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Posted August 20, 2013
This writer you has grossly neglected her responsibility to rese
This writer you has grossly neglected her responsibility to research and confirm the validity of her sources and there has been widespread international concern expressed about the study in the UK that she specifically references. The study stopped following children at age 5 when behavioral and learning disabilities have not had a chance to be identified. Alcohol is a teratogen. We have used it as a sterilizing agent for centuries precisely because it is so good at killing cells. Whatever is currently developing in the baby when alcohol is consumed prenatally (and postnatally, if breastfeeding) can be affected. Recent genetic and epigenetic studies are just beginning to understand why some individual cells may be affected and others not, why some babies are more affected and others less. So, while it is theoretically possible drinking a certain amount won’t cause severe intellectual disability, or neuro-behavioral issues in one woman’s baby the very same amount or less might in another’s. There is no way to know at this point if a woman has “good” genetics or “bad” genetics. Perhaps someday there will be tests to determine the genetic fragility of the cell wall in all areas that are growing in a baby and to determine a truly safe amount for a specific woman to consume …..but for now there is no safe kind of alcohol, no safe time during pregnancy for alcohol, and no safe amount of alcohol. The author, publisher and booksellers carrying this book should all be ashamed for being so totally reckless and irresponsible in promoting alcohol consumption by pregnant women.
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Posted August 20, 2013
Emily Oster has no medical training or expertise and is unqualif
Emily Oster has no medical training or expertise and is unqualified to write a book which provides advice and guidance about alcohol use and pregnancy.She cherry picks studies and ignores the research showing light drinking to be associated with miscarriage, stillbirth, preterm delivery, spontaneous abortion, and sudden infant death syndrome (SIDS).If Emily Oster wants to tolerate the risk of alcohol on her own baby, that’s her choice, but she has no right to advise pregnant women to expose their unborn baby to even a small amount of a substance that can cause brain damage.She is clearly less concerned with protecting the health of newborns than she is with protecting expectant mothers from health messages she deems bothersome.Sadly, Oster’s statements will likely influence some pregnant women to drink alcohol, who then could tragically give birth to offspring with lifelong brain damage from the effects of prenatal exposure to alcohol, including Fetal Alcohol Syndrome.Emily Oster thinks that the way to relieve women of the worry and guilt from having a few drinks during pregnancy is to tell them: Don’t worry, it’s fine. Enjoy a glass of wine. In fact, the best way to relieve women of this worry is to encourage pregnant women to avoid alcohol, including wine, and therefore have no reason to worry whatsoever.Liberation for expectant mothers doesn’t come from drinking wine while pregnant. Liberation comes from never having to worry that you might have done something to harm your child by drinking alcohol.Emily Oster claims that her 2-year old daughter is perfectly healthy, yet the full impact of the alcohol exposure on her child will not be evident until the adolescent years.What Oster calls the “pregnancy police” are in fact public health professionals, doctors, OB-GYNs, and researchers, dedicated to improving the health outcomes of women and their children. NOFAS, and the overwhelming majority of people actively promoting the message that no amount of alcohol is safe during pregnancy, purposely avoid scare tactics so as not to alarm women who may have had a drink before they knew they were pregnant.
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Posted September 10, 2013
As a Registered Dietitian, I applaud Ms. Oster's efforts to shar
As a Registered Dietitian, I applaud Ms. Oster's efforts to share the science supporting the numerous benefits of eating seafood during pregnancy. The omega-3s in seafood are essential for optimal baby brain and eye development. Her advice for pregnant women to eat more fish is spot on: "The worst thing you can take from mercury advice is the idea that you should avoid fish. Fish are great! People who eat a lot of fish have smarter kids on average, even with the greater mercury exposure."
Her advice for pregnant women to limit canned tuna, however, is flat-out wrong. As a RD who consults with the National Fisheries Institute, I have extensively reviewed the science around mercury and seafood, particularly canned tuna. The USDA's Dietary Guidelines for Americans include canned tuna as a fish that is low in mercury. According to the FDA, there are only four fish that pregnant women need to avoid: shark, swordfish, king mackerel and tilefish. All other commercially-caught fish (including canned tuna) and shellfish can--and should--be enjoyed during pregnancy.
Despite the Dietary Guidelines recommendation that pregnant women should eat at least 8 ounces and up to 12 ounces of seafood every week, the average pregnant woman in the U.S. consumes less than 2 ounces of seafood per week. This dangerously low amount of seafood puts pregnant women at risk for omega-3 deficiency, which could greatly impact their child's cognitive outcomes.
Misguided dietary advice and nuanced nutrition messages leave pregnant women confused. I know this first-hand, both as a mother of two young children (who was frustrated during both pregnancies by confusing tuna advice) and as a consulting RD (who helps individuals sort out real science from nutrition myths).
While the author's intent to encourage pregnant women to increase seafood consumption was positive, Ms. Oster missed the boat on helping these women make informed decisions about fish. Exhaustive research shows that expecting moms can safely and confidently enjoy canned light and white albacore (up to 6 ounces each week) tuna, both of which are an affordable and convenient way to help pregnant women meet their protein and omega-3 nutrient needs. - Rima Kleiner, MS, RD
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