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Background Clinicians caring for pregnant women who consume alcohol face many ethical considerations. They are obligated to provide non-judgmental and non-directive advice. Although current practice is guided by existing clinical guidelines [1–5] these are based on limited scientific evidence [6]. There is no objective and readily available test to corroborate subjective patient reports of alcohol use to predict the risk of alcohol-related adverse foetal outcomes. Additionally, the effects of alcohol exposure on the developing fetus are not completely understood [7].

Drowning our sorrows: clinical and ethical considerations of termination in alcohol-affected pregnancy