Alcohol Intoxication During Pregnancy

Alcohol intoxication is a serious risk to a pregnant woman as well as to her foetus. 

A pregnant woman with severe alcohol intoxication is at immediate risk of overdose, vomiting, aspirating and choking, injury, miscarriage or premature labour. The progress of her pregnancy and her wellbeing therefore needs to be assessed immediately, preferably by an experienced midwife, in consultation with the medical/obstetric team. She must be closely observed and nursed in a safe environment. 

If available, undertake a cardiotocograph for electronic foetal monitoring, and follow up with an ultrasound if appropriate. Hospital admission is recommended for close monitoring, possible medical intervention, and a safe environment to prevent accidental injury. 

Arrange for further assessment and follow-up throughout her pregnancy for problems with alcohol, general health and nutrition, psychological wellbeing, mental health problems, and social issues such as family violence. 

Chapter Recommendation Grade of recommendation
14.5 If a woman presents intoxicated during pregnancy, hospital admission may be recommended to assess foetal safety, maternal safety, and for comprehensive assessment and care planning. GPP