This article was in the NYT this week. It is about consuming alcohol in moderation while pregnant. Personally, I can't see taking the risk, but it looks like a practice that will be on the rise in the US. What do you guys think? Are you having pt's ask you about pregnancy and alcohol consumpton? It sounds like there isn't a lot of research despite the fact that in Europe it is fairly common.
Here is the link:
Dec 31, '06
I don't believe that it's the midwife's job to "let" or "forbid" her clients to do anything during pregnancy. A midwife is there to educate and facilitate a safe birth, and to give the prospective parents the information and resources they need to make the best decision for themselves. If you know and trust your patients, you'll know what patient A means by "moderation" and what patient B means, and you'll know who is at risk of FAS and who isn't. I say give the mother the straight dope (pun intended) on whatever evidence is available about the potential risks of alcohol consumption during pregnancy and let her make her own decision. Tell her "I don't recommend even a sip of alcohol because it thins the blood" (and of course explain how even a single sip of alcohol might thin the blood so much that it would have an effect on the fetus.) Or "I'm afraid that one sip might lead to more drinking..." Remember that it's her baby and it's her risk. Of course if she has a particular condition that would make alcohol consumption even more risky for her that should also be discussed. Basically, pregnant women are adults and capable of making their own decisions about how much or how little alcohol to drink during pregnancy, if they are given the correct information.
Last edit by JeanettePNP on Jan 1, '07