchers interviewed the mothers about their drinking patterns during their pregnancy, along with other social and economic factors.

Mothers who consumed one or two drinks a week were considered light drinkers. Heavy drinkers were those who consumed seven or more drinks a week or six at one sitting'

Daily Fail: 'Glass of wine in pregnancy 'does not harm your baby'

BBC: 'Light drinking no risk to baby'

However...despite this study, the official advice remains the same, and in an update to the story, the Press association report

'Press Association: 'Pregnant women warned over alcohol'

'Women were advised that official guidance to avoid alcohol in pregnancy remained in place after experts said drinking one or two units a week does not harm a child's development.
Mothers-to-be can safely drink a 175ml glass of wine, a 50ml glass of spirits or just under a pint of beer each week without affecting intellectual or behavioural development, according to a new study.
But children born to mothers who drink heavily or binge drink (seven or more units a week or six at one sitting) are at higher risk of behavioural and emotional problems.
The finding adds to previous research which found light drinking has no negative effect on toddler development, and the issue of how much is safe to drink during pregnancy has caused controversy in recent years.
In 2007, the Department of Health published guidance saying pregnant women should avoid drinking alcohol altogether, as should those trying to conceive. This replaced previous guidance which said it was safe for pregnant women to drink one to two units of alcohol per week.
The Government said its update was not based on new research, but was to provide consistent advice to all women.
Following the latest study, in which experts examined the risk of drinking on children up to the age of five, a spokeswoman for the Department of Health said: "After assessing the available evidence, we cannot say with confidence that drinking during pregnancy is safe and will not harm your baby.
"Therefore, as a precautionary measure, our advice to pregnant women and women trying to conceive is to avoid alcohol."
Janet Fyle, professional policy advisor at the Royal College of Midwives, said she was concerned women may take the findings as a message that it is "ok" to drink alcohol.
"There is no firm evidence that small amounts of cumulative alcohol consumption does not have an effect on the developing foetus," she said. "Because of this our advice to women remains the same; if you are planning to become pregnant, or if you are pregnant, it is best to avoid drinking alcohol."'

OP posts:
ProfessorLaytonIsMyLoveSlave · 06/10/2010 11:44

The scientific paper doesn't mention nothing but the extremes. The brief article about the scientific paper in the Daily Mail mentions nothing but the extremes (arguably -- it mentions not drinking at all and drinking a lot (the extremes) but devotes quite a lot of space to light drinking, which isn't exactly "extreme").

You surely must see the difference between the Daily Mail and the original report of research?

And which other report does this report contradict? It doesn't support the government advice, sure, but nor has any other report, and the government freely admit that their recommendation is not evidence-based. AFAIK no other study has ever shown any harm at all from 1-2 units' consumption a week during pregnancy. And this report backs up all the other research exactly.

prettybird · 06/10/2010 11:50

My first thought on hearing this report was "D'uuuh - what's new?"

Unfortunately, the DoH thinks that women are too stupid to cope with the advice of 1 or 2 units Angry

arfasleep · 06/10/2010 11:57

I would still go by advice that 1 or 2 units occasionally is fine. I've read that most of original research about dangers was with women who were alcoholics (bottle of whisky per day not 1 or 2 drinks). With DS I went with occasional sm glass wine & would prob do so again if pregnant, but would read up again just to check.
Also about the 'large glass of wine makes me feel tipsy, what does it do to baby', think when pregnant, our bodies are pretty good filtering systems & that would be filtered out unless the alcohol use is continuous & excessive.

PrivetDancer · 06/10/2010 12:08

what are the social factors that balance out the non-drinking mothers having more chance of problems than light drinkers then?
Not described in the BBC report at all.

Anyway, I feel nicely vindicated with my occasional 1-2 units :)

PrivetDancer · 06/10/2010 12:15

I've also thought the same question as runningrach - early in the first trimester how does the alcohol even get to the baby when there's no placenta? So how can it be worse?

Obviously I realise this is forming all along, it doesn't suddenly start working at 12 weeks so it would be a gradual increase in blood flow to the baby and no way should they say "yeah, keep drinking for x weeks the baby won't get it quite yet"! But I always thought this was a rather handy feature for making sure you didn't have to worry about any drinking you may have done before you knew you were pregnant!

