India Knight
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I don’t know why I should feel quite so incensed about this drinking and pregnant women thing – all the clashing advice about safe levels of alcohol consumption – but I am. Perhaps it’s because it seems quite symptomatic of the new spirit of joyless puritanism that our dear leader so ably incarnates – do this, don’t do that, notice how my Scottish accent usefully implies gravitas (unless it’s prime minister’s questions, when I go all huffy and babyish whenever the toff David Cameron gets the better of me).
I am aware that Gordon Brown didn’t himself declaim from the pulpit that it was a heinous sin for any pregnant woman to get within sniffing distance of a glass of the devil’s brew, but you sort of feel he would if he could. I think the intention with Brown is for people (women) to feel reassured by his ursine can-do capabilities – we’re probably supposed to think of him as a kindly grizzly bear with claws – but instead he reminds me of a surly panda.
Anyway, as I’ve said before, who’d be pregnant these days? There was a time when, much as children miraculously managed to play outside and do normal childhood things without getting murdered, raped or abducted, pregnant women ate what they liked, drank what they liked, smoked even – and produced generations of children who grew up to be rather more capable, creative and high-achieving than today’s sorry, half-illiterate lot.
More to the point, people didn’t issue edicts every two seconds telling them what to do – even though it is blindingly, crashingly obvious that, actually, when it comes to safe levels of drinking in pregnancy, nobody has a flipping clue. Binge drinking while pregnant is clearly a bad idea but beyond that, who knows?
Not the health department, which last May decided to tell all pregnant women, and also women who were trying to conceive, to avoid alcohol altogether (a really stupid piece of advice – if you’re trying to conceive and are depressingly, life-sappingly dependent on charts and thermometers and fertility kits, I would imagine that getting tiddly and having spontaneous, unscheduled sex might be rather a good idea. It certainly worked for two couples I know where course after course of IVF failed). The department’s previous advice, now revoked, had been that two units of alcohol a week were fine. Confused? You will be.
Earlier this month the National Institute for Health and Clinical Excellence (Nice), which is the government’s standards setting body, produced draft guidelines that said it was perfectly all right for pregnant women past their first trimester to drink 1½ units of alcohol a day (a glass of wine or one and a bit measure of spirits), saying there was no “consistent evidence” to show that this small amount of alcohol damaged the unborn child.
There are two problems here: a) the advice offered by the health department and Nice is contradictory and b) quite a lot of pregnant women don’t know they’re pregnant the moment they conceive, which means that if they like a drink after work, they continue having one until the penny drops, which in most cases is several weeks later.
A large number of pregnant women, once they realise they are pregnant, look up “alcohol in the first trimester” in the index of their hastily acquired How To Be Pregnant book (that’s another thing – since when did we need to be told how to gestate?) and, in many cases, freak out.
This is what is so incredibly irritating: where the health department should be offering support and sensible advice to women who want it – one in 20 women smokes during pregnancy and one in 25 drinks injudiciously, according to a poll last month by Tommy’s, the baby charity, which also revealed that 90% of women feel stressed during pregnancy (I wonder why?) – it just frightens everybody and makes them feel as if they’ve failed when they are only a few weeks pregnant. This is not what anyone might call a result.
It’s not just pregnancy, though. What really gets on my nerves is the desperate need to get everything right all the time – usually at the expense of any kind of fun or any real sense of being alive. Don’t eat that, don’t drink that, don’t light that up, don’t be out after dark, don’t let that man give you a drink in case he spikes it, don’t give him your phone number in case he’s a dangerous perv, don’t, don’t, don’t . . .
When did we stop being allowed to make mistakes or just to bumble through taking risks if we felt like it? Do we seriously believe that avoiding alcopops is going to make us immortal? Because, sorry, but you’re born, you muddle through and then something kills you and you die – even if you’ve lived a sinless, organic, exercise-loving life.
So what if people want to smoke? It’s their problem, not yours. Perhaps they don’t mind contemplating the possibility, which may or may not come to pass, of dying hideously 10 years before they should. Maybe they just really like smoking. You can question the wisdom or unwisdom of this as much as you like, but it’s really got nothing to do with anybody else or with, for heaven’s sake, legislation.
And so what if people want to run about town every now and then drinking to excess? Is it really so life-shatteringly terrible? Hardly. I had an eight-hour lunch last week, lavishly alcohol and nicotine assisted, and I haven’t had as much fun for weeks. Maybe my liver took a battering or maybe it could cope. Either way it’s my liver (although I find it pretty curious that I can court cirrhosis freely from dawn to dusk should I so choose, but have to stand on pavements if I want to light up in case I give instant lung cancer to Mr and Mrs Smug, who are sitting at dinner not exchanging a single word and looking as if they want to kill themselves).
It’s no wonder that people are so anxious and stressed out all the time. Nothing is allowed and everything is frowned upon and it’s making everyone miserable.
