• news
  • TUESDAY FEBRUARY 20 2007 11:00 AM

Bearing Responsibility



Why do I care about the rights of pregnant meth users? Let's start small.

For most "respectable" women, the main thing you'll be told when you get pregnant is "don't drink alcohol." In fact, let's grab a beer out of the fridge and look at what the warning label says:

Government Warning (1) According to the Surgeon General, women should not drink alcoholic beverages during pregnancy because of the risk of birth defects. (2) Consumption of alcoholic beverages impairs your ability to drive a car or operate machinery, and may cause health problems.


Everyone who drinks has seen these warnings, right? So we all know — and when you're pregnant, your doctor will remind you — that pregnant women shouldn't drink.

Notice, in fact, that while pregnant women "should not" drink, non-pregnant women — and men — aren't told what they should, or shouldn't do. They're given the facts — drinking "impairs your ability to drive" and "may cause health problems" — and expected to make their own, informed, decisions. Pregnant women, on the other hand, are told directly what they should do.
There are two implications here: first, that pregnant women are less able than men or non-pregnant women to think for themselves; and second, that alcohol is more dangerous for pregnant women (or their fetuses) than it is for "normal" people.

The first implication — that pregnant women can't think for themselves — is obviously stupid and insulting. If you're like me, when someone tells you what to do, you're inclined to tell them to fuck off. But before we tell the "don't drink while pregnant" crowd to fuck off, let's see what the problems with drinking while pregnant actually are — after all, it's a Big Deal, this pregnancy thing, and we wouldn't want to let knee-jerk attitudes about being grownups (after all, we're pregnant! How much more grownup can you get?) affect our judgment.

So let's move on to the second implication. Is alcohol, in fact, more dangerous for pregnant women than it is for everyone else? To find out, I'm consulting Conceiving Risk, Bearing Responsibility: Fetal Alcohol Syndrome and the Diagnosis of Moral Disorder. I stole the title of this post from the book, by the way. According to the author, Elizabeth Armstrong,

The fact is we simply do not know. . . . while ample evidence indicates that heavy prenatal alcohol exposure can be tetrogenic (that is, cause birth defects) in some pregnancies, . . . the number of fetuses exposed and affected is small.

First, we know that FAS is not an "equal opportunity" birth defect. Fetal alcohol syndrome is highly correlated with smoking, poverty, malnutrition, high parity, and advanced maternal age.
[...]
Second, despite evidence to suggest that FAS may have a genetic component, there has been surprisingly little research. . . . One (kind of evidence) is from studies of twins: the medical literature has reported cases of franternal twins, in which one twin is affected with FAS and the other is not.
[...]
Third, even among women who are alcoholics, only a small number have babies who are affected. . . . In fact, only about 5 percent of children born to alcoholic women have FAS.


Five percent of children born to alcoholics. That ain't much. I think it is fair to say, without dismissing the importance of FAS, that most "normal" women — the kind of women who read alcohol warning labels, who see doctors during pregnancy, who are inclined to think about what they eat and drink — do not have much to worry about. Alcoholics, by and large, don't read warning labels and are far less likely than most of us to get decent prenatal care (which may, in and of itself, be a big part of the problem). If you care about FAS, your primary concern should be helping pregnant alcoholics get prenatal care, which includes treatment for their alcoholism.

Finally, let's don't forget that most women don't realize they're pregnant for a month or two. By which point, if you've been drinking, you've probably already done the majority of whatever damage you're going to do. IME, that ain't much; I went out drinking with my friends every weekend for two months before I realized I was knocked up, and as far as I and my kid's teachers can tell, he's smarter than most of the other kids on the playground. God knows, at 10 lbs 1 oz, he didn't have low birthweight (supposedly one of the markers of FAS). He's reading at grade level, his math is well above grade level, and he can tell you how DNA works, what a metaphor is, and how to build a working rocket.

So yeah. I'm inclined to say that drinking during pregnancy — by which I mean, "drinking during pregnancy by women who aren't alcoholics" — is okay. I'm inclined to think that people who claim that there are "tons" of kids with FAS in public schools are talking out their asses. I'm inclined to think that people who give you the fisheye when you order a cocktail in your seventh month are judgmental assholes. And I'm inclined to think that a lot of the hype around women's "responsibility" not to drink while pregnant is a big, guilt-tripping load of bullshit.

