Alcohol during pregnancy: no safe amount
Risky SubstancesKey points
- About 10% of women worldwide drink during pregnancy.
- Fetal alcohol syndrome: about 15 per 10,000 children; about 1 in 67 women who drank in pregnancy had a child with FAS.
- There is no safe amount and no safe time.
- FASDs are completely preventable.
What the research shows
A global systematic review and meta-analysis estimated that about 10% of women drink alcohol during pregnancy. The prevalence of fetal alcohol syndrome was about 15 per 10,000 people, and about 1 in 67 women who drank during pregnancy delivered a child with fetal alcohol syndrome (Popova et al., 2017). In the U.S., CDC surveys find that about 1 in 7 pregnant women report drinking and about 1 in 20 report binge drinking.
What FASDs are
Fetal alcohol spectrum disorders include fetal alcohol syndrome and other conditions affecting:
- growth;
- facial features;
- learning, memory and attention;
- behavior and social skills;
- the heart, kidneys and bones.
The effects are lifelong, but early diagnosis and support improve outcomes.
Recommendation
There is no known safe amount, type or time of alcohol use during pregnancy. If you are pregnant or could become pregnant, the safest choice is not to drink. Alcohol is also a carcinogen for adults (Bagnardi et al., 2015).
Frequently asked questions
Is an occasional glass of wine OK?
The CDC, the U.S. Surgeon General and ACOG all advise no alcohol during pregnancy, because no safe amount has been established.
What about when trying to conceive?
Because pregnancy is often not recognized for several weeks, the CDC advises avoiding alcohol when you could be pregnant.
Sources
- Popova et al. (2017). Estimation of national, regional, and global prevalence of alcohol use during pregnancy and fetal alcohol syndrome: a systematic review and meta-analysis. The Lancet Global Health 5(3):e290-e299. doi:10.1016/S2214-109X(17)30021-9
- Bagnardi et al. (2015). Alcohol consumption and site-specific cancer risk: a comprehensive dose–response meta-analysis. British Journal of Cancer 112(3):580-593. doi:10.1038/bjc.2014.579
- Griswold et al. (2018). Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet 392(10152):1015-1035. doi:10.1016/S0140-6736(18)31310-2
- Centers for Disease Control and Prevention. Alcohol Use During Pregnancy. www.cdc.gov
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