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by DanBC 4711 days ago
> We do know that alcohol poses some risk to a developing fetus. That's all I was assuming.

No, we don't. We know that a lot of alcohol poses some risk to some foetuses. We don't know that X drinks a week poses any risk to all foetuses. Maybe it's just harmful to foetuses who are compromised in some way? Maybe it's just harmful to foetuses with a genetic disposition to harm? Maybe it's not harmful at all? We don't know.

> I don't understand the problem with communicating the risk; there are plenty of links in this thread to sources that give information about it, so the information that alcohol poses some risk to a developing fetus is out there.

Some research is just poor quality. Let's ignore that for the moment, and assume that all research is good quality. Lots of popular media is hopeless at reporting science. See the links I posted earlier - that website has many examples of research that's reported with hyperbole, or reports that make mistakes with the statistics, or reports that ignore the research abstract and come up with their own pseudo-abstract which doesn't match the research at all.

And then people have different opinions. See, for example, the discussion around "controlled crying". Controlled crying practices exist on a spectrum ("Just let the baby cry it out" on one end, to over-protective helicopter parenting on the other) and we have a pretty good idea that over-protection is bad, and we have a pretty good idea that the extreme end of crying are both harmful. Yet there's a flood of information from both of these extreme ends. Parents will find it hard to find this information.

Let's not forget that parents tend to be sleep deprived and thus cognitively impaired too.

1 comments

No, we don't.

Sure we do; you go on to say the same thing. You're just emphasizing the "we don't know" part, while I was emphasizing the "there might be some risk" part. We do not know that there is no risk, which, given that alcohol use is avoidable, is the point.

Some research is just poor quality.

Yes, that's true. But the belief that alcohol might harm a developing fetus isn't just based on research. It's also based on common sense: alcohol is known to have the potential to damage your body (at a minimum, harm to the liver and the brain is known to be possible). Why put such a substance into a developing fetus if you don't have to?

And then people have different opinions.

Yes, they do. If a person's considered opinion is that their enjoyment of alcohol is worth whatever risk they believe there is of harm to their child, that's their decision. I'm simply pointing out that, to me, it seems like a no-brainer: you're balancing something that's just recreational for you, vs. a possible harm to your child.

Parents will find it hard to find this information.

That's true of many aspects of parenting, yes. Which is why, as I said above, one shouldn't rely solely on that kind of information; one should also apply common sense.

Let's not forget that parents tend to be sleep deprived and thus cognitively impaired too.

The decision whether or not to use alcohol while pregnant does not have to be made in a cognitively impaired state; decisions like that about how to care for a child should be made before the situation becomes acute.

Plus, the sleep deprivation usually comes after birth, not before, doesn't it?

You're just emphasizing the "we don't know" part, while I was emphasizing the "there might be some risk" part.

Teach the controversy (a la Merchants of Doubt) vs the precautionary principle.

Small amounts of alcohol may even be beneficial. You may never find out if precaution is mindlessly carried out in absence of evidence.
I already allowed for that case; I said (several levels upthread) if there's a benefit to the mother that outweighs the risk of harm to the child, then the alcohol use is justified.

That said, AFAIK whatever benefits have been found for alcoholic beverages are not due to the alcohol, but to some other substance that happens to be in the beverage (for example, antioxidants in red wine). If there is a way to get the other substance without the alcohol, that would seem to be preferable since it eliminates the risk without sacrificing the benefit.