My Lords, I am grateful to the noble Baroness, Lady Stroud, for leading on this important aspect of domestic abuse, clearly laying out the high incidence of abuse when a woman is pregnant and the many harms associated with it. I declare that I chair the Commission on Alcohol Harm. Some 25% to 50% of domestic abuse offences are fuelled by alcohol. The Good Childhood Report in 2017 found that 39% of children living with a parent or carer with problematic alcohol use were also living in households where there had been domestic violence in the past five years. That is almost three times the comparable rate in the rest of the sample.
Foetal alcohol spectrum disorder—FASD—describes the permanent impact on the brains and bodies of individuals prenatally exposed to alcohol. This can result in physical, emotional, behavioural and neurological characteristics that are all related to prenatal—interuterine—exposure to alcohol. At least 7,000 babies are born every year in the UK with FASD, although recent research suggests that the true incidence may be sixfold to 17-fold higher. Misdiagnosis as attachment disorders or autism is frequent.
Alcohol is a teratogen which can cause any type of physical malformation and learning and behavioural challenges. These children often need support with motor skills, physical health, learning, memory, attention, emotional regulation and social skills as well as the
management of any congenital abnormalities. More than 70% of children with FASD are known to care services, often raised by foster or adoptive parents or kinship carers. The true cost of abuse is paid by the child lifelong and by society, not by the abuser.
This condition is preventable only when there is no prenatal alcohol exposure. That is why, in 2016, the Chief Medical Officer recommended that no alcohol be consumed in pregnancy and when planning one. After birth, the abuse of alcohol is associated with parental neglect and ongoing abuse in the home. When I was a GP, I worked with Strathclyde on the medical screening of children at the time of admission to care. Many of these children had been damaged before their lives had started and were further damaged from day one.
We know that, during the pandemic, domestic abuse has increased and domestic alcohol consumption has increased. Are we sitting on another epidemic that is about to emerge—that of FASD in a generation who are soon to be born? We cannot protect from FASD those who have already been born, but we can lessen the chance of further damage and protect those who come after them. That is the aim of these amendments.