Drinking Alcohol During Pregnancy
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- Опубліковано 16 вер 2019
- Drinking during pregnancy is roundly frowned upon, for good reason. It's a huge risk factor for lots of post-natal problems. But prevention can be counter intuitive. Strong prohibitions and punitive measures for pregnant women who drink mostly just have the effect of driving women away from prenatal care. We look at the literature.
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Oh?! Another punitive policy that turned out to be harmful?! I am SHOCKED...
People who put their social lives ahead of their children avoid prenatal care because someone might wag a judgemental finger at them? I'm shocked!!
@@jnzkngs having your children taken away by CPS is not 'judgemental finger wagging'
@@MagusSartori Leaves more time for partying! Too bad that means their meal ticket is gone tho.
@@jnzkngs You sound like a really pleasant person.
@@jonwhite8815 if people lack the intelligence to act in the best interest of themselves and their children, at what point in the exercise of pandering to them in an attempt to get a marginally better outcome will it be possible to tell them the truth without destroying everything you've built up until that point? I only see it being a vicious cycle of lying to people telling them that they are smarter than they actually are. If the solution is to pander to people like they are ignorant children, why can't we just treat them like ignorant children without pandering to them?
It's amazing how counter-intuitive policy making can be. This reminds me of videos about drug use and harm reduction policy instead of criminalization policy.
Jason Henley because that’s what alcohol is, it’s a drug, and it should be treated as such, it should not be advertised nor encouraged, and it should definitely be fought.
Not saying ban it, cause we know that doesn’t work, but we have to start calling it what it is,
A drug,
A socially sanctioned drug, but a drug non the least.
@@AM-bj7yo no, that's completely wrong.
By calling it a drug and pushing it out of mainstream you're destroying healthy alcohol consumption culture.
US already has ridiculously high minimum alcohol age and all it does is push kids to do other drugs and treat alcohol as some technical liquid which they have to consume as much as possible.
You know who has very little problems with alcohol related deaths? France. Not because they ban alcohol, but because alcohol is mainstream and is woven into the culture, and people don't treat it as technical liquid to get shitfaced.
steveh46 caffeine isn’t the leading cause of morbidity and second leading cause of mortality in the west.
Butt Why?? You can’t put the words healthy and alcohol in the same sentence,
There is no safe amount of consumption of alcohol, the best is none, and then it’s as little as possible,
It’s not just unsafe for teenagers, it’s not safe for anyone, and people should be told that.
I leave you with the largest and most comprehensive study that looked at alcohol consumption from the Lancet.
www.thelancet.com/article/S0140-6736(18)31571-X/fulltext
@@AM-bj7yo I don't know what you mean by "the west." In the US, the two leading causes of death are heart disease and cancer.
Could you think about doing a video around fasting? I feel like more and more people are talking about it.
It's also worth noting that first trimester is when the foetus are most at risk from noxious agents. A considerable amount of women don't even know that they are pregnant many weeks into their pregnancy.
For the first ~11 weeks there is no direct mother to fetus blood-based nutrient transfer via the umbilical cord (Placenta, DOI: 10.1016/j.placenta.2015.01.002). The fetus survives of secretions of glucose and glycoprotiens. I'm not aware of any work into how alcohol interacts with those secretions, but it is likely not a significant direct source of alcohol to the fetus, as glandular secretions generally don't carry alcohol even when it's in the blood stream. However, alcohol may affect the glandular secretions in ways other than directly having alcohol in the secretions.
@@nolanthiessen1073 Well alcohol is both highly lipid and water soluble so it just about crosses all biological membranes and reaches all fluid cavites along the diffusion gradient. Though I don't exactly know at what concentration does it reach the foetus.
I have never been much of a drinker but I happen to have 2-3 glasses of wine when I was unaware I was pregnant with my first son. My body sure knew, it came right back out!
True, a lot of people don't know. Like my mom. My mom didn't know until she was four months pregnant with me.
@@UltraHuman hello..... Are there any complications because of alcohol.... Please answer...
I can’t help but wonder how different things could be if instead of punishing pregnant women who test positive for alcohol or drugs, we tried helping them. Perhaps instead of putting them in jail we put them into a quality rehab or under a doctors care who specializes in substance abuse. My sister-in-law who was an alcoholic (and later abused drugs as well) actively avoided prenatal care & a hospital birth because she was afraid of being arrested. During pregnancy she’d quit pills, street drugs, & vastly lowered the amount of alcohol she drank or occasionally smoked marijuana. Don’t get me wrong, it’s horrible to abuse substances while pregnant & honestly, as glad as I am to have nephews a woman in her condition probably shouldn’t have had children (she had 4 total). But the whole time she was pregnant there was an attitude of disdain towards her sadly from many physicians & police. She kept her first two kids (now young adults), her third was adopted by his aunt & her fourth was adopted by a nice couple who couldn’t have children. Five years ago, my sister in law died of a heroin overdose when her “friends” left her alone in a car (while they partied) to choke to death until she lost consciousness & later died. She was 35. I can’t help but wonder how different things could have been for her, and her children if more people had offered help instead of punishment & threats. The “war on drugs” has been a massive failure & it needs to end. Addicts are people who need help, not punishment.
