Fetal Alcohol Syndrome

Fetal Alcohol Syndrome, also known as FAS, is caused when the mother has moderate to heavy drinking during the embryonic period. Most women are 2 to 3 months pregnant before they find out. The odds are very high that about 20% of babies have been exposed to multiple episodes of being bathed in high levels of alcohol in the first trimester, before the woman even knew she was pregnant. Maternal prenatal alcohol consumption even at low levels is adversely related to child behavior. The effect was observed at average exposure levels as low as 1 drink per week. FAS (Fetal Alcohol Syndrome) individuals may have a distinctive physical appearance and lower IQs, but have lower crime and addiction rates than FAE (Fetal Alcohol Effects) individuals as they get earlier diagnosis and can be better protected by society and their parents. While FAE individuals may lack the outward physical appearance of alcohol damage, and generally have higher IQ's, the internal damage to the brain and other organs can be just as serious as full FAS. IQ measures convergent fact based thinking. Life skills require divergent adaptive thinking that in FAE individuals will be substantially lower than their IQ. However, because FAE individuals "look normal" they are expected to perform normally. These issues lead to secondary disabilities. Primary disabilities are those the child is born with. Secondary disabilities are those that develop as a result of failure to properly deal with the primary disabilities. Alcohol is toxic at all concentrations. Alcohol damage to the fetus occurs over a wide continuum. Damage varies due to amount drank, timing during pregnancy, peak blood alcohol levels, genetics and environmental factors. FAS is a lifetime disability. It is not curable. A child does not "grow out of it". However, early diagnosis and intensive, and appropriate, intervention can make an enormous difference in the prognosis for the child. There is a small window of opportunity, up to about age 10 or 12, to achieve the greatest potential for an alcohol affected child. That period is when the greatest development of fixed neural pathways occurs. Some physical abnormalities of FAS include: facial distortions, growth deficiency, and evidence of central nervous system dysfunction, poor motor skills, poor hand-eye coordination, sometimes also have learning problems, memory problems, attention problems, and judgment problems. All in all, it is very important to make sure that you DO NOT drink if you know that you are pregnant, or even thinking about becoming pregnant, because your choices could have a major effect on you and your unborn baby.

Bibliography 1

Maternal alcohol use during pregnancy is associated with a wide range of adverse outcomes for the child. Many women who drink during pregnancy also have male partners who abuse alcohol. The effects of this could cause learning and memory deficits, hyperactivity, and poor stress tolerance. Cognitive and behavioral findings are the most robust effects. Citation-- Abel EL. Paternal contribution to fetal alcohol syndrome. Addiction Biology 9(2): 127-133, 2004.

Bibliography 2

This bibliography discusses problems in diagnosing fetal alcohol syndrome (FAS) and fetal alcohol effects (FAE) and describes the 4-Digit Diagnostic Code...a new, comprehensive method of diagnosing the full continuum of outcomes associated with prenatal alcohol exposure. The four digits of the Diagnostic Code reflect the four key diagnostic features of FAS in the following order: growth deficiency, FAS facial phenotype, brain damage/dysfunction, and prenatal alcohol exposure. Citation-- Astley S. FAS/FAE: Their impact on psychosocial child development with a view to diagnosis. Montreal: Centre of Excellence for Early Childhood Development (Canada), 2003.

Bibliography 3

One of the distinguishing features of prenatal alcohol exposure is impaired cognitive and behavioral function resulting from damage to the central nervous system. Recent technology provides a powerful tool for assessing the effects of fetal alcohol exposure in living organisms and for exploring the relationship between behavioral dysfunction and brain damage at the regional level. These recent discoveries provide directions for developing future prevention or intervention strategies on the unborn child. Citation-- Chen W-J A; Maier SE; Parnell SE; West JR. Alcohol and the developing brain: Neuroanatomical studies. Alcohol Research & Health 27(2): 174-180, 2003.







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