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Importance of complete abstinence from alcohol during pregnancy: enough evidence for justification?

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Pages 401-414 | Published online: 10 Jan 2014
 

Abstract

The association between daily and binge alcohol-drinking episodes during pregnancy and the range of malformations and deficits seen in fetal alcohol spectrum disorder is well described in the literature. However, there is little evidence for low-dose prenatal ethanol exposure and child deficit. This article uses a structured approach to consider the evidence for an association between low-dose prenatal alcohol exposure and neurodevelopmental deficits in children. There is consistent evidence in numerous animal experiments for lasting CNS changes associated with low levels of exposure to alcohol. In epidemiological studies, there is evidence of differences in behavior in children exposed to low doses of alcohol. The results of animal and human studies support current recommendations for complete abstinence from alcohol after conception.

Acknowledgements

We thank Monica Jack for her assistance in preparing this manuscript.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

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