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Guidelines for Pregnancy: What’s an Acceptable Risk, and How Is the Evidence (Finally) Shaping Up?

O'LEARY, COLLEEN M., BOWER, CAROL·2012·Drug and Alcohol Review
DOI 10.1111/j.1465-3362.2011.00331.x
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Abstract

Issues.The lack of consensus about whether low to moderate levels of prenatal alcohol exposure are a risk factor for fetal development has generated considerable debate about what advice policies and guidelines should provide. Approach.This paper reviews the evidence from systematic reviews and meta‐analyses examining the risk from low and moderate levels of prenatal alcohol exposure, along with the results of articles published 2009–2010, after the reviews. Key Findings.The reported significant effects from low levels of prenatal alcohol exposure are likely due to methodological issues such as confounding and/or misclassification of exposure or outcome and there is no strong research evidence of fetal effects from low levels of alcohol exposure. However, harm is well‐documented with heavy exposure and moderate levels of exposure, 30–40 g per occasion and no more than 70 g per week, have been demonstrated to increase the risk of child behaviour problems. Implications.With such a small margin before there is increased risk to the fetus, it would be morally and ethically unacceptable for policies and guidelines to condone consumption of alcohol during pregnancy. Not all women will follow this advice and some women will inadvertently consume alcohol prior to pregnancy awareness requiring non‐judgmental counselling and the provision of rational advice about the likelihood of risk to the fetus. Conclusions.The policy advice that ‘the safest choice for pregnant women is to abstain from alcohol during pregnancy’ should be maintained. However, the abstinence message needs to be presented in a balanced and rational manner to prevent unintended negative consequences.[O'Leary CM, Bower C. Guidelines for pregnancy: What's an acceptable risk, and how is the evidence (finally) shaping up?Drug Alcohol Rev 2012;31:170–183]

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Research works printed but not linked: 135

