Understanding Fetal Alcohol Spectrum Disorders National Institute on Alcohol Abuse and Alcoholism NIAAA

Fetal Alcohol Syndrome

However, early treatment of some symptoms can lessen the severity and improve your child’s development. The more you drink while pregnant, the greater the risk to your unborn baby. Your baby’s brain, heart and blood vessels begin to develop in the early weeks of pregnancy, before you may know you’re pregnant.

What are the symptoms of FASD?

Fetal Alcohol Syndrome

Because early diagnosis may help lessen the risk of some challenges for children with fetal alcohol syndrome, let your child’s healthcare professional know if you drank alcohol while you were pregnant. FAS is characterized by prenatal alcohol exposure (PAE), craniofacial (head and face) differences, neurodevelopmental abnormalities (including behavioral issues), and growth impairment. Unfortunately, up to 5% of first graders in the United States have FASD. Fetal alcohol spectrum disorder (FASD) describes a group of permanent symptoms experienced by people who were exposed to alcohol in utero (during pregnancy). There are currently five conditions that make up FASD, including fetal alcohol syndrome (FAS).

Find research studies

FASD is a range of conditions in the child caused by the mother drinking alcohol during pregnancy. The result of alcohol on a developing fetus can lead to craniofacial differences, growth impairment, neurodevelopmental disabilities, and behavioral issues. Research shows that alcohol exposure at specific times during pregnancy can affect the brain in various ways, resulting in a spectrum of brain disorders. Fetal alcohol syndrome is one of the five disorders that comprise fetal alcohol spectrum disorders (FASD). These fetal alcohol spectrum disorders classify the wide-ranging physical and neurological effects that prenatal alcohol exposure can inflict on a fetus. This activity describes the pathophysiology, evaluation, and management of fetal alcohol syndrome and highlights the role of the interprofessional team in preventing this pathology.

Fetal Alcohol Syndrome: Facial to Behavioral Effects

Fetal Alcohol Syndrome

In many cases, prenatal alcohol exposure is unintentional because women continue their normal drinking patterns before they know they are pregnant. Most women stop drinking alcohol once made aware of their pregnancy. Despite this fact, 7.6% of women report continued drinking during pregnancy. To improve outcomes, education emphasizing abstinence from alcohol is vital.

Most of our data come from animal models and associations with alcohol exposure. Alcohol exposure during pregnancy can result in FASD by interfering with development of the baby’s brain and other critical organs and physiological functions. This can lead to deficits after birth and beyond.2,3 Alcohol can disrupt development at any stage, even before a woman knows that she is pregnant.

  1. It’s also recommended that you avoid beverages containing alcohol when you’re trying to become pregnant.
  2. Many drugs can pass from the mother’s blood stream through the placenta to the fetus.
  3. This is because a woman could get pregnant and not know for up to 4 to 6 weeks.
  4. If you suspect your child has fetal alcohol syndrome, talk to your doctor or other healthcare professional as soon as possible.
  5. Alcohol withdrawal may begin within a few hours after birth, and symptoms may last up to 18 months.

Fetal Alcohol Syndrome

Parents might learn different routines and rules that can help their child adapt to different situations. Often, having a stable and supportive home can help children with FAS avoid developing mental and emotional difficulties as they get older. There isn’t a direct test for FAS and pregnant people may not give a complete history of all alcohol intake during pregnancy. It’s also recommended that you avoid beverages containing alcohol when you’re trying to become pregnant. Many people don’t know they’re pregnant for the first few weeks of pregnancy (four to six weeks). This is because it takes time for your body to build up enough hCG (human chorionic gonadotropin, a hormone that develops in early pregnancy) to be detected on a pregnancy test.

First-line treatments for children with ADHD and FAS include methylphenidate- and amphetamine-derived stimulants. Treatment strategies for FAS include nonpharmacologic and pharmacologic interventions. A single episode of binge drinking, especially during the first few weeks of pregnancy, can lead to FAS. Having four or more drinks within two hours is considered a single binge-drinking episode for females. One study found life expectancy is significantly reduced compared does alcohol affect copd to people without FAS (most often due to external causes such as suicide, accidents, or overdose of alcohol or drugs).

Sequelae include perturbations to affect regulation and cognition, as well as to physical appearance manifested via pathognomonic anomalies. Substance misuse counseling and treatment programs can help with overcoming alcohol or recreational drug use. Joining a support group or 12-step program such as Alcoholics Anonymous also may help. To prevent FASDs, a woman should avoