Heavy
Drinking During Pregnancy
Remains Unchanged
By Terence T. Gorski
April 06, 2002
If
you love your unborn baby,
stop drinking and using drugs during pregnancy.
If
you can't stop,
you're probably addicted.
Get
the help you need.
Treatment
can work for you,
your unborn baby, and your family.
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A survey of pregnant
women by the Centers for Disease Control and Prevention found 2.7
percent admitted binge drinking — five or more drinks at a time — in
1999, down only slightly from 2.9 percent in 1995. This is
frustrating health officials who have made large investments in trying
to lower the number of pregnant women using alcohol during
pregnancy. The overall percentage of pregnant women who drink fell
from 16.3 percent to 12.8 percent over the same period while the
percentage of women who are heavy drinkers remained virtually unchanged.
The CDC is most
concerned about frequent drinking and binge drinking among pregnant
women because these are the patterns consistently related to adverse
outcomes for the child. They are also concerned about the
heavy drinking among women in general. Fifty-three
percent of women who were not pregnant reported some drinking in 1999,
and about 12 percent reported binge drinking. This is significant
because many women become pregnant unintentionally. As a result
can continue to drink heavily before they discover that they are
pregnant. As a result they are drinking heavily during the first
two or three months of their pregnancy which is the period during which
the unborn child is in danger of the greatest damage
from heavy drinking.
This failure to impact
the overall rate of heavy and binge drinking in women in general and in
pregnant women could be related to the current approach to preventing
alcohol and drug problems in women. The disease of alcoholism has
been down-played. Pregnant women addicted to prescription or
illegal drugs have been subjected to harsh punishment in the name of the
drug war. There has been inadequate education among health care
providers in how to recognize heavy alcohol and drug use in pregnant
women and then educate and intervene in medically appropriate and
clinically effective ways.
The nation needs to
realign its alcohol and drug control policies around the scientific fact
that alcohol and drug addictions are diseases that require treatment and
not criminal or irresponsible behaviors that need to be
punished. Until this happens, the rate of heavy and addictive alcohol
and drug use among pregnant is likely to remain high. Addictive
use during pregnanacy will also remain hidden because spouses, extended
family members, and health care professionals will be unlikely to report
pregnant women to authorities if they know that they will punished and
not helped. No one wants to be responsible for incarcerating a
pregnant women and separating the child from the mother at
birth.
The government needs to
do two things to lower the rate of birth defects related to alcohol and
drug use during pregnancy:
(1)
The government needs to recognize that medical intervention is more
effective than law enforcement and incarceration to lower the rate of
heavy addictive drinking and drug use among pregnant women;
(2)
The government needs to fund a large scale campaign to education health
care providers and family members about addiction as a biopsychosocial
disease that is is highly treatable and can cause birth defects if left
untreated in pregnant women.
The slogan needs to
be: If you love your unborn baby, stop drinking and using drugs
during pregnancy. If you can't stop, you're probably
addicted. Get the help you need. Treatment can work for you,
your unborn baby, and your family.
Addiction treatment can
save you baby from birth defects and you and your family from a life of
progressive and painful problems.
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