How much alcohol should a pregnant woman drink

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When Parents say "Because I said so", you know you made a good argument. E.C. McKenzie

Expert Perspective : Is Alcohol okay during pregnancy?

Alcohol gets into the news every so often, and usually not for good reasons. The past month has not disappointed, with worrying news of thousands of pregnant women taking to the bottle in the UK, despite unwavering advice to the contrary.

It cannot be any different in our part of the world, even though accurate figures may be difficult to come by. Let’s start with scientific facts. There is no known safe amount of alcohol use during pregnancy or while trying to get pregnant.


There is also no safe time during pregnancy to drink. All types of alcohol are equally harmful, including all wines and beer. When a pregnant woman drinks alcohol, so does her baby. The effects of alcohol in pregnancy are completely preventable by simply not drinking, so why take the risk?

When you drink, alcohol passes from your blood through the placenta to the baby.

The developing baby’s liver remains immature and unable to break down alcohol in the same way as an adult. Thus continued alcohol exposure will seriously affect your baby’s development. Damaging effects of alcohol are most harmful in the first three months of pregnancy, when it is linked with miscarriages and birth defects.



It doesn’t get any safer as pregnancy advances. There is an ongoing risk of premature birth, low birth weight and even stillbirth (when a baby dies before birth). A whole range of lifelong physical, behavioural and intellectual disabilities may also result. The combination of the many problems that can occur to the baby is aptly described as fetal alcohol spectrum disorders (FASD). You don’t want your baby to have any of these.

But surely there must be a safe limit?

If you must drink, some authorities advise you to stick to only one or two units of alcohol once or twice in a week. This equates to a small glass of wine, or half a pint of beer, or a single measure of spirits and whiskies.

Tough limits, all based on observations that seem to suggest small amounts of alcohol in pregnancy have not been shown to be harmful. But we all know about the temptation to take just one little bit more. And that’s where trouble looms.

The safest option for you is to avoid alcoholic drinks altogether for the whole of the pregnancy. It may not be as difficult as you might think, many women cannot stand the taste of alcohol in pregnancy anyway.

Should you experience difficulties in cutting down your drinking in pregnancy, remember you can always seek help. Talk to your midwife or obstetrician. It’s never too late to stop. The sooner you stop drinking in pregnancy, the better it will be for your own health, and your unborn baby’s health too.

Read more on Dr Murage’s Blog.


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