Impact of alcohol strength on attitudes and decisions concerning special occasion drinking during pregnancy

A 2025 study published in BMC Public Health, “Impact of Alcohol Strength on Attitudes and Decisions Concerning Special Occasion Drinking During Pregnancy,” explores how people perceive the risks of drinking alcohol during pregnancy, particularly during celebrations such as weddings and other social gatherings.

The researchers found that participants viewed both regular and lower-strength alcoholic drinks as more harmful than alcohol-free alternatives. Interestingly, those who reported drinking during a previous pregnancy were more likely to view alcohol consumption during pregnancy as acceptable and less harmful. The research also highlights how personal experiences, social situations and perceptions of risk can influence decisions about alcohol use during pregnancy.

Reflection for FASD Prevention Conversation Facilitators

This research is a good reminder that conversations about alcohol and pregnancy need to go beyond simply sharing information about the risks. People bring their own experiences, beliefs and social influences into these discussions.

As Prevention Conversation facilitators, we know that alcohol is often part of celebrations, family gatherings and social traditions. It is worth thinking about how we bring these everyday situations into our conversations. Are we asking about occasional drinking and special occasions? Are we considering the influence of friends, partners and family members?

The findings also reinforce the importance of approaching conversations without judgment. Our role isn’t to tell people what decisions to make, but to create opportunities for honest discussions, share accurate information and offer support.

A question to consider: How can we better include conversations about social pressures, celebrations and personal experiences when discussing alcohol and pregnancy, while continuing to keep our approach supportive and free of stigma?