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Alcohol and Alcoholism Vol. 34, No. 4, pp. 497-501, 1999
© 1999 Medical Council on Alcoholism

Invited Commentaries

COMMENTARY ON THE RECOMMENDATIONS OF THE ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS CONCERNING ALCOHOL CONSUMPTION IN PREGNANCY

Consuelo Guerri*, Edward Riley1 and Kerstin Strömland2

Instituto Investigaciones Citológicas (FVIB), Valencia, Spain,
1 Center for Behavioral Teratology, San Diego University, San Diego, CA, USA and
2 Department of Ophthalmology, Sahlgrenska University Hospital, Göteborg, Sweden

Received 4 December 1998; )

In November of 1996, the British Royal College of Obstetricians and Gynaecologists (RCOG) published an RCOG Guideline consisting of a brief overview with conclusions and recommendations concerning alcohol consumption during pregnancy (see Appendix). On the basis of present knowledge, we believe that some of the conclusions and recommendations may not be sound or may even convey some risk. The first conclusion of the RCOG Guideline states, ‘No adverse effects on pregnancy outcome have been proven with a consumption of less than 120 g of alcohol (around 15 units) per week’. A similar statement is made in the recommendations section. Although it is true that current evidence is not consistent in showing a clear relationship between lower levels of maternal alcohol consumption and adverse effects in the offspring, there are reasonable data that suggest that even low levels of ethanol consumption may be harmful to the fetus. For example, Day . . . [Full Text of this Article]

APPENDIX

ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS (RCOG) GUIDELINE NO. 9 (NOVEMBER 1996) ALCOHOL CONSUMPTION IN PREGNANCY
INTRODUCTION HEAVY ALCOHOL CONSUMPTION SOCIAL ALCOHOL CONSUMPTION SCREENING FOR HEAVY ALCOHOL CONSUMPTION DURING PREGNANCY CONCLUSIONS RECOMMENDATIONS

REFERENCES

FOOTNOTES

REFERENCES


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E. M. ARMSTRONG and E. L. ABEL
FETAL ALCOHOL SYNDROME: THE ORIGINS OF A MORAL PANIC
Alcohol Alcohol., May 1, 2000; 35(3): 276 - 282.
[Abstract] [Full Text] [PDF]