David Rose
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Pregnant women can safely drink the equivalent of a small glass of wine each day, a health watchdog has suggested, contradicting the Government’s official advice on the subject.
In May, the Department of Health advised pregnant women and those trying to conceive to cut out alcohol altogether rather than limit it.
Now the National Institute for Health and Clinical Excellence (NICE) has produced draft guidance stating that pregnant women can consume up to 1.5 units of alcohol a day after the first three months of pregnancy. There was “no consistent evidence” to show a small amount of alcohol damaged unborn children, NICE said. The guidelines are out for consultation and are due to be published in March.
A NICE spokesman said: “The experts developing this guideline have carried out a systematic review of all the evidence available on the risks of drinking alcohol in pregnancy.
“The recommendations in the draft guideline are based on this evidence. The experts have concluded that there is no consistent evidence of adverse effects from low to moderate alcohol during pregnancy (less than one drink or 1.5 units per day) but the evidence is probably not strong enough to rule out any risk.”
The risks of birth defects, miscarriage and behavioural problems among children of drinking mothers were considered. The experts concluded women should avoid alcohol only during the first trimester, but said drinking led to a slightly higher risk of miscarriage.
A small 125ml glass of red or white wine is just under 1.5 units, the Department of Health said. Half a pint of 5 per cent lager or strong cider or a bottle of “alcopop” are also 1.5 units. A 25ml measure of spirits is one unit.
The Royal College of Obstetricians and Gynaecologists said the “safest option” was for pregnant women to abstain from drinking.
A British Medical Association (BMA) report concluded earlier this year that heavy drinking by pregnant women can cause learning and physical disabilities and behavioural problems. The BMA said that such disorders could only be completely prevented by abstaining completely from alcohol during pregnancy, and expressed concern that any relaxed guidelines could be misinterpreted, as the varying alcoholic strengths or standard measures of different beers and wines can make it difficult for women to tell how many units they are consuming.
Vivienne Nathanson, BMA spokes-woman on science and ethics, commented: “Many women will not know they are pregnant during the early part of pregnancy, during which time they may continue to drink in their prepregnancy fashion.”
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Women in Italy and Germany and many european countries as well as some asian countries consume small amounts of achohol almost everyday, and to date these countries still turn out more scientist, artist, actors, and even in some of the more complicated fields, doctors than we do.
Bobbie Jo, Ft Worth,
A glass of wine is relaxing so maybe pregnant women deserve to relax occasionally too. I don't see any harm in ONE glass of wine occasionally. The only harm is done when one drinks several glasses and gets drunk. The baby doesn't even get the alcohol, only the nutrients from the wine.
j, bartlett, usa
Most infants and children's cough and cold syrups contain things far worse on the body than alcohol, acetaminophen for example is a very common pain killer and fever reducer, and found in almost every cough syrup and cold and cough combination drug on the market, sometimes with enough quantity to cause liver damage by itself. Some medicines contain both acetaminophen and alcohol. Research done in the 1970's showed a higher level of liver problems with those who regularly took Tylenol, the name brand of acetaminophen, against a group that regularly partook of alcohol. Since there have been few studies done with the same controls, as it obviously makes certain drug makers look bad.
We have been bludgeoned by commercials paid for by drug companies touting the superiority of what they make VS basic remedies and medical evidence that is contrary, they are after all trying to sell this product.
I agree drinking during pregnancy can be harmful, but we must ask ourselves what does more harm.
Steevo, Empire, USA/Colorado
Why would anyone want to jeopardize the fate of their baby? I really do not see any reason why a pregnant women would even "consider" drinking, especially when you do not know for sure whether it really is safe to drink.
Ji Han Hyo, Chang Won, Korea
There is clear evidence suggesting that alcohol interferes with the unborn foetus. The alcohol passes to the foetus, which must then take on more water from the mother to compensate, leading to such diseases as encephalitis, amongst others.
I find it incomprehensible that any pregnant woman would be willing to even risk the possibility of harming their child - is alcohol really such an important thing?
Ian Knight, Maidenhead, Berks., England
The evidence is there. There is no safe amount of alcohol during pregnancy. If a woman is at risk for pregnancy she should not drink alcohol.
I have e-mailed NICE asking what, in their opinion, is a safe amount of alcohol to give an infant. I have had no reply to date.
If it is ok to feed a foetus alcohol daily then it must be ok to feed the same to an infant.
I presume that the UK is the same as Canada, where it would be considered child abuse and those knowing of it would be obliged to report it.
barry stanley, oakville, Canada
As the adoptive parent of a young boy with Foetal Alcohol Syndrome, I can tell you that my sons life will be directly and seriously effected every day by his mothers excessive drinking.
Her drinking has caused his permenant brain injury and all for the sake of a drink! he will now have to live with her lasting legacy. In real terms he has a developmentat delay of 18 months, he will always need 1 to 1 care at school, is unlikely to achieve independent living and will struggle to hold down any form of employment.
Our aspirations for him are not that he will attain university or become a doctor only that he will be accepted by society for the person that he is, all for the sake of a drink!
If, as this article suggests evidence is mixed why would you play a legalised form of Russian roulette with your childs health, all for the sake of a drink!
Everyone accepts that smoking is bad for the your baby why seriously risk your babys health, ALL FOR THE SAKE OF A DRINK!
Elsie Galt, Ormskirk, Lancashire
I'm fed up with women being told they are too stupid to work out how much alcohol they consume.
We can add, subtract and multiply you know. Some of us can even read!
Morgan Gallagher, Bedford, United Kingdom
We're all carpet bombed with so much conflicting 'expert' advice on a daily basis that the only solution is to ignore all of it and follow your own common sense.
Helen, Northants,
Is the title meant to say "and not too dangerous"?
Tom, Tonbridge,