  1. 10.5694/j.1326-5377.2007.tb00999.x · DOI
  2. Nathanson V, 2007, Is it all right for women to drink small amounts of alcohol in pregnancy? No, BJOG, 335, 857
  3. O'Brien P, 2007, Is it all right for women to drink small amounts of alcohol in pregnancy? Yes, BJOG, 335, 856
  4. 10.1093/alcalc/35.3.276 · DOI
  5. 10.1542/peds.2010-0256 · DOI
  6. 10.1093/aje/kwn186 · DOI
  7. 10.1111/j.1530-0277.2008.00775.x · DOI
  8. 10.1002/ajmg.a.32009 · DOI
  9. 10.1111/j.1530-0277.2006.00187.x · DOI
  10. 10.1111/j.1530-0277.1998.tb03657.x · DOI
  11. 10.1016/S0022-3476(97)70099-4 · DOI
  12. 10.1111/j.1651-2227.1985.tb10916.x · DOI
  13. 10.1016/S0140-6736(86)92234-8 · DOI
  14. 10.1176/ajp.2006.163.6.1061 · DOI
  15. 10.5042/amhid.2011.0015 · DOI
  16. 10.1111/j.1530-0277.1993.tb00744.x · DOI
  17. 10.1300/J251v06n04_07 · DOI
  18. 10.1111/j.1360-0443.2009.02756.x · DOI
  19. 10.1542/peds.2008-1861 · DOI
  20. 10.1111/j.1651-2227.1979.tb06170.x · DOI
  21. National Health and Medical Research Council, 2001, Australian alcohol guidelines: health risks and benefits
  22. National Health and Medical Research Council, 2009, Australian guidelines to reduce health risks from drinking alcohol
  23. 10.3109/10826084.2010.527419 · DOI
  24. 10.1111/j.1530-0277.2006.00303.x · DOI
  25. 10.5694/j.1326-5377.2010.tb03703.x · DOI
  26. Denny CH, 2009, Alcohol use among pregnant and nonpregnant women of childbearing age in the United States, 1991–2005
  27. 10.1007/s10995-008-0328-2 · DOI
  28. 10.1037/0012-1649.32.3.390 · DOI
  29. 10.1016/0892-0362(95)98055-6 · DOI
  30. Van Essen P, 2008, 2005 annual report of the South Australian Birth Defects Register; incorporating the 2005 annual report of prenatal diagnosis in South Australia
  31. Bower C, 2007, Report of the Birth Defects Registry of Western Australia 1980–2006
  32. 10.1136/adc.2007.120220 · DOI
  33. 10.1111/j.1753-6405.2007.00012.x · DOI
  34. Burd L, 1994, Epidemiology of fetal alcohol syndrome in American Indians, Alaskan Natives, and Canadian Aboriginal peoples, Public Health Rep, 109, 688
  35. 10.1016/0892-0362(95)00005-C · DOI
  36. 10.1111/j.1530-0277.2006.00188.x · DOI
  37. 10.2105/AJPH.90.12.1905 · DOI
  38. 10.1016/j.drugalcdep.2006.11.007 · DOI
  39. 10.1046/j.1440-1754.2000.00575.x · DOI
  40. 10.1111/j.1440-1754.2003.00281.x · DOI
  41. Jacobson JL, 1999, Drinking moderately and pregnancy: effects on child development, Alcohol Res Health, 23, 25
  42. O'LearyCM.Alcohol and pregnancy: policy classification and fetal effects. PhD Thesis. Perth Western Australia: University of Western Australia 2010.
  43. Rose GA, 1992, Strategy of Preventive Medicine
  44. Commonwealth of Australia, 2001, Alcohol in Australia: issues and strategies
  45. The Social Issues Research Centre, 1998, Social and cultural aspects of drinking: a report to the Amsterdam Group
  46. 10.1080/09687630600577964 · DOI
  47. Chikritzhs T, 2003, Australian Alcohol Indicators, 1990–2001: patterns of alcohol use and related harms for Australian states and territories
  48. Australian Bureau of Statistics, 2006, Alcohol consumption in Australia: a snapshot, 2004–05
  49. 10.1016/S0002-9378(99)70139-0 · DOI
  50. 10.1016/j.ajog.2008.09.871 · DOI
  51. Dell CA, 2006, Alcohol use and pregnancy: an important Canadian public health and social issue
  52. Goddard E, 2008, General Household Survey 2006: smoking and drinking among adults 2006
  53. Smith L, 2009, Drinking in the UK: an exploration of trends
  54. Young A, 2005, Australian women and alcohol consumption 1996–2003
  55. Australian Bureau of Statistics, 2008, Australian social trends, 2008: risk taking by young people
  56. Australian Institute of Health and Welfare, 2007, Statistics on drug use in Australia 2006
  57. 10.1016/S0029-7844(98)00205-1 · DOI
  58. 10.1007/s00038-009-5411-y · DOI
  59. 10.1016/j.addbeh.2007.04.018 · DOI
  60. 10.1111/j.1530-0277.1993.tb00765.x · DOI
  61. 10.1136/jech.44.4.297 · DOI
  62. 10.1016/S0378-3782(03)00003-3 · DOI
  63. 10.1111/j.1753-6405.1989.tb00707.x · DOI
  64. 10.1111/j.1479-828X.2006.00572.x · DOI
  65. 10.1080/09595230701499100 · DOI
  66. Giglia RC, 2008, Alcohol, pregnancy and breastfeeding; a comparison of the 1995 and 2001 National Health Survey data, Breastfeed Rev, 16, 17
  67. Australian Institute of Health and Welfare, 2005, Statistics on drug use in Australia 2004
  68. Isbister J, 2009, Alcohol use during pregnancy in Manitoba: results from a population‐based screening tool. Fetal alcohol spectrum disorder: integrating research, policy, and promising practice around the world: a catalyst for change
  69. 10.1111/j.1530-0277.1998.tb05902.x · DOI
  70. 10.1016/S0029-7844(99)00616-X · DOI
  71. Nanson JL, 1995, Physician awareness of fetal alcohol syndrome: a survey of pediatricians and general practitioners, CMAJ, 152, 1071
