We could not agree more regarding the need to facilitate informed choice on drinking during pregnancy. Our commentary addresses only one of two challenges: to provide a balanced view of the risks of drinking during pregnancy, while highlighting the difficulty in establishing safe levels of drinking for women of child-bearing age. Every clinician faces the second challenge: to communicate this information effectively and in a culturally sensitive manner so that women can make informed choices. Sadly, many clinicians do not discuss the risks of drinking during prenatal visits,1,2 and many women drink during pregnancy. The title of our commentary, ‘Better safe than sorry’, echoes the simple, easily communicated message of the US Surgeon General that women who are pregnant or trying to conceive should not drink at all.