So here’s a little plea for embracing the wisdom of taking things in your stride, from pregnancy – which is a joyous state and not the danger-fraught illness it is once again being portrayed as – to having a drink.
Nothing terrible is going to happen. Your baby is extremely unlikely to be born with foetal alcohol syndrome because you overdid it one Saturday night. The world isn’t going to end if you eat a doughnut or if your tomatoes come from a less than impeccable source. Do what makes you happy, within reason, and chances are you will be.
India Knight was born in 1965. She lives in London with her three children, writes a weekly column for The Sunday Times, and a weblog, Isn't She Talking Yet?, on bringing up a child with special needs. She has also written two novels, My Life on a Plate and Don't You Want Me?
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Hurrah for the sensible words about our puritan, tutting, nanny government making us all miserable, and about a reasonable approach to drinking during pregnancy.
About smoking in public places, however, it's a different matter entirely. By all means poison your own lungs to a slow, cancerous death if it makes you happy, but you have no right to inflict it on others. We may not know what passive smoking does to one's health exaclty, but it is deeply unpleasant, smelly and antisocial - and it can spoil one's hair and cashmere.
Holly G, London,
Josie, Harrogate: just for information, French magazines have recently started publishing very forbidding adverts ordering women not to drink at all during pregnancy... In my experience the French tend to be right about medical matters. If I were pregnant I'd go with the French advice on this.
Helene, Strasbourg, France
I hope you aren't planning on having any more children. I am apalled at your attitude. Nobody really knows how much alcohol it takes to cause FAS. Furthermore, even a little bit impairs your OWN judgement, even if ever so slightly, so imaging what it's doing to the tiny growing brain within you?
As for smoking, not only has second hand smoke been proven very harmfull, it's disgusting. I can't go out for a meal or a drink without coming home smelling of stale cigarettes.
I say you can do what you want as long as it doesn't hurt anyone else--drinking while pregnant and smoking indoors do NOT fall in this category.
Erin, Tysons Corner, VA
God I hate these people that whinge in the "have your say" bit. Great article- I am also tired of hearing what the government says you can and can't do. It's almost as annoying as hearing people whine about how they have FAS children and entirely miss the point of the article.
C McMahon, Belfast,
In the near future India you should spend a weekend with a family that has a FAS child?teenager. Then write a article on "why we should never drink while pregnant" Ignorance is not bliss. There is no safe amount at any time.
sue, Drayton Valley, canada
i find your discription of Lewis Hamilton as the first black driver extremly interesting. I n this time of making sure that children have role models that 'look' like them would not it have been more benifical to describe him as mixed race which in fact he is.
l johnson, london,
Absolutely correct. Live and let live. Stop wasting time and money trying to convince people that a long life is a happy life...
John Jowitt, Uxbridge, England
To Ben from Washington, do I detect some kind of latent issue with Scottish people? Americans complain when other countries make sweeping generalisations about them so perhaps you should consider more carefully the people you are insulting before posting prejudiced comments on a British newspaper site.
Claire, Glasgow, Scotland
THANK YOU, india! Am 3 months pregnant and already sick to the back teeth of "well-meaning" advice and the judgement of others! I reminded my mother the other day, following another lecture regarding alcohol and sheep from Wales, that during her pregnancy women were advised to drink Guiness or Stout at least once a week.
Betty, London, UK
Tom in Oxford - please get a grip. Most women do not drink to the levels required for foetal alcohol syndrome to occur, nor retardation. One glass of wine every few days is not going to harm the baby, especially not after the first three months. Perhaps you should refrain from commenting on matters about which you appear to know very little.
Emma, Marlow,
with regard to drinking and smoking during pregnancy, its a bit shortsighted to say "live a little" when it results in retardation and foetal alcohol syndrome. think a little.
Tom, Oxford,
"Sir",
Your Scottish accent "usefully implies gravitas?"
I think the Scots USED to imply gravitas, but they don't anymore. These days to be a Scot means not having a backbone, and definately not being a man, unless of course you are a woman. The Scots think they will finally get one over on the English through interaction with the coming European dictatorship. From my history, it doens't usually work out that way.
Ben , Washington, D.C., USA!
I drank the occasional glass of wine in my first two pregnancies and some years later pregnant for the the third time probably on two or three weeks ended up drinking 2-3 units rather that the reccomended 1-2 per week thinking that this would do no harm as it had not done in my first pregnancies. My third son was born with significantly increased epicanthal folds which I believe, having looked into research from the US, was due to this increased intake of alchohol after the first trimester. Anecdotal/visual evidence from friends/aquaintances and their babies with increased epicanthal folds has supported my theory. It is very difficult for official agencies to conduct formal recognised research into this controversial area and as NICE can only conclude from available evidence they may not have all the answers. My advice is to abstain from all alcohol in pregnancy (Google FAS)- it is not worth the risk for such a short time.
