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    FETAL ALCOHOL SYNDROME
    Why caution makes sense

    Drinking increase unexplained

    The CDC survey results, published in the August 1998 issue of Obstetrics & Gynecology, indicated that 0.9 percent of pregnant women in the United States drank alcohol frequently during 1991. By 1995, that number had risen to 3.5 percent.

    In the study, "frequent alcohol use" meant at least seven drinks per week or at least one episode of binge drinking during the month before the CDC survey.

    Why the increase? It's not fully known. CDC researchers speculated that reports of health benefits of moderate wine drinking could be one factor.

    However, warnings about the dangers of maternal drinking had been prominent before and during the study period. In fact, alcoholic beverage labels began carrying warnings to pregnant women in 1989.

    Although CDC researchers could not explain the increase, they did find that certain demographic factors were associated with maternal drinking. Groups of women more likely to drink while pregnant included those who were college-educated, unmarried, employed, students, earning annual household incomes of more than $50,000, and smokers.

    Messages about drinking should inform - not scare

    With these facts in mind, pregnant women must make a responsible choice about alcohol.

    In summary, remembering the following points can help women prevent fetal alcohol syndrome:

    * Because nearly half of all U.S. pregnancies are unplanned, it is important to think about your alcohol consumption if you think you may become pregnant. Abstinence from alcohol or moderation (no more than one drink per day) is the safest policy.

    * Stop drinking as soon as you know you are pregnant or think you may be pregnant.

    * Continue to abstain from alcohol during your entire pregnancy. FAS is most likely to occur with frequent drinking during the first trimester. However, brain development takes place throughout pregnancy, and alcohol can interfere with that development at any stage.



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