Bitch_PhD likes a good fight, and thinks people who pass judgment on pregnant women need to be smacked.

 

Previous

PAGE: 

1 | 2 | 3 | 4 | 5 | 6

 ... 11

Next

Comments
JonnyJonnyH

JonnyJonnyH

Seattle, WA
June 2003

FEB 20, 2007 02:02 PM

Snottlebocket said:
Not to mention that five percent sounds like a fairly significant amount to me. (give me 5 percent of your life savings and say "that ain't much")



If we ever meet then I will give you 5% of my life savings as it exists on February 20, 2007.

You could probably find more money in the cushions of your couch though.

HarManic

HarManic

Urbana, IL
March 2005

FEB 20, 2007 02:05 PM

DyeWhiteGirls said:

HarManic said:
I will say that I hate that I have aligned myself with progressives and liberals when they act with the same knee-jerk moral absolutism and scare-mongering as those we oppose.

Am I the only one that's noticed that we, as a species, have been consuming alcohol during pregnancy, eating, fish, vegetables, etc. for literally thousands of years, and yet the human race survives. We don't think government should put laws in our bedrooms, but it's okay if they put laws in our kitchens? What the fuck?

And the above post could be more succint if reworded, "I don't judge people who have the occaisional drink during pregnancy. I just judge people who have the occaisional drink during pregnancy."



So the fact that we have murdered people for thousands of years makes it right? I mean, the human race still exists, so by your logic it's the same scenario. This is not the government putting a law in your kitchen. It is the government protecting a helpless fetus from being potentially mutated. Very simple.



I agree that your line of thinking is very simple. The issue, however, is not, so we won't get anywhere if you continue to oversimplify things to the point where a glass of wine holds the same moral weight as a murder weapon.

The men of the Tuskegee experiement might have been potentially harmed from taking penicillin. Was that good enough reason to not give them the informed choice? And, before you jump on me for even conflating, in passing, penicillin with booze, I will ask you to do the research you neglected to do for your earlier post, and discover that red wine in particular has numerous health benefits when consumed in moderate and sensible amounts.

I think we could all also agreee that a relaxed person is in better health than a stressed-out one. Or perhaps there are studies out there where guided meditation and yoga are considered significant contributing factors to heart disease.

PointBlank

PointBlank

New York, NY
November 2004

FEB 20, 2007 02:07 PM

StarBelliedBoy said:
So essentially the argument here is that it's perfectly ok for women to unnecessarily endanger their babies because the government shouldn't be allowed to tell them what to do with their bodies. Yeah, that just sounds like incredible selfishness and a terribly misguided (and short-sighted) bit of idealism.



No, the argument is that having a drink while pregnant has never been shown to cause any harm, is quite common in Europe (where they do not have higher incidences of Fetal Alcohol Syndrome), yet in Nanny America, any pregnant woman with a glass of wine in their hand is treated as if she were a murderer. It's fucking ridiculous, no matter how high on your soapbox you people want to get. There are a ton of (actual, not the fake internet dudes here) doctors who will tell you the same. There are a many things that are "potentially harmful" to a fetus...why not treat them the same?

Bitch_PhD

Bitch_PhD

I'm lost
February 2007

FEB 20, 2007 02:11 PM

Posh said:


Alcoholism is NOT a disease. I'm so sick of that phrase. It's a goddamn cop out.



Most medical professionals will disagree with you.

Posh said:it bothers me to no end to hear how careless people are when it comes to their unborn children. If you're carrying a baby, why the hell would you want to risk the possibility of birth defects? Are people that selfish they can't put the bottle down for their term and breastfeeding time? Being impaired is really that awesome? It's disgusting. It just boggles my mind to see and hear these things. Pregnant girls getting giant tattoos, using drugs, drinking, why? Well why the hell not?! It's my body. So selfish.

Ugghh.



Or maybe because drinking while pregnant, for most people, isn't nearly the risk that you've been led to believe. In fact, for moderate social drinkers, it's pretty much not a risk at all.

Posh

Posh

SUICIDEGIRL

California, USA

FEB 20, 2007 02:17 PM

Bitch_PhD said:

Posh said:


Alcoholism is NOT a disease. I'm so sick of that phrase. It's a goddamn cop out.



Most medical professionals will disagree with you.

