Alcohol & Smoking In Pregnancy

NI Direct

The best advice is that pregnant women, or women trying to conceive, should avoid drinking alcohol. If you smoke, you should also give up. There is lots of help available to help you quit.

Medical guidelines

The current medical guidelines are that:

  • if you are pregnant or planning a pregnancy, the safest approach is not to drink alcohol at all to keep risks to your baby to a minimum
  • drinking in pregnancy can lead to long-term harm to the baby, with the more you drink the greater the risk

Trying to conceive

If you are trying to get pregnant, you need to be aware that drinking alcohol can reduce your fertility and ability to conceive. Excessive drinking, especially getting drunk, can lead to a miscarriage in the early stages of pregnancy.

To keep the risks to an absolute minimum therefore, the safest approach is not to drink at all.

Alcohol guidelines - how much is a unit?

One UK unit contains eight grams (or 10 millilitres) of pure alcohol and it's the strength and size of a drink that determines how many units it has.

If you are pregnant

When a pregnant woman drinks alcohol, the alcohol passes through the placenta and can affect the baby's development. This happens throughout the pregnancy, not just in the first few weeks.

Excessive drinking can lead to:

  • premature birth
  • low birth weight
  • impacting on the physical and mental development of the child, a condition known as Foetal Alcohol Syndrome (FAS)

Women are therefore strongly advised to not drink alcohol at all at any stage during pregnancy because there may be an increased risk of miscarriage. The current advice is to avoid alcohol completely.

Alcohol and breastfeeding

Alcohol passes to the baby in small amounts in breast milk. The milk will smell different to the baby and may affect their feeding, sleeping or digestion. The best advice is to avoid drinking shortly before a baby's feed.

Whether you're breastfeeding or not, the recommended benchmark is to consume no more than 14 units of alcohol per week, spread evenly over three days or more because if you have one or two heavy drinking sessions, you increase your health risks.

GP advice

Your doctor, can help you to get advice and a referral to services for help with an alcohol or drug addiction problem.

Smoking

Smoking while pregnant not only damages your own health, but can also harm your baby.

It has been linked to a variety of health problems, including:

  • premature birth
  • low birth weight
  • cot death, miscarriage
  • breathing problems/ wheezing in the first six months of life

If you stop smoking, you will reduce the risk of harm to yourself and your baby.

Giving up smoking

If you're trying to give up smoking, also encourage those around you to do the same. Second-hand smoke contains poisonous gases, tar and toxic chemicals that are harmful to you and your baby's health.

Only you can decide to quit but you can get help and support to stay a non-smoker.

Useful resources

This Teachers' Maternity Leave Scheme has been updated to reflect the rules concerning...
EA is committed to ensuring that all individuals are treated fairly and with dignity and...
Affected by breast cancer? Join this group to share experiences and ask questions to...
We all have good and bad days but what and when we eat can influence our mood, energy,...
Cancer Focus NI can provide a wide range of presentations to meet the needs of your...
Around one in five women will experience a mental health issue during pregnancy or within...
This programme is a six week training programme for groups of adults and focuses on...
We are delighted to provide this FREE digital toolkit. Designed in partnership with the...
There are a number of health campaigns throughout the year to raise awareness of...
Cancer Focus NI, Keeping Well vans are mobile drop-in units which bring health checks,...
Sometimes when faced with an unplanned or crisis pregnancy it is difficult to discuss it...
This includes: Raising awareness of depression and Aware NI services at a wide range of...
The Menopause Project is an education and research project between Informing Choices NI...
Handle stress and anxiety on the go
Support for breast cancer
Guided meditations
The availability of free period products in public spaces has been increasing owing to...
Learn to manage negative thoughts and look at problems differently
Food diary, exercise tracker and diet coach
Support hub for mothers
Track your treatment and wellbeing
Pregnancy and guidance for after birth
Active 10 is a free and easy to use walking app that tracks your walking and shows you...
It’s an easy to follow programme known the world over, and perfect for those new to...
Guided meditations
Your Mind Plan offers practical ideas and advice to help you boost and maintain your mental wellbeing. Answer the quick 5-question quiz and the Every Mind Matters widget will give you 5 tailored actions to help you feel more in control, improve your sleep, deal with stress and anxiety, and boost your mood – as well as the option to easily swap any actions and to save the whole plan via email.

Articles & Videos

Helplines & Web Chats

Informing Choices NI - Helpline
Royal Osteoporosis Society - Helpline
Macmillan - Forum
Macmillan - Ask an expert
Women's Aid - Forum
Association for Post-Natal Illness Helpline
Women's Aid - Domestic abuse helpline

Upcoming Events