Bridget, Teddington, UK
I agree wholeheartedly (except with your little rant about having to smoke on the pavements. Smoke stinks even if it doesn't kill via second-hand and it's lovely to be able to have a meal or drink without coming home reeking of stale cigarettes.)
Alicia, Richmond, VA, USA
I am pregnant and have just had a 'booking visit' from our local midwives, and was very pleased that they are not toe-ing the DoH line and are instead recommending no more than 1-2 units of alcohol a week, i.e. a medium size glass of wine. I can live with that, I don't need much but I don't want to feel completely deprived. Apart from that , their advice was: eat a balanced diet and exercise moderately, and don't smoke. The last point is where I disagree with India - smoking is the one of the few of bad things we're told to avoid that IS actually very bad for us. I think the DoH should concentrate on the few real diet and lifestyle baddies instead of feeding us lies (sorry, 'straight-forward policy') about everything else. Maybe then we'd take their advice seriously.
Heather Williams, Stockport, UK
" a breath of fresh air"? I must have misunderstood, I read it as a demand to be able to breathe smoke all over people who've made their own lifestyle choices which, seriously, don't harm other people.
Meg, Pembs,
Instead of being so pathetically involved with being in shape, you should start a crusade against tobacco, which I agree, is less convenient than producing a diet book. You don't give up smoking because you are simply afraid to gain the few stones you publicitly lost, not considering the greatest harm of cigarettes. I do hope you haven't smoked in the same room where you children play.
alexandra, milan, italy
You know smoking and drinking are not good for your health so how could they be to an unborn child? If, as you say, the effects are not know, why would a woman risk something happening to her unborn child? Why would government have to say anything? What you forget is that long time ago women had common sense. Now it is all about getting your kicks and not caring about others, even your unborn child. What an obtuse way of thinking!
Bichuf, Miami, USA
I agree completely. If I'm pregnant I don't see why my life should just stop for me to be a walking incubator for 9 months.
Sally , Newcastle upon Tyne, England
Bravo, India. The voice of reason as always.
Seonaid, London,
Kudos to you India for pointing out what some of us have felt for a long time but were either unable to articulate, or lived with the possibility of being viewed as "too morally liberal." You're absolutely right: the world is not going to end if we don't get it right the first time and every other time after that. There's this little thing called "life" that has been bestowed upon each of us, and it is meant to be lived to the fullest - is it not?
Marie, Limerick,
I'm afraid France isn't quite like that when it comes to pregnancy. They've had zero tolerance to alcohol during pregnancy for a good three years now. I was surprised that the book given to me by the French hospital that followed my pregnancy clearly stated NO alcohol or tobacco. Indeed now there are health warning ads on magazines etc showing a silhouette of a pregnant woman with a glass in her hand and a huge red line through it! I believe this is as a result of a couple of court cases where women sued the government for not warning them that alcohol was dangerous, their babies being born with alcohol foetal syndrome.
jacqueline, paris, france
Yay! Reprint this every week, please.
Jon, Torshavn,
I agree with your article - the governement drinking limits were reduced to zero for pregnant women, not because that was the safest level, but because (I think the figure was) 9% of women drank too much - policy due to the lowest common denomintor once again, and hardly scientific.
It makes me wonder how many women may have been frghtened into having abortions because they think they may have harmed the foetus through drinking before they found out they were pregnant.
Anna , Birmingham,
Nick
India is always right. If ever I find myself annoyed by something, I see what India thinks - if she's annoyed too, then it's perfectly reasonable, if she's not or disagrees, maybe I need to calm down. That's what columns are for. Not that this is some freakish form of dependency or something...
Kate, Cardiff,
Well said India. About time people realised that life is short & you should enjoy it, not spend every minute worrying.
Keren, Dubai, UAE
Oh my goodness me! I feel quite faint after Indiaâs rant. A wonderful breath of fresh air and sanity. Sadly none of our betters will pay any notice.
Nick Moore, St Ouen, France
Considering that it can take the average woman up to a year to get pregnant and some considerably longer, the officials who are advising women to become teetotal the minute they contemplate tying to get pregnant are wasting their breath. Unfortunately, setting unrealistically high targets usually just means that people decide they either can't or won't be able to do it, so give up entirely. Hence organisations such as Weight Watchers ensure that their dieters set realistic and achievable targets which will motivate not demoralise them.
I drank fairly modestly in advance of becoming pregnant but completely went off wine, coffee and tea during the first few months.... which is probably natures way of telling you to avoid stimulants whilst the feotus is initially developing.
Donna Walker, Effingham, Surrey
India, I can clearly see your French background in that piece! I visit France as often as I possibly can, and this is their attitude entirely. When you go on to find out that the French are one of the healthiest, and most commercially productive nation in Europe, it does seem to indicate that the 'don't worry, be happy' approach is better than any amount of self-deprivation.
Josie, Harrogate,