Posh said:it bothers me to no end to hear how careless people are when it comes to their unborn children. If you're carrying a baby, why the hell would you want to risk the possibility of birth defects? Are people that selfish they can't put the bottle down for their term and breastfeeding time? Being impaired is really that awesome? It's disgusting. It just boggles my mind to see and hear these things. Pregnant girls getting giant tattoos, using drugs, drinking, why? Well why the hell not?! It's my body. So selfish.

Ugghh.



Or maybe because drinking while pregnant, for most people, isn't nearly the risk that you've been led to believe. In fact, for moderate social drinkers, it's pretty much not a risk at all.



Regarding the alcoholism disease shit, sure thing. Addiction isn't a mental condition at all. Been to one too many Al-Anon meetings? A disease is something out of your hands. Claiming one's love of the booze to a real disease, like cancer, is just sickening. Most medical professionals will not disagree. Just the one's that are on your side. There's an equal amount over here as well.

Once again, there's no convincing me to go and drink my face off once and a while when pregnant. I care more about the life inside than getting drunk.

HarManic

HarManic

Urbana, IL
March 2005

FEB 20, 2007 02:23 PM

Posh said:

HarManic said:

DyeWhiteGirls said:

Greybeard said:

Snottlebocket said:

Not to mention that five percent sounds like a fairly significant amount to me. (give me 5 percent of your life savings and say "that ain't much")



Alcoholics are a very small fraction of People Who Drink.



Isn't an alcoholic someone that has 5 drinks or more a week? I could be wrong, but if that's correct, I would venture that the numbers are much higher than a small fraction. If I'm wrong, then ignore this!



Well, I won't ignore it, but rather correct you via seventeen seconds of internet research.

The NIAAA (National Institute on Alchohol Abuse and Alocoholism) defines MODERATE use as up to four drinks a day, or up to fourteen a week.

Alcoholism is a disease far more complicated than simply passing some benchmark on consumption. It encompasses behavior, motive, side effects, etc.



Alcoholism is NOT a disease. I'm so sick of that phrase. It's a goddamn cop out.

As for the writing and topic in question, first off, I didn't realize the newswire now supported blog entries but hey, I guess you're creating outrage, and that's your job, right? wink

Second, it bothers me to no end to hear how careless people are when it comes to their unborn children. If you're carrying a baby, why the hell would you want to risk the possibility of birth defects? Are people that selfish they can't put the bottle down for their term and breastfeeding time? Being impaired is really that awesome? It's disgusting. It just boggles my mind to see and hear these things. Pregnant girls getting giant tattoos, using drugs, drinking, why? Well why the hell not?! It's my body. So selfish.

Ugghh.



Fine. Would you prefer if I called it a disorder? It causes significant changes in how a person thinks and makes decisions. It is associated with conscious behavior, but is indicated by people no longer making rational decisions to govern conscious behavior. This is how alcoholism differs from garden variety alcohol abuse and self-medication.

Do alcoholics need to want to get better in order to get better? Yes. The same way schizophrenics must understand that they have a treatable problem, rather than just "suck it up and ignore those voices."

I would also point out that at no point in this thread has anyone advocated getting shitfaced while pregnant. The only advocacy is that we should all calm down a bit, and remember that the mother's body is designed to filter out things that would harm a fetus, and in the vast majority of cases, will do just that. The cases where it seems to have failed are generally when met with an assault of alcohol the mother's body could not filter on its own.

Seeing a woman who has a single glass of wine, and who has been advised by a medical professional that it's fine, and equating them with drunks who have no regard for the child's health doesn't help anything.

Greybeard

Greybeard

Los Angeles, CA
December 2006

FEB 20, 2007 02:31 PM

Posh said:

Alcoholism is NOT a disease. I'm so sick of that phrase. It's a goddamn cop out.



Alcoholism is most certainly a disease, and a progressive degenerative one at that. It involves a loss of ability to properly metabolize alcohol and irreversible brain and liver damage.

If I were to quit my tobacco addiction today, my body could start to repair the damage I've done. There is no such recovery for an alcoholic, what damage is done is done and there is no going back. Quit drinking for 20 years, then take a drink and you will be right back where you were before, drunk and bent toward destruction.

Burzum

Burzum

San Juan Capistrano, CA
July 2004

FEB 20, 2007 02:32 PM

So you're just looking to argue for the sake of argument, right?