I'm a recovering opiate addict in an mmt/mat program. It definitely seems that pregnant women get bumped up to the top of the list. This as an outside looking in type thing... Obviously, I'll never be a pregnant woman. I can say they do great work with these women, and if the women try hard they AND THEIR BABIES do really really well in the program.
Good luck with your recovery!
@@AvgJane19 thank you very much. At the end of October it will be three and a half years exactly for me. It's sad because I haven't seen some people that long, and realizing it's been that long is a shock. But I've met new people, and I'll always be here if the old people wanna get where I am. Best wishes to you.
There were two recent terrible anti-drinking in pregnancy campaigns where I live. One was a glass shaped baby being filled up with wine with the caption "one drink for you is one drink for the baby" or something like that. Another was a photo of a crying child that said "its not only you you hurt when you drink." And I get what they are trying to do, but where I live, everyone knows alcohol in pregnancy is unsafe. The people who continue to drink are people with substance use disorders for whom a shame and fear based approach is a terrible way to go. We need more empathetic campaigns that talk about the risk but focus on where to go to get help, and what that help will look like.
We were just talking about this in my Biomedical Ethics class. I’ll definitely be able to contribute more to the topic after watching this very informative video! Thanks!
I've been researching into giving up drinking and discovered an awesome resource at Sebs Magic Tactic (google it if you're interested)
Everyone knows that making something illegal makes it go away with zero negative consequences. That's why the war on drugs was such a massive success and the prisons are empty. /s
911 what's your emergency?
Sir, they can't kill you that would be illegal
Thanks for the Video! Apologies for butting in, I am interested in your initial thoughts. Have you thought about - Saankramer Life Card System (do a google search)? It is a good exclusive product for learning how to stop drinking without the hard work. Ive heard some decent things about it and my friend at very last got cool success with it.
Ha ha hq hq ha ha ha ha ha ha that's really funny
well I mean we need to train people I mean not imediaatly punish people need to know why just like covid rules putting an immediate ban won't stop anything
Great topic!
here's several suggestions for giving up alcohol quicklyTry to eat food while you are drinking - this cuts down the amount you drink. Take a break from alcohol. Keep track of how much you drink, then you know if you are cutting down.Set goals - don't make them too hard at first.Pick 1 or 2 days or every week when you will not drink at all. Then, try to stop drinking for one week each month.(Reference: Adoette drink plan site )
thank u Doc , u just settled a case with my spouse and glad we wont be both drinking for a while , we just found out we pregnant.. Awesome educational stuff
Yes this is im afraid going on right now with my brothers adopted kid. They were drunk and drinking at her baby shower . I left . I opened up their fridge and nothing inaide but beer and alcholol. Thry already have a 2 year old thry are drinking and driving with. Something needs to happen but they already have hit me before
tl;dr: Whether its drug problems or pregnancy, punitive enforcement instead of education and compassionate assistance makes people handle things on their own and improperly to avoid punitive action.
What other things can cause miscarriage in first trimester?
My mother convinced me to drink a glass of wine in my first trimester. I had to tell her to STOP influencing me because it's not safe. She said she knows alot of drunkards who had normal babies. I said I'm not taking that chance, glad I moved out!
I'm so sad, that my niece who seem to be very smart has these symptoms, only God knows how much smarter she would have been if she didn't have this😭. I feel for her, she doesn't like eating, she's underweight and has slow growth both cognitive and physical.. I'm just finding out it's called fetal alcohol spectrum disorder. My question is...can it e cured.. will it go away! Please help... I love her so much!
I'm just here for the engagement.
So what if you didn’t know you was pregnant? Just asking!
My girlfriend wants you to be her Doctor. Great episode
The point is that it's a completely unnecessary risk.
Yeah, the child's health will likely be unaffected by the _occasional_ glass of wine or can of beer but like Aaron said: we don't know where the line is where it generally starts to get dangerous.
Why risk it? Is it really that hard to say no to alcohol for about a year, even if the health of your future child might be at stake? Because if it is, you have a problem with alcohol and/or self-discipline.
I agree that in cases that are not severe, it's excessive to threaten with CPS and such, but the avoidable danger that alcohol poses to the unborn child, as uncertain as it may be, should not be played down or even kept quiet about just to spare the woman from embarrassment and shame.