  72. 10.1111/j.1467-842X.1999.tb01276.x · DOI
  73. Mattson S, 2001, Teratogenic effects of alcohol on brain and behaviour, Alcohol Res Health, 25, 185
  74. Makarechian N, 1998, Association between moderate alcohol consumption during pregnancy and spontaneous abortion, stillbirth and premature birth: a meta‐analysis, Can J Clin Pharmacol, 5, 169
  75. 10.1016/S0892-0362(97)00073-1 · DOI
  76. 10.1093/alcalc/agg087 · DOI
  77. Gray R, 2006, Review of the fetal effects of prenatal alcohol exposure
  78. Holmgren S, 2009, Low dose alcohol exposure during pregnancy—does it harm?
  79. 10.1158/1055-9965.EPI-09-1110 · DOI
  80. 10.1093/alcalc/agp062 · DOI
  81. Abel EL, 1995, ‘J‐shaped’ relationship between drinking during pregnancy and birth weight: reanalysis of prospective epidemiological data, Alcohol Alcohol, 30, 345
  82. Aliyu M, 2010, Alcohol consumption during pregnancy and risk of placental abruption and placenta previa, Matern Child Health J
  83. 10.1093/ntr/ntn014 · DOI
  84. 10.1093/eurpub/ckq036 · DOI
  85. 10.1093/ije/dyq047 · DOI
  86. Kelly YJ, 2010, Light drinking during pregnancy: still no increased risk for socioemotional difficulties or cognitive deficits at 5 years of age?, J Epidemiol Community Health
  87. 10.1186/1471-2393-11-27 · DOI
  88. 10.1111/j.1471-0528.2008.02058.x · DOI
  89. 10.1111/j.1471-0528.2010.02596.x · DOI
  90. 10.1097/EDE.0b013e3181bbd46c · DOI
  91. 10.1016/0892-0362(88)90015-3 · DOI
  92. 10.1002/bdra.20596 · DOI
  93. Hennekens C, 1987, Epidemiology in Medicine, 43
  94. 10.1542/peds.108.2.e34 · DOI · Paper page
  95. 10.1037/0012-1649.20.4.533 · DOI
  96. 10.1016/0892-0362(91)90027-T · DOI
  97. 10.1093/aje/155.4.305 · DOI
  98. 10.2105/AJPH.81.1.69 · DOI
  99. Jacobson JL, 1994, Prenatal alcohol exposure and neurobehavioural development: where is the threshold?, Alcohol Health Res World, 18, 30
  100. 10.1111/j.1530-0277.1980.tb05626.x · DOI
  101. Nulman I, 2000, Neurodevelopment of children exposed in utero to maternal binge alcohol consumption a prospective controlled study, Clin Pharmacol Ther, 67, 131
  102. 10.1542/peds.109.5.815 · DOI
  103. 10.1136/jech.2009.091785 · DOI
  104. 10.1016/j.ajog.2004.05.048 · DOI
  105. 10.1093/aje/kwn334 · DOI
  106. 10.1016/j.earlhumdev.2006.05.011 · DOI
  107. 10.1097/01.ALC.0000145691.81233.FA · DOI
  108. 10.1093/toxsci/kfm160 · DOI
  109. 10.1111/j.1530-0277.2009.00926.x · DOI
  110. Stratton K, 1996, Diagnosis, epidemiology, prevention, and treatment, 37
  111. 10.1016/S0022-3476(05)81917-1 · DOI
  112. 10.1111/j.1530-0277.1997.tb04471.x · DOI
  113. 10.1111/j.1365-2826.2008.01669.x · DOI
  114. 10.1002/jnr.21447 · DOI
  115. 10.1111/j.1530-0277.2007.00568.x · DOI
  116. 10.1016/j.alcohol.2007.12.004 · DOI
  117. 10.1093/aje/kwn233 · DOI
  118. 10.1177/15353702-0323006-05 · DOI
  119. 10.1203/01.pdr.0000203102.01364.de · DOI
  120. 10.1111/j.1530-0277.1990.tb01842.x · DOI · Paper page
  121. 10.1097/00001648-199709000-00007 · DOI
  122. 10.1542/peds.2006-1840 · DOI
  123. 10.1111/j.1530-0277.1994.tb00904.x · DOI
  124. 10.1016/j.amepre.2005.01.011 · DOI
  125. 10.1111/j.1530-0277.1998.tb03654.x · DOI
  126. 10.1136/bmj.38167.589907.55 · DOI
  127. 10.5694/j.1326-5377.2002.tb04979.x · DOI
  128. 10.1136/jech.52.8.482 · DOI · Paper page
  129. Australian National Council on Drugs, 2003, Fetal alcohol syndrome national workshop 2002
  130. Koren G, 1996, Alcohol consumption in early pregnancy. How much will harm a fetus?, Can Fam Physician, 42, 2141
  131. 10.1016/0009-8981(96)06235-3 · DOI
  132. 10.1089/152460999319048 · DOI
  133. 10.1016/j.amepre.2006.08.028 · DOI
  134. Department of Health Western Australia, 2010, Fetal alcohol spectrum disorder model of care
  135. Babor TF, 2003, Alcohol: no ordinary commodity—research and public policy, 10.1093/oso/9780192632616.001.0001 · DOI

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Metadata

Authors
O'LEARY, C. M., & BOWER, C.
Venue
Drug and Alcohol Review
Publisher
Wiley
Published
2011-09-29
Volume
31
Issue
2
Pages
170-183
ISSN
  • 0959-5236
  • 1465-3362
DOI
10.1111/j.1465-3362.2011.00331.x
Cited by
110
References
7
Language
en
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)

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CoChat. (2026). Citation check: Guidelines for Pregnancy: What’s an Acceptable Risk, and How Is the Evidence (Finally) Shaping Up? https://app.cochat.ai/papers/10.1111/j.1465-3362.2011.00331.x
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O'LEARY, C. M., & BOWER, C. (2012). Guidelines for Pregnancy: What’s an Acceptable Risk, and How Is the Evidence (Finally) Shaping Up? Drug and Alcohol Review. https://doi.org/10.1111/j.1465-3362.2011.00331.x

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