ZFJ · 06/10/2010 12:24

privetdancer I was under the impression that any drinking in really early pregnancy i.e. the first couple of weeks when you don't know, was ok because the embryo isn't implanted, but then after that it was best to avoid alcohol completely for the first 12 weeks. Not quite sure where I have this information from as I've been reading such a mix of sources.

rudbekia · 06/10/2010 12:25

I was told by my GP when I first saw her after finding out I was pregnant that 'a small glass of wine once or twice a week' was absolutely fine. To begin with I didn't touch the stuff mainly because I was so sick :o
Since feeling better I've had a glass of champers at a friend's wedding; a couple of half glasses whilst on holiday and a whole glass (eeek!) at a dinner party last week. I think the DoH sticks to the 'no alcohol' line because some people don't have any common sense or idea of what constitues a unit of alcohol....so its easier to not have any at all.

prettybird · 06/10/2010 12:32

I hate this "catering for the lowest common denominator". Angry

....some people are not capable of being educated about waht a unit is so therefore we will tell everyone not to drink at all on the basis of no medical evidence Hmm

Fortunately I had a sensible GP (and a sensible best friend who is also a GP) who was quite comfortable with me telling him that I was going to reduce the quantity and up the quality of what I drank Grin

As it happened, I cut out alcohol totally for weeks 6-10 as I read somewhere that they were crucual developmental weeks, but thereafter, just had the odd half glass of good wine :)

As my best friend said: it is just as importnat to have a relaxed and happy mother :)

Emsyboo · 06/10/2010 14:26

My mum drank through my pregnancy and I turned out fine (nervous twitch ;) )But seriously it wasn't known about back then and most people turned out OK!
In France they advise you not to drink spirits and beer but red wine is standard.
As people have mentioned they are catering to those who don't know when to stop therefore have an all or nothing attitude to alcohol.
I gave up alcohol as soon as I found I was pregnant and have had a few sips of champagne at a wedding and a birthday in the past month (now 6 months pregnant) I took the tea total approach only because we had tried to get pregnant for a while and I wanted to be sure if anything happened I couldn't blame myself.

I have seen children with foetal alcohol syndrome and it is really sad to think it could have been prevented as it is clear from their behaviour, learning and in severe cases their appearance. But their mothers had been out drinking every night and to excess- more than I would normally drink in a month! And this in some cases wasn't just alcohol they were getting off on.

I can see why the government are trying raise awareness of drinking in pregnancy but really common sense should dictate that if you get leathered your little baby will be getting it too! If you have a small relaxing glass of red wine with a meal your baby will be fine and chilled as you are.

BananaMuffin · 06/10/2010 14:37

I find it quite amusing when people say 'you wouldn't give a glass of wine to a baby, so why would you drink one when pregnant?'.... you wouldn't give ANY food or drink (apart from milk/ water) to a newborn baby!! This issue is and always has been about moderation and common sense.

moonstorm · 06/10/2010 14:39

Ok - I wouldn't give wine to a 6month old/ 1 year old/ 3 year old... etc. Grin

lilly13 · 06/10/2010 14:48

Alcohol is powerful toxin. If we give up coffee and tea during pregnancy to ensure fetal's best possible development, how can think that moderate quantities of wine and other spirits are okay? Under normal circumstances, I love my wine... However, I have given it up completely. I thought it would be an impossible task to do, but to be honest, I do not miss it...

moonstorm · 06/10/2010 15:02

Ahem... I drink decaff if at all... Agree about giving up on things to ensure fetus's best possible development [saint]

prettybird · 06/10/2010 15:04

I didn't give up tea or coffee - I continued to drink them in moderation.

The only thing I gave up was a particular French cheese that is unpasteurised and that announces its presence a mile off Grin

lilly13 · 06/10/2010 15:15

Tea and coffee are not just toxins - they contain caffeine which inhibits the absorbtion of folic acid by the body. Subsequently, the fetus might be put at a risk of spina bifida and/or other developmental problems. Obviously, it is a personal choice whether to drink these in moderation or give these up completely. In terms of cheese, it is possible to fall extremely ill from unpesteurised hard cheese (I had a severe food poisoning from it a few years ago). So I stay away from it now as well...

