Our friend Sarah was recently married and she and her husband Tom want to start a family. Sarah heard that there are many substances that should be avoided during pregnancy and she is especially concerned about alcohol. Sarah drinks wine on the weekend with her friends, and usually has a glass of wine with Tom at the end of each work day. Sarah turns to you for advice.
Sarah would like to learn more about how substances can affect prenatal development, and specifically, about the effects of alcohol. She asks you if she should stop drinking alcohol altogether or whether she can continue to drink wine in small quantities. Sarah also wants to know if timing is important ? should she change her alcohol consumption when she and Tom first decide to try to get pregnant? Can she wait until she tests positively for pregnancy, or even further into the pregnancy to change her behavior?
To answer Sarah’s questions, define teratogen and discuss the threshold effect and timing of exposure. Discuss the potential effect of alcohol on physical, cognitive and behavioral development. Include the current recommendation on alcohol consumption during pregnancy given by most physicians.
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