Tag: drinking while pregnant

  • Drinking While Pregnant Becoming More Common In The US

    Drinking While Pregnant Becoming More Common In The US

    More than 10% of women reported drinking alcohol while pregnant, according to a new survey.

    Over one in nine pregnant women consume at least one drink per month and about 4% engage in binge drinking—consuming more than four drinks at a time—according to a new survey by the Centers for Disease Control and Prevention (CDC).

    These numbers come from between 2015 and 2017, and are up from 2011 to 2013. In the earlier period, a little over one in 10 women drank while pregnant with a bit over 3% engaged in binge drinking.

    Any amount of alcohol consumption while pregnant is considered to be unsafe for the developing embryo or fetus by the CDC. 

    Rates of drinking while pregnant appear to be associated with stress levels. Unmarried women were found to be twice as likely to consume alcohol during pregnancy and three times as likely to binge drink, and researchers pointed to the “financial stress associated with being the sole provider as well as lack of social support” as a possible factor. The youngest age group surveyed, ages 18-24, were also the most likely to binge drink. However, the age group most likely to drink at all was the oldest, ages 35-44.

    In spite of the many warnings against drinking while pregnant, the idea that it’s safe for pregnant women to drink small amounts persists. However, according to the American Academy of Pediatrics, even a single glass of wine increases the risk of health problems and fetal or infant death.

    “There is no safe amount of alcohol when a woman is pregnant,” says their fetal alcohol syndrome FAQ page. “Evidence-based research has found that drinking even small amounts of alcohol while pregnant can increase the risk of miscarriage, stillbirth, prematurity, or sudden infant death syndrome.”

    These risks increase substantially the more a pregnant woman’s blood alcohol level increases, making binge drinking even once during pregnancy more dangerous than an occasional single drink.

    At the same time, a study published in JAMA Psychiatry in 2017 found that drinking and alcohol dependence are on the rise in the U.S., particularly among women and people of color.

    The study found that “high-risk drinking,” defined the same as binge drinking in the CDC survey, increased by 58% among women from 2002 to 2013.

    The CDC survey also found that women who engaged in binge drinking before becoming pregnant were more likely to do so during pregnancy.

    To address the problem, the CDC recommends regulating the number of stores that sell alcohol in a given area, screening and counseling for “unhealthy alcohol use” for all adults 18 and older, and “alcohol use screening for all women seeking obstetric-gynecologic care, including counseling patients that there is no known safe level of alcohol use during pregnancy.”

    View the original article at thefix.com

  • PSAs Feature Kids With Fetal Alcohol Spectrum Disorder

    PSAs Feature Kids With Fetal Alcohol Spectrum Disorder

    A new public health campaign is challenging the idea that light drinking — like having a glass of wine or a beer — is safe during pregnancy.

    A new public service announcement campaign features children and young adults with fetal alcohol spectrum disorder, questioning the assumption that light or moderate drinking during pregnancy is safe.

    The campaign was put together by the Proof Alliance, an organization that aims to educate people about the risks of consuming alcohol during pregnancy, which can lead to fetal alcohol spectrum disorder. The disorder causes a host of cognitive delays and other health issues.

    While the health effects of heavy drinking while pregnant are widely acknowledged, the Proof Alliance wants to challenge the idea that light drinking — like having a glass of wine or a beer — is safe. The campaign highlights articles and social media posts that argue that drinking small amounts during pregnancy is safe, and then shows actors with fetal alcohol spectrum disorder pushing back on the idea.

    “Alcohol is alcohol,” a boy says in one of the campaign’s videos.

    “Drinking any amount during pregnancy is dangerous,” another boys says. “We have fetal alcohol spectrum disorder, and we are proof.”

    The campaign points to research that indicates 1 in 20 American children may have fetal alcohol spectrum disorder.

    In addition to the public service announcement videos, the Proof Alliance is also running billboard ads with blunt messages like “Placentas aren’t magical booze blockers,” “Drinking during pregnancy is the leading cause of preventable brain injury in the U.S.” and “Even a little red wine can give baby brain damage.”

    The Proof Alliance also launched a website — DrinkingWhilePregnant.org — with strong images and messages designed to make a lasting impression.

    “All major medical organizations advise abstaining completely from alcohol during pregnancy — from conception through birth,” the site reads.

    “The problem with drinking alcohol during your pregnancy is that there is no amount that has been proven to be safe,” said Dr. Jacques Moritz, according to the website.

    Although experts believe that the rate of fetal alcohol spectrum disorder might be underestimated, it is very difficult to accurately measure the condition.

    “It’s impossible to know what proportion of these deficits were caused by fetal alcohol exposure,” authors of a study published last year in the Journal of the American Medical Association (JAMA) found.

    “We have long thought and believed that estimates that we had previously in the U.S. were pretty gross underestimates,” Christina Chambers, a study author and a professor of pediatrics at the University of California, San Diego School of Medicine, told CNN at the time. “It’s not an easy disorder to recognize.”

    View the original article at thefix.com

  • Did The CDC Overestimate The Number Of Alcohol-Exposed Pregnancies?

    Did The CDC Overestimate The Number Of Alcohol-Exposed Pregnancies?

    A new study suggests that CDC may have inflated the number of pregnancies affected by alcohol use. 

    In 2016, the Centers for Disease Control and Prevention caused a stir by saying that women of childbearing age who aren’t on birth control should abstain from drinking so that they didn’t unintentionally have pregnancies affected by alcohol.

    The CDC said at the time that 3.3 million women were at risk of having alcohol-exposed pregnancies each month. 

    However, a new study finds that the CDC vastly overestimated the number of pregnancies that might be affected by alcohol. 

    “We estimate 731,000 U.S. women had [alcohol-exposed pregnancies] and 481,000 resulted in [alcohol-exposed births],” researchers wrote. “Under our assumptions, the estimated expected actual number of [alcohol-exposed pregnancies] is 2.5 million less than the CDC estimate of the number at risk of an [alcohol-exposed pregnancies].” 

    The study, published in the January edition of the journal Women’s Health Issues, was led by researchers Sarah Roberts and Kristen Thompson from the University of California San Francisco’s Department of Gynecology. They used the same data set that the CDC did, but they adjusted how the number of alcohol-affected pregnancies were calculated. They also considered that because of miscarriage and abortion, not all pregnancies lead to births. 

    In the original calculations, the CDC assumed that any woman who both had an alcoholic drink and who had unprotected sex in the previous month could have a pregnancy affected by alcohol. However, this inflated the number of pregnancies affected, Roberts told Quartz. 

    “That’s not the right way to do this,” she said. 

    The calculations gave the maximum number of alcohol-exposed pregnancies that could possibly occur, rather than a more realistic, likely estimate, Roberts explained. 

    In the new calculations, researchers raised the number of drinks a woman had to have to be considered “at risk” from one to seven. Roberts said this reflects the CDC’s classification of what level of drinking is considered potentially harmful. They tempered the likelihood of pregnancy resulting from unprotected sex using national data that shows that just 38% of unprotected sex leads to pregnancy, and 64% of those pregnancies lead to births. As a result, the study estimated the amount of pregnancies actually affected by alcohol as less than 25% of the original CDC estimate.  

    The high number the CDC put out “contributed to a sense of moral panic around the topic,” Roberts said. In the future, it’s important that the agency take a more wholistic and realistic picture of the risk of drinking and unprotected pregnancy. 

    “It would be great if future efforts could take into account this method,” she said. 

    View the original article at thefix.com