ProfessorLaytonIsMyLoveSlave · 06/10/2010 15:25

Research is also that under some number of mg of caffeine a day has no effect on the foetus. So I stick with the research-based position on both alcohol and caffeine.

In late pregnancy I already have to give up sugar, rice, bread, pasta and potatoes (and alcohol, at that point, because of its effect on my blood sugar). So I'm not just chugging down anything in sight regardless of the consequences. I manage to think that consuming certain things in moderation is OK because that's what all the scientific evidence tells me .

lilly13 · 06/10/2010 15:36

It is not about "some number of mg of caffeine per day", rather it is about the timing of intake. For instance, if you take folic acid with your breakfast and then chase it down with a moderately strong cup of coffee, it is pointless to take the folic acid. Having sad this, if you have had a folic and DHA rich diet for years, you body might be fine on its own without any supplements whatsoever. After all, our ancestors centuries ago did not take any supplements and were able to procreate just find. As far as research is concerned, there are quite a few contradictory conclusions, depending on whose research you read - US, British, European or Asian...

PrivetDancer · 06/10/2010 15:58

In that case then, there's no reason to avoid caffeine after first trimester?
As folic acid is no longer required (and in fact linked with increased risk of asthma if taken in 3rd trimester), and the slight miscarriage risk from excess caffeine is presumably gone at that point?

ChoChoSan · 06/10/2010 16:03

I thought the issue with caffeine is that level of consumption can be related to miscarriage.

I don't drink that much caffeine, so it's easy to drink well under the recommended limits. If I was bothered about drinking more caffeine, I would have looked at the findings of the studies, made a judgement and determined a level that I am satisfied is safe, like with alcohol.

lilly13 · 06/10/2010 18:23

PrivetDancer, caffeine is still a toxin and should be avoided even after one stops taking folic acid. It is particularly not suitable for individuals with high bloodpressure, blood clotting disorders, kidney problems and diabetes.

PrivetDancer · 06/10/2010 18:27

Well that sounds more like a reason to not drink / eat it at all, not pregnancy related.
I expect you eat a lot of vegetables too.

TondelayoSchwarzkopf · 06/10/2010 18:38

On a trivial side-topic I always find it amusing that alcohol consumption during pregnancy is always portrayed as "a glass of wine". Nobody says 'a double vodka and coke a week' or a pint of stella once a week. Even though they have the same (or less) alcohol.

lilly13 · 06/10/2010 18:56

PrivetDancer, I do love vegetables and practice a holistic yogi lifestyle Smile, but this irrelevant. What's relevant here is that caffeine (ditto for alcohol) crosses placenta quite quickly and reaches the baby. It diminishes bloodflow to the placenta and may seriously harm the baby (having said this, everyone's body is different and, hence, individual reaction may be different, just as with alcoholic drinks). Some studies revealed that caffeine consumption may result in birth complications as well as fetal developmental slow-down, miscarrige and stillbirth. Hence, it is best to be avoided during pregnancy and breastfeeding.

ledkr · 06/10/2010 19:13

a few pg woman have told me they have given up caffeine and then joke about how much chocolate they eat. Caffeine is in other stuff part from coffee.
I have only drank a couple of times when on holiday and dont really crave it although did enjoy a drink before.
I do still drink a lot of tea as i absolutely crave it. Having a ds of 25 and now being pg i can remember the maternty hospital had a smoking room and they served guiness with dinner!!Old bird ledkrthat i am.

WriterofDreams · 06/10/2010 19:23

Privet dancer I'd imagine the "social issues" related to the improved cognitive development of the children whose mums drink 1-2 units a weeks relate to the intelligence and education of the parents. People with education in science and statistics are more likely to understand research and put it to good use, hence those people tend not to go the teetotal route (as the research indicates it's not necessary) and not binge-drink (as they realise the risks). So while the two things (drinking 1-2 units and improved cognitive development) are related I'd imagine it's more of a coincidence than anything, as it's likely the parents are more cognitively able and so will naturally produce more able children.

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