Abstract
Purpose:
Counseling pregnant people about alcohol use in pregnancy is a standard part of obstetric care. However, patients may have consumed alcohol between conception and recognition of the pregnancy. Advice is frequently lacking regarding the effects of drinking alcohol during the interval between conception and recognition of the pregnancy.
Description:
Alcohol consumption is very common in the first trimester. Many people are unaware of the abortifacient effects of alcohol consumption in early pregnancy. Early alcohol consumption may be associated with later complications, including premature birth. Risks of neurodevelopmental impacts from alcohol consumption during early pregnancy are quite low, if alcohol use is discontinued. Obstetrical care providers should screen for early alcohol use and caution against continued drinking.
Conclusion:
While there is no certainty that can be assigned to the likelihood of good outcomes, patients can be reassured that the risks of neurodevelopmental complications are low from brief early alcohol exposure prior to identification of the pregnancy. However, risks of spontaneous abortion and premature birth remain.