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Fetal Alcohol Syndrome

(Alcohol in Pregnancy; Drinking Alcohol During Pregnancy; FAS)

Definition

Fetal alcohol syndrome (FAS) belongs to a group of disorders called fetal alcohol spectrum disorder. It is caused when a woman drinks alcohol during pregnancy. The alcohol can cause birth and developmental defects in the baby. These defects make up FAS.

Causes

Alcohol can cross from the mother's blood to the baby's blood. It is passed through the placenta. Even a small amount of alcohol can damage the fetus. It is not known how much alcohol it takes to cause defects. Social, binge, moderate, and heavy drinking all have a negative effect on fetal development.
All types of alcohol, including beer and wine, can cause birth defects.
Blood Traveling Through Mother's Placenta to Baby
baby fetus placenta
Alcohol travels through this path and affects the baby's development, particularly the heart and brain.
Copyright © Nucleus Medical Media, Inc.

Risk Factors

Factors that increase your baby's chance of FAS include:

Symptoms

Birth and developmental defects depend on when the fetus was exposed to alcohol and how much alcohol was consumed.
Babies with FAS may have the following physical symptoms:
As the infant grows, other symptoms may develop, including:
Children do not outgrow these effects. Teens and adults often experience social and emotional problems. They may develop secondary conditions, which include:

Diagnosis

The doctor will ask you about your alcohol intake while pregnant. The child's growth will be assessed. A physical exam will be done. The diagnosis is based on:
Some children with this condition do not have the typical physical features. Their condition is described as:
An early diagnosis can help your child get the proper services.

Treatment

There is no specific medical treatment for this condition. Early intervention is helpful, as well as a supportive, nurturing home. The doctor may recommend hearing and vision testing, as well as testing for any other medical problems related to FAS.

Social Services

Professional support helps a family cope with caring for a child with birth defects. Services include respite care and parent training. You can learn ways to handle behavioral problems and stress management techniques.

Special Education

Programs designed to meet your child's needs can help improve learning. For example, messages may need to be repeated. Tasks may need to be broken down into smaller steps.

Supportive Environment

A supportive environment includes:
  • Providing consistent direction and structure.
  • Keeping to routines.
  • Establishing simple rules, limits, and consequences.
  • Praising desired behaviors.
  • Lack of threats and violence. Violence or abuse increases the risk the child will learn to react in a similar fashion. Your child may need special training to learn ways to handle anger.

Prevention

Efforts to prevent fetal alcohol syndrome are important.

RESOURCES

National Organization on Fetal Alcohol Syndrome http://www.nofas.org

Pregnancy http://www.pregnancy.org

CANADIAN RESOURCES

Greater Toronto Area Intergroup http://aatoronto.org

Women's Health Matters http://www.womenshealthmatters.ca

References

Chaudhuri JD. Alcohol and the developing fetus—A review. Med Sci Monit. 2000;6(5):1031-1041.

Drinking and your pregnancy. National Institute on Alcohol Abuse and Alcoholism website. Available at: http://pubs.niaaa.nih.gov/publications/DrinkingPregnancy%5FHTML/pregnancy.htm. Accessed July 26, 2013.

Fetal alcohol spectrum disorder. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 12, 2012. Accessed July 26, 2013.

Nayak RB, Murthy P. Fetal alcohol spectrum disorder. Indian Pediatr. 2008;45(12):977-983.

Prenatal exposure to alcohol. Alcohol Res Health. 2000;24(1):32-41.

Thackray H, Tifft C. Fetal alcohol syndrome. Pediatr Rev. 2001;22(2):47-55.

Treatment and support. National Organization on Fetal Alcohol Syndrome website. Available at: http://www.nofas.org/treatments-support.

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