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Scottish Health Board Says Drink Up, Pregnant Ladies

Posted by Jen Chaney

Okay, they didn't exactly say "drink up." But the NHS Lothian, Scotland's national health organization, has urged the government to abandon advice that tells women they should abstain entirely from alcohol while pregnant or trying to conceive.

As reported on scotsman.com, the NHS Lothian told the Scottish government that suggesting pregnant women cannot have even one drink "stigmatises any of them choosing to have a single glass of wine" and also "causes unnecessary anxiety." The NHS Lothian acknowledges that excessive drinking clearly should be avoided but notes that there is no evidence that having one or two units -- aka servings -- of wine a couple of times a week will harm the child.

Look, no one wants to endanger their unborn kid's life by taking a few swigs of sauvignon blanc. But I appreciate hearing this from our neighbors in Scotland because I've always been a little irked by the "abstension is the only way to go" approach. I think there are two reasons health agencies usually give that advice. First, there is no concrete evidence that small amounts of alcohol can harm a fetus. But there is also no definitive evidence that small amounts of alcohol can't, under any circumstances, harm a fetus. If doctors cannot rule out something 100-percent, they tend to err on the side of caution. Which is understandable, albeit a little extreme.

Secondly, pushing the tee totaling approach is the easiest, most concise advice that can be given to potential moms. If health experts say, "Well, a glass of wine is okay but otherwise, abstain" that sounds wishy-washy and potentially confusing. And -- let's be honest -- it leaves doctors and other organizations open to potential lawsuits if their guidelines aren't absolutely clear.

Unfortunately, that advice also insults women's intelligence. Most of us realize that guzzling a six-pack in one evening is not a hot idea when you're pregnant. But we've also seen enough anecdotal evidence to know that a glass or half-glass of something bubbly with our Thanksgiving meal isn't going to be a deciding factor in our baby's well-being. I understand why health agencies feel they can't say that officially. But I also think it's a shame, too.

I wish that, collectively, we were all a little smarter than that. Apparently the higher-up health experts in Scotland trust their female population enough to tell the truth. That's right: The nation that gave us Groundskeeper Willie may be ahead of the curve when it comes to giving honest maternity advice.

Image: Top News Health


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Comments

 

StubbyDog said:

My OB was one that told me that a drink or two was fine on a small scale, and I appreciated that.  What I DIDN'T appreciate was other restaurant patrons giving me dirty looks if I ordered a glass of wine.  I mean, please.  Don't we have enough other bad parents out there doing truly horrible things, than to worry about one pregnant woman who has a single glass of wine or beer?  One other thing that I find funny...ever notice how we all say "wine" when discussing this topic?  I know wine has other health benefits, but are we all afraid to say that a mother can have a beer, too?  LOL  Is it somehow less pure to drink alcohol in a form other than wine?

October 12, 2008 4:11 PM
 

Ashley said:

I am not a big drinker or even much OF a drinker at all but now in week 33 of my pregnancy, after a 12 hour day at work and having just moved into our new home with all the fun that goes along with that, I've been allowing myself a glass of wine every other night.  I am able to unwind a little bit and it also has been helping with the very uncomfortable and terrible back pain I've been experiencing.  I am not just drinking wine because it is the only beverage the midwife told me I should drink, but because of the health benefits and the taste.  However, the heartburn after a nice glass of red is my punishment, haha.  

October 12, 2008 7:27 PM
 

Shannon LC Cate said:

The abstain-only approach is bad for adoption too.  People get wigged out if they hear a birth mother drank at all during her pregnancy, which can definitely happen, since usually, the pregnancy was unplanned, and there was some time during which she didn't know she was pregnant.

When we were deciding what "risk factors" to include in our adoptive-parent profile, I googled alcohol during pregnancy and found a UK site that suggested no more than two drinks per day.  It put my mind at ease about what made for a "healthy" newborn.  One of our kids was exposed to alcohol in utero and one was not.  Both are 100% healthy and brighter than average.

October 12, 2008 8:32 PM
 

stellarlady said:

Well for me it's not good drinkong up alcohol during pregnancy period. Just for my belief though that it could possibly harm the baby :) Maybe you can reserve that after giving birth.

October 13, 2008 1:26 AM
 

MelloMama said:

Think of our parents' generation, people. How many of you were gestating in a pool of booze in the 1960s and 70s? Most of us turned out ok, right?

In fact, I have a photo of my mom at her baby shower while she was about 8 mos. pregnant with me -- she held a glass of red wine in one hand and a cigarette in the other. I turned out not only healthy but also really damn smart. And when she was pregnant with my brother, her doctor actually prescribed a glass of wine a day to stave off early labor (he was still born 2 mos. premie, but would probably not have survived if the wine hadn't relaxed her uterus enough to keep on cookin' him). Bro is also healthy and smart.

Most of us are able to make good decisions for ourselves and our children. So relax. Think moderation, moderation, moderation.

October 13, 2008 9:11 AM

About Jen Chaney

Jen Chaney is the movies editor and a DVD columnist for washingtonpost.com. Her byline has appeared in The Washington Post, People magazine, USA Today and the Utne Reader as well as various other newspapers around the country. She is the mother of a one-year-old boy, who has not yet learned the word Xanadu. But he will. Trust us, he will.

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