Various theories have emerged over the years about the effects of alcohol on pregnancy. Certain official recommendations state that pregnant women should totally refrain from drinking alcohol, while others say that moderate or light drinking is acceptable. However, a study found that even moderate drinking during pregnancy can affect the IQ of a child.

How does alcohol affect a child’s IQ?

After ingestion of alcohol, enzymes will metabolize ethanol to acetaldehyde. However, the differences in the genes of people result to the variations on how enzymes metabolize ethanol. So, people who metabolize ethanol slowly have increased levels of alcohol that last longer than those who metabolize quickly. Experts believe that fast ethanol metabolism prevents damage to the brain development of infants as smaller amounts of alcohol are exposed to the fetus.

About the Study

The researchers used the study data of Children of the 90s (ALSPAC) which was participated by over 4,000 mothers and their children. The trial was first to use genetic variation (Mendelian randomization) in analyzing the effect of moderate drinking (less than 1 to 6 units of alcohol per week) of pregnant women on the IQ of their children. Genetic variation is ideal since every woman has a different DNA, which is not linked with lifestyle factors.

The studies showed that a strong link was found between a lower IQ at 8 years old and 4 genetic alternatives in the genes that metabolize alcohol in the 4,167 children. In each genetic modification of a child, the IQ was found to be 2 points lower in children whose mothers reported moderate alcohol drinking during their pregnancy. On the other hand, this link was not found among children whose mothers did not drink during pregnancy. This indicates that there is no direct relationship between the low IQ of a child and alcohol exposure in the womb.

At week 18, mothers answered questions about the average amount of alcohol consumed and the frequency of alcohol drinking prior to their pregnancy. At 32 weeks, they completed the second survey on average amount of alcohol they had on weekdays and weekends. Those who answered the first survey were considered light drinkers, while those in the second survey were moderate drinkers.

Results

At age 8, the IQ of the children was tested using the Wechslet Intelligence Scale for Children. The results suggest that even at low levels of alcohol consumption, there are differences in childhood IQ. This means that even at moderate levels, alcohol affect the brain development of a fetus.

For many years, experts have known that heavy alcohol consumption can cause birth defects. Now we are learning that even moderate drinking can have subtle effects on children as they grow. Because researchers don’t know how much (or how little) is a safe amount of alcohol to consume when you’re pregnant, they err on the side of caution and suggest all pregnant women abstain from drinking alcohol. Factors that can impact the effects of alcohol on a fetus include maternal metabolism and enzymes, as well as the amount of alcohol consumed. Many doctors leave the decision up to the individual mother, saying that there’s no evidence an occasional drink can harm a fetus. So educate yourself and so you can make healthy choices for yourself and your developing baby.

This information is not intended to replace the advice of a trained medical doctor. Health & Parenting Ltd disclaims any liability for the decisions you make based on this information, which is provided to you on a general information basis only and not as a substitute for personalized medical advice. All contents copyright © Health & Parenting Ltd 2018. All rights reserved.

How much is too much?

When it comes to drinking alcohol during pregnancy, not enough is known about the potentially harmful effects alcohol can have on the developing baby. For this reason, experts advise pregnant women to avoid alcohol entirely for the duration of the pregnancy. Women trying to conceive are also advised to steer clear of the hard stuff.

Will alcohol harm my baby?

Alcohol enters your blood and can cross the placenta to your developing baby. Your baby’s liver does not mature until late in the pregnancy. Your baby can’t process alcohol as well as you, and may experience higher levels of blood alcohol than you. Too much exposure to alcohol can harm your baby’s development, so experts advise women to avoid alcohol during pregnancy.

During the first three months of pregnancy, even low levels of alcohol consumption can increase the risk of miscarriage. During the first trimester, the foetus is believed to be particularly vulnerable to the effects of alcohol. Just one drink a day can put your baby at risk of low birth weight and increase his risk of developing learning and attention problems, speech and language difficulties and hyperactivity.

Foetal alcohol syndrome

Foetal alcohol syndrome is a serious condition caused by excessive alcohol consumption during pregnancy. Symptoms include:

• facial abnormalities
• restricted growth
• learning disorders
• behavioural disorders

Because experts don’t know the alcohol consumption level that can begin to cause these abnormalities, they suggest abstaining from all alcohol during pregnancy.

Giving up alcohol

For some women, giving up alcohol for the duration of the pregnancy will be easy. For others, however, it can prove more of a challenge. If you are struggling to give up drinking alcohol during pregnancy, you may find the following advice useful:

• talk about your feelings – talking about how you feel can help you to deal effectively with your emotions. Rather than feeling ashamed or bottling up your struggles, open up to your friends and family. They may be able to offer advice or assistance to help you avoid alcohol.
• find a drink you like – you don’t need to spend each evening begrudgingly sipping tap water, find a non-alcoholic drink you enjoy. There are plenty of fruit juices, flavoured waters and soft drinks for you to choose from.
• avoid tempting situations – if you are finding it very difficult to avoid alcohol, you may find avoiding certain social situations helps you to stay in control. This doesn’t mean you have to become a hermit and miss out on all the fun, but perhaps you should call it a night before your friends break out the tequila bottle.
• ask for help – it’s ok to find things difficult, not everything in life is easy. If you’re battling with giving up alcohol, speak to your healthcare provider. They are best placed to offer you practical advice and support to help you avoid alcohol.

Written by Fiona (@Fiona_Peacock), mother, writer and lover of all things baby related.

