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Updated June 3, 2002
Fetal Alcohol Syndrome-Totally Avoidable

Ask Dr. Bill

Dear Dr. Bill,
I thought that drinking alcohol during pregnancy could cause a type of mental retardation called Fetal Alcohol Syndrome. A few days ago my daughter told me that a nurse friend of hers said that it is alright for her to have a "little wine" to calm some of the pain she has been having during these last couple of months of her pregnancy. She also told me that her doctor agreed that an occasional glass would probably be OK. My eldest daughter gave birth to our first grandchild ten years ago. Her obstetrician forbade any alcoholic drinks. Have times changed?

J.G.-Saddle River

 

Dear J.G.,
I answered this same query over five years ago and my answer is the same: The bottom line is that if ALL women gave up drinking any alcohol during pregnancy, there would NEVER be another baby born with Fetal Alcohol Syndrome (FAS) or Fetal Alcohol Effect (FAE). Although heavy drinking is more likely to result in the full syndrome, scientific evidence suggests that different aspects of development will be found to be sensitive at different levels of exposure and at different times during the pregnancy. FAS and FAE are 100% preventable.......When a women stays away from alcohol (beer, "a little wine" or wine coolers or hard liquor) during pregnancy, her baby WILL NOT have FAS or FAE.

A common pattern of birth defects observed in children born of alcoholic mothers was first described and labeled as "Fetal Alcohol Syndrome" by Jones in 1973. Studies since have established alcohol as a physical and behavioral agent that produces defects in offspring in utero. The minimal criteria for diagnosing FAS are (1) prenatal and postnatal growth retardation; (2) central nervous system involvement such as neurological abnormalities, developmental delays, behavioral dysfunction, attention deficit disorders (ADD), intellectual impairment, and skull or brain malformations; and a characteristic face with short eye openings, a thin upper lip and an elongated, flattened mid-face and groove in the upper, middle lip. For those individuals who have only some of the characteristics of FAS, the term "Fetal Alcohol Effects" (FAE) is used.

FACT: FAS is still the #1 known cause of mental retardation in the United States, and one of the three leading causes of birth defects. FACT: Each year the full FAS syndrome occurs at a rate of 9.7 cases per 10,000 live births nearly 4,000 in al...not including those many more with FAE all born with these defects because their mother drank alcohol when pregnant. FACT: The effects of FAS never go away. People with FAS have the disabilities they are born with, including mental retardation, throughout their lives.

FAS AND FAE CAN BE PREVENTED I have not changed my opinion that:
1) Women planning a pregnancy should stop drinking alcohol before trying to conceive and should not drink throughout pregnancy and breast feeding.
2) Women who drink and have an unplanned pregnancy should quit drinking as soon as they suspect that they are pregnant.
3) Heavy drinkers should avoid pregnancy until they think they can stay away from alcohol for nine months from conception to birth, and longer if they plan to breast feed their babies.

In summary, I disagree with both the nurse and your daughter's doctor. As far as I am concerned there is no known safe amount of alcohol or safe time for a pregnant women to drink, When a women drinks, her baby drinks, because the alcohol passes directly through the placenta to the baby. Frankly, if a women can't stay away from alcohol once she knows she is pregnant, she may well have a drinking problem which must be addressed. For more information you can call the March of Dimes: 1-800-345-5188.


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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