Pregnancy and Alcohol Use

Dr. MauldinDrinking alcohol during pregnancy can be harmful to you and your growing baby. The degree of harm very largely depends on the amount of alcohol you drink and how often you drink. When you are pregnant, the baby inside of you is exposed to what is in your bloodstream. While a little bit of alcohol may not affect you, it may hurt your baby. In adults, the liver breaks down the alcohol; but your baby’s liver is not yet able to break down the alcohol – so the effects are more harmful.

Keep these things in mind:
1. Drinking alcohol increases the chance of having a miscarriage or having a preterm delivery.
2. Alcohol may also cause the baby to be too small. It’s a condition called intrauterine growth restriction.
3. There is an increased risk of birth defects – particularly of the heart and brain. Children that have been exposed to alcohol during their mother’s pregnancy may have problems with memory, learning, speech and behavior – a condition called fetal alcohol syndrome. You may not be able to Glass of winesee many of these problems until later in life.

Here are some warning signs that suggest you may have a drinking problem:
• Drinking alone, when you feel angry or sad.
• Drinking in a regular pattern – for instance, every day or every week at the same time.
• Thinking a lot about drinking and planning activities around your ability to have a drink.
• Drinking to relieve pain or stress or drinking more than you told yourself you would.

If you see these warning signs in yourself and cannot stop drinking on your own, talk to your doctor.  They can suggest ways to help you.  Your baby will thank you!

by:  Jill Mauldin, M.D.

Request an appointment with a MUSC provider.

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Comments

April 9. 2009 00:31

Hello, thank you for writing about that very sensitive topic. My younger sister has such problems. She is anorexic, is a strng smoker and tends to drink to much. (when she is alone at home too!) She is pegnant with her second child and I am very worried about it.
Last week the magazine GEO brought a german article about it. They wrote that the baby cannot get enough oxygen through the placenta if the motherhas alcohol and cigarettes problems. Is that true? What can happen if the baby doesn´t get enough oxygen? How do I have to speak to my sister? She doesn´t seem to know how bad it is for her baby.
Regards,
Nina

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April 13. 2009 16:28

Hi Nina, I'm sorry to hear about your sister. These issues are especially hard to deal with when they involve our family members.

I think a good place to start when you're talking to your sister about this topic is in a neutral location - not in your home and not in your sister's home. I also think it would be helpful to have a collection of the things you've been reading about alcohol and tobacco use during pregnancy to give to her. Present your sister with the facts in a sensitive manner and let her know that you are concerned about her.

Cigarette use will decrease the amount of oxygen available to the baby. As a result, babies born to mothers who smoke regularly are more likely to be born smaller than their counterparts. This is called Intrauterine Growth Restriction. With this said, the majority of infants who are born growth restricted will exhibit 'catch-up' growth during their first 2 years of life and reach their genetically determined growth potential around 2 years of age.

What concerns me most about your sister's scenario is the presence of anorexia with tobacco and alcohol use. In addition to the decreased oxygen from tobacco products and the risk of fetal alcohol syndrome with regular alcohol use, anorexia can be associated with nutritional deficits - and is yet another risk factor for growth restriction for this infant.

Jill Mauldin

April 20. 2009 13:39

Oh, yes, its a very sensitive topic, my sister was living on the street. In 2000 she was pegnant. That was the step to home... she also smokes a lot of cigarettes an drink alcohol, but the child, hes 9 years now is not full ok, there are problems...

Abfrackpraemie

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