Alcohol and TTC & Pregnancy

Gunce • Head of research at Glow. Unwilling infertility expert. 2 kids after 6 IVF treatments.

Every other week there seems to be a new study that says: "It's fine, go ahead, indulge in a glass or two of wine - it won't hurt your chances of getting pregnant or your baby." Even Glow tasks you to have a glass of wine during your period.  So what to believe? What should you do? Some of us TTC for years....are we to abstain from alcohol that entire time?

The decision is, of course, yours. But we would be remiss not to point out some of the things that we learned on this matter:

Alcohol, like the chemical element mercury, is a confirmed teratogen (a substance that interferes with normal prenatal development). Alcohol can cause central nervous system (brain and spinal cord) malformations with associated neurobehavioral dysfunction. 

Science definitively recognizes that when a pregnant woman consumes alcohol, the alcohol crosses the placenta into the blood supply of the developing embryo or fetus. An embryo or fetus has neither the developed organ systems nor enzymes able to metabolize alcohol.

As of 2012, nearly 4,000 papers have been published confirming the toxicity of alcohol to the embryo or fetus, the underlying mechanisms of alcohol-induced damage to the embryo or fetus, and the physical and functional birth defects related to prenatal alcohol exposure.

No published study has suggested that alcohol is not a teratogen or demonstrated that prenatal alcohol use has any potential benefit to human development.

The basic and biomedical research demonstrates that alcohol damages the developing brain.

Human development occurs in an orderly process of biochemical and structural transition during which new constituents are being formed and spatially arranged throughout gestation. At any time in the span of development these ongoing processes can be subtly or severely disturbed or abruptly halted resulting in abnormal development or fetal death.

Therefore, at any time alcohol is present it has the potential to harm development. 

Of all the substances of abuse, including marijuana, cocaine and heroin, alcohol produces by far the most serious neurobehavioral effects on the embryo or fetus.

Here are what the leading health authorities all say about it:

Centers for Disease Control and Prevention --->"There is no known safe amount of alcohol to drink while pregnant. There is also no safe time during pregnancy to drink and no safe kind of alcohol."

American Academy of Pediatrics ---> "The American Academy of Pediatrics recommends women who are pregnant or planning a pregnancy avoid drinking any alcohol."

American College of Obstetricians and Gynecologists ----> "ACOG reiterates its long-standing position that no amount of alcohol consumption can be considered safe during pregnancy."

National Arc ----> "There is no absolute safe amount of alcohol that a woman can drink during pregnancy. Risk of FASD increase as the amount of alcohol consumed increases."

Key Takeaways: 

There is no safe amount or type of alcohol to consume during pregnancy. Any amount of alcohol, even if it’s just one glass of wine, passes from the mother to the baby. It makes no difference if the alcohol is wine, beer, or liquor (vodka, rum, tequila, etc.)

A developing baby can’t process alcohol. Developing babies lack the ability to process alcohol with their liver, which is not fully formed. They absorb all of the alcohol and have the same blood alcohol content as the mother.

Alcohol causes more harm than heroin or cocaine during pregnancy. The Institute of Medicine says, “Of all the substances of abuse (including cocaine, heroin, and marijuana), alcohol produces by far the most serious neurobehavioral effects in the fetus.”

Alcohol used during pregnancy can result in FASD. An estimated 40,000 newborns each year are affected by FAS, Fetal Alcohol Syndrome, or have FASD, Fetal Alcohol Spectrum Disorders, with damage ranging from major to subtle.

1 in 100 babies have FASD, nearly the same rate as Autism. FASD is more prevalent than Down Syndrome, Cerebral Palsy, SIDS, Cystic Fibrosis, and Spina Bifida combined. Alcohol use during pregnancy is the leading preventable cause of birth defects, developmental disabilities, and learning disabilities.

(So, yes, we will be removing that task with the next update.)