Pregnant women shouldn't drink because it can affect their unborn children. It's as simple as that. If you aren't hurting anyone but yourself, go ahead and get your stomach pumped. If you're carrying a person inside you, maybe you should be responsible and think of how that binge drinking session could hurt your child for the rest of his/her life.

Alcoholism is most certainly a disease, and a progressive degenerative one at that. It involves a loss of ability to properly metabolize alcohol and irreversible brain and liver damage.



As people we still have brains and free will. The alcohol doesn't force you to drink it, so it's not a disease. The physical effects of alcoholism might be considered a disease, but drinking itself is not. Saying "I have no choice, I have to drink, I have a disease" is indeed a cop-out.

Cash

Cash

USA
OLD SKOOL

FEB 20, 2007 02:33 PM

HarManic said:
Fine. Would you prefer if I called it a disorder? It causes significant changes in how a person thinks and makes decisions. It is associated with conscious behavior, but is indicated by people no longer making rational decisions to govern conscious behavior. This is how alcoholism differs from garden variety alcohol abuse and self-medication.



I fail to see how this differs from standard over-consumption of alcohol. When I have too much to drink...it affects my thinking & decicion making. When I am drunk, my ability to make rational decisions is affected. They are decisions made freely and consciously....but they are my own decicions.

Cash

Cash

USA
OLD SKOOL

FEB 20, 2007 02:38 PM

Greybeard said:
If I were to quit my tobacco addiction today, my body could start to repair the damage I've done. There is no such recovery for an alcoholic, what damage is done is done and there is no going back.



I believe you're referring to cirrhosis...which is a liver disease...caused by the behavior of alcoholism.

Alcoholism is a BEHAVIOR. Cirrhosis is a DISEASE.


RileyStClair

RileyStClair

Los Angeles, CA
September 2006

FEB 20, 2007 02:38 PM

Burzum said:
So you're just looking to argue for the sake of argument, right?

Pregnant women shouldn't drink because it can affect their unborn children. It's as simple as that. If you aren't hurting anyone but yourself, go ahead and get your stomach pumped. If you're carrying a person inside you, maybe you should be responsible and think of how that binge drinking session could hurt your child for the rest of his/her life.

Alcoholism is most certainly a disease, and a progressive degenerative one at that. It involves a loss of ability to properly metabolize alcohol and irreversible brain and liver damage.



As people we still have brains and free will. The alcohol doesn't force you to drink it, so it's not a disease. The physical effects of alcoholism might be considered a disease, but drinking itself is not. Saying "I have no choice, I have to drink, I have a disease" is indeed a cop-out.



since there is no way to know if you are an alcoholic until you try drinking, by your logic no one should drink, ever, because some people will find themselves out of control after they start.

apesamongus

apesamongus

Atlanta, GA
July 2002

FEB 20, 2007 02:52 PM

HarManic said:
Or, since that's not possible, let's remember that humanity has thrived on individuals making informed choices, and that those choices, teken in the aggregate, have helped us grow to billions in size, with a longer life expectancy than ever before.


That conflicts with reality. Most things that have extended our lifespan involve people in little white coats telling us what to do based on things we will never understand. Many of them even include things done without our direct permission to the air and water and food to make them safer for us to consume.

apesamongus

apesamongus

Atlanta, GA
July 2002

FEB 20, 2007 02:58 PM

HarManic said:
Alcoholism is a disease far more complicated than simply passing some benchmark on consumption. It encompasses behavior, motive, side effects, etc.


Which is pretty fucking meaningless in the scope of this discussion. If there are statistics saying "Alcoholics have a higher FAS rate than non-alcoholics", then you can bet your ass that in that statement, "Alcoholism" is not being defined in the way you are trying to use. It obviously IS being defined simply in terms of drinks taken. Argue about semantics all you want, but the underlying fact that it's the number of drinks and not whether you have some abstractly defined disease which determines risk.

bananameltdown

bananameltdown

Tampa, FL
July 2004

FEB 20, 2007 03:05 PM

What is the purpose of this article?

StarBelliedBoy

StarBelliedBoy

Philadelphia, PA
December 2003

FEB 20, 2007 03:08 PM

bananameltdown said:
What is the purpose of this article?



Primarily to stir up controversy, it seems. It's some pretty obvious baiting.

Previous

PAGE: 

1 | 2 | 3 | 4 | 5 | 6

 ... 11

Next