It’s not about sparing people from shame, it’s about being pragmatic. Like it or not some pregnant women will drink. With punitive laws, those women will not seek the counciling or medical help that could spare their children from a life of suffering with chronic deformities and illnesses. I agree it definitely shouldn’t be kept quiet, but that’s not what anyone suggested.
@@mortalcoral2196
You misunderstood.
"I agree that in cases that are not severe, it's excessive to threaten with CPS and such"
My point is that we shouldn't swing from "drinking any alcohol during pregnancy is child abuse and should be punished as such" all the way over to "Drinking during preganncy might be harmful, but we shouldn't stress that because then some women might not seek help". Yes, we should absolutely stress that. A lot of people are just that naive and/or or thick that they either don't know that or let their friends talk them out of it.
I agree witht the direction, it's just that in my opinion, his target is beyond of what's actually helpful and what'll create a whole lot of problems on their own.
Wow... "Binge drinking is defined as 4 or more alcoholic drinks in a session" what a change from the 80s. Back then in rural MN you had to have 4 or more years of getting hospitalized drunk monthly before they'd consider that you might have a drinking issue.
I know there is almost no research on it because of prohibition but could you please talk about cannabis and pregnancy/breast feeding?
No as severe like FASD.
They still wont disclose an amount. Are we talking habitual users or one or two glasses every couple months… i cant imagine one or two glasses every few months is lethal or may cause birth defects unless youre already a risk patient for whatever the reason.
Does Alcohol smell effects baby in the womb?? please reply🙏🥺
Plz tell me any one ofter delivery 5mnths then take the beir tell me plzz.................frnds
Public/Community Health really really really drives home to me the fact that while I very love and support liberal-democracy, sometimes more law or at least more punishment isn't the answer, more of ten than not its science and welfare, I mean thats my take away. This isn't meant as a rule of thumb or general statement just... as I get older and learn more... the more i learn you can't always regulate/deregulate legalize/decriminalize/criminalize your way out of social challenges/issues.
It’s so good to hear a voice of reason in all of recent political chaos
My mom was told by her doctor (in the late 80s/early 90s) to have a glass of red wine every day while she was pregnant with my sister and I. Neither one of us have birth defects.
I find it odd how legislatures try to tell doctors what's best for their patient.
You were clearly born stupid.
WeLl I tUrNEd OuT okAy, DIdn’T i?
It’s not legislatures, it’s doctors.
I wasn't arguing "I turned out okay, so drinking while pregnant is fine." I said that neither of us have birth defects. The relationship between drinking and birth defects is mediated by our DNA and other environmental factors and we're lucky that our we had the right combination of protective factors.
My mom's doctor at the time was caught up with the scientific literature which implied drinking red wine can help the fetus. I think the mechanism was that a chemical found in red wine increased blood flow to the placenta, but my memory is a little hazy on that. But the point is that a doctor who is trained in medicine, and who is caught up on the scientific literature, is more often than not better able to make recommendations to their patients than legislators. There are exceptions, of course, but usually legislatures know less about a women's body than a doctor does.
@@dead_kennedys7870 hes right a glass of wine is fine but one
Yeah, you actually were arguing that
It,s almost as if a room full of old men with no medical training is not the best group to be making decisions about women's bodies.
So is it always bad to drink during pregnancy?
'You shouldn't drink'
Comparison: Speading is bad, but in most cases nothing happens, but it is still bad.
@@paxundpeace9970running stop signs, and wrong way driving, and not hsving headlights on etc
Too many people drink out of stress relief. I personally don't see a facet like this having any foreseeable positive change until we either have major cultural shifts or major socio-economic shifts reducing stress in people's lives overall by properly providing for people through socialist (Or any other caretaker system) means
After years of living with hpv I finally got helped by Dr Akuzo through his UA-cam channel. Thank so much doctor Akuzo..
Is very low level drinking (like a glass of wine on occasion) also dangerous to a baby’s health? My mom say she occasionally drank a small glass of wine while pregnant with each of her kids and that it’s supposedly normal in Europe.
This shouldn't be normal, we didn't no a safe dose. This means it could be dangerous, maybe you and your sibblings had luck. Even a little bit could cause harm.
@@paxundpeace9970 Thanks for the answer. I agree with you that on this matter it's much better to be safe than sorry.
pax und peace I found out I’m pregnant today, my period was supposed to start. I had two beers yesterday and I’m terrified.
@@VG-qu3vb everything go well with your baby?
@@fernandaaguilar6476 Awh thank you for asking! She’s so healthy and beautiful. She was almost 10 lbs at birth 🤣 thank God it didn’t hurt her!