This information is not intended to replace the advice of a trained medical doctor. Health & Parenting Ltd disclaims any liability for the decisions you make based on this information, which is provided to you on a general information basis only and not as a substitute for personalized medical advice. All contents copyright © Health & Parenting Ltd 2017. All rights reserved.

If you are the kind of woman who enjoys nothing more than heading to a cocktail bar after work on a Friday, you might be feeling left out now that you’re pregnant. You may be feeling too tired after working hard all week, and end up passed out on the sofa by 8pm. Or perhaps you’re just not enjoying being the only sober one at the party. Whatever it is, you’re probably missing your weekly gossip with friends. Fear not, just because you can’t drink alcohol, doesn’t mean you have to drink water. Here are five delicious mocktail recipes for you to try at home:

The Cure
½ cup fresh apple juice
dash lemon juice
dash grenadine
ginger ale to top up
lemon slice to garnish

Named so because of the ginger ale, which many women report to help during bouts of morning sickness. Fill a tall glass with crushed ice. Add the apple juice, lemon juice, grenadine and then top up with ginger ale. Garnish with a slice of lemon.

Cos-mom-politan
¼ cup soda water
1 ½ tbsp fresh lime juice
1 ½ tbsp cranberry juice
1 tbsp orange juice
dash orange bitters
orange slice to garnish

Combine the ingredients in a cocktail shaker with ice. Shake vigorously. Strain and pour into a chilled martini glass. Garnish with a slice of orange.

The Fizz
1 tbsp blackcurrant cordial
dash lemon juice
lemonade to top up

Fill a tall glass with crushed ice, add the ingredients and mix together. This drink can also be served in a champagne glass if used as an alternative drink to toast with. Cheers!

Mom-garita
½ cup lime juice
¼ cup agave syrup
1 tbsp orange juice
1 tbsp lemon juice
slice of lime to garnish

Combine the ingredients in a cocktail shaker with ice. Shake vigorously. Strain and pour into a margarita glass. Garnish with a slice of lime.

Baby Bellini
2 tbsp peach juice
1 tbsp lemon juice
sparkling apple juice to top up

This is a classic virgin cocktail. Combine the peach and lemon juices in a champagne flute, and top up with sparkling apple juice.

Pregnancy doesn’t mean you have to stay home though, bars and restaurants usually have a number of alcohol-free cocktails on the menu for you to choose from. So enjoy your next night out with the girls, assuming you’re not too tired after a day in the office.

Written by Fiona, proud owner of a toddler, @fiona_peacock

This information is not intended to replace the advice of a trained medical doctor. Health & Parenting Ltd disclaims any liability for the decisions you make based on this information, which is provided to you on a general information basis only and not as a substitute for personalized medical advice. All contents copyright © Health & Parenting Ltd 2017. All rights reserved.

When you were pregnant, you likely abstained from alcohol. Now that your baby is born and you’re breastfeeding, you may wonder if you still need to refrain from drinking alcoholic beverages. Here’s the low-down on alcohol and breastfeeding.

Alcohol passes in and out of your breastmilk in the same way as it does in your bloodstream. So if you aren’t feeling the effects of the drink, then it’s likely that your baby would not be exposed to enough alcohol through breastmilk for it to be a concern.

According to the American Academy of Pediatrics, an occasional drink has not been found to be harmful to a breastfeeding baby. They suggest feeding your baby right before you enjoy a drink, then waiting two hours or more to minimize baby’s exposure. Even if you’re baby is hungry during that time, the dose of alcohol your baby would get is minimal (if you’ve had only one drink).

It takes about two to three hours for a 120-pound woman to eliminate one serving of beer or wine from her system. This rate changes depending on maternal weight, as well as whether or not you are eating or snacking while you’re enjoying your beverage.

The effects on your baby are directly proportional to effects on you. Babies may be sleepy and hard to rouse, though they get less sleep overall. Also, research shows that babies nurse more often but take in less milk generally. Experts think this may be due to inhibition of mom’s letdown reflex, which is a side effect of drinking alcohol, or with the fact that alcohol may change the way the breastmilk tastes or smells (and baby just doesn’t like the new flavor!).

Additionally, baby’s immature liver can’t metabolize alcohol at the same rate as an adult liver. Around three months of age, baby’s body can better handle this process. So limiting exposure during those first three months may lessen the effects alcohol could have on your baby.

There’s no need to ‘pump and dump’ after having a drink. Other methods to try to speed your sobriety – such as drinking a lot of water, “sleeping it off”, or drinking coffee – will not speed up this process, either.

Keep these tips in mind if you plan to combine an occasional drink with breastfeeding:

• Limit the frequency of consumption for the first three months of baby’s life.
• Consider low alcohol or non-alcoholic alternatives.
• Dilute your beverage with carbonated or flavored water and sip it slowly.
• Eat with your drink.
• Limit yourself to a single beer or glass of wine.
• Nurse your baby immediately before having a drink.
• Wait two to three hours after you’ve had a drink to nurse again.

Even though with these tips in mind an occasional drink may not harm your baby, ultimately it’s best not to drink alcohol or smoke at all while breastfeeding.

Written by Michelle, childbirth instructor, lactation consultant, and mother to 4 busy kids

This information is not intended to replace the advice of a trained medical doctor. Health & Parenting Ltd disclaims any liability for the decisions you make based on this information, which is provided to you on a general information basis only and not as a substitute for personalized medical advice. All contents copyright © Health & Parenting Ltd 2016. All rights reserved.