💙
Not only selfish, i think That's criminal
I don't think that the peer reviewed studies on the subject of Mild to Moderate Prenatal Alcohol Exposure with any significant negative outcomes. A 2013 mete analysis of 1593 articles on the subject it's findings " The results from this analysis showed a small, beneficial association between mild‐to‐moderate prenatal alcohol exposure and child cognition. We suspect that this association was due to residual confounding as the association was no longer significant when considering only studies that controlled for SES." there was also a "moderate prenatal alcohol consumption at levels less than daily drinking might affect child behavior." but these differences are TINY both on the good and bad and put together, it seems reasonable to conclude that the effect are almost none.
But, the issue becomes more complex, as, even though the scientific data shows that moderate prenatal alcohol consumption has no real effect on outcomes, the recommendation that drinking a small amount while pregnant is fine may lead to an increase in binge drinking, which the scientific data shows is very harmful. An interesting idea that MD should not be entirely truthful with their patients to improve overall outcomes.
Can you please provide a citation of the research you are referencing?
@@lijahsmum Yes, it is "The Association of Mild, Moderate, and Binge Prenatal Alcohol Exposure and Child Neuropsychological Outcomes: A Meta‐Analysis
"
By Audrey L. Flak, Su Su Jacquelyn, Bertrand Clark H., Denny Ulrik S. Kesmodel and Mary E. Cogswell
First published: 01 August 2013
The whole thing is up at onlinelibrary.wiley.com/doi/full/10.1111/acer.12214
so, it is not just a summery with a paywall.
Correlation does not mean causation..
What are you trying to get at exactly?
Stop gaslighting, you know it's true
Большинство из нас недовольно своей жизнью.
А недовольны мы своею жизнью оттого, что всё ищем удовольствий тела.
А телу никогда не будет довольно.
От этого недовольства мы стараемся забыться в курении или пьянстве.
Its almost like the majority of these "social" laws are emotionally motivated and as solid as a gust of wind. Shaming may be cathartic but it negatively reinforces the thing. "Don't think of blue penguins." Guess what image just went through your mind?
Red pandas
The Cobra Effect all over again. lol
Если человек положил свою жизнь в телесных удовольствиях и не может получить всего того, чего он желает, то он старается обмануть сам себя:
поставить себя в такое положение, в котором ему казалось бы, что он имеет то, чего желает.
Он одуряет себя алкоголем, табаком и прочими психоактивными веществами.
Как дым изгоняет пчел из улья, так обжорство и пьянство изгоняет все лучшие духовные силы.
Василий Великий
My doctor said a glass of wine with a meal at the end of pregnancy was ok. He made it seem like stress was worse than a having a drink on a special occasion.
Unfortunately, it was a common opinion that was not supported by actual research. It was only recently that they even considered that children could still be significantly affected by alcohol even if they didn't have the physical features of Fetal Alcohol Syndrome. It would have been better to advise expectant mothers of any of the many, many other ways to manage stress without putting the baby at potential risk, such as going for a walk in nature, listening to music, spending time doing a favorite hobby, etc.
It seems that this a bad recommendation.
Heh...what if you go a step even further. Pregnancies without prenatal care documentations mandate abortion and sterilization. See how much people will freak out
You wouldn’t give an infant an alcoholic beverage so why do you think it’s okay to drink while pregnant? Also many pregnant women are going to point to your video as an excuse to justify their behavior.
Woman should be ashamed drinking alcohol while pregnant.
What we need is free birth control that you can't forget to take. The earth has enough people that we should be able to limit reproduction to people who make a conscious decision to have children. But that would be bad for the economy and the american political system because people who don't think before doing things that can have massive effects on their lives make the best consumers and voters.
Have you noticed that many of punitive policies are often directed at people that have historically not had political power and are under-represented in Government?
Yay my mom did drugs and drank now I look like I am chinese
Women are not the only humans to be a gestational parent. Inclusive language is important.
Diringer Animals huh? So females instead of women?
That's not the point of the legislation. The point is that a woman who drinks ir smokes during pregnancy IS committing child abuse and they have forgone any right to raise their children. If it wasn't illegal, then these women could keep their kids, and those children will be trapped in an abusive household. Better to keep it illegal for the continued safety of those children
That only works if the system finds out, which it wont. The only realy effect its having its allowin more complications to occur due to bad prenatal care because of fear.
Because creating more instability in a kid's life - as opposed to getting their parent(s) the requisite medical treatment and therefore keep a stable family life - is much much less abusive *eyeroll*
Also, when it's expanding the poor outcomes in said children, your whole "but it protects the kids" argument goes to shit.
11.5% of women report drinking during pregnancy...But hey, you can just replace a child's parents, right? There's no potential harm there, and plus who would even care about a woman, soon to be a mother, with substance abuse?
My doctor said that stress was worse for the baby than on occasion having a glass of wine with dinner. It's not illegal where I live and I had maybe 2 drinks during each of my pregnancies. My children are healthy, loved and well cared for. They are much better off with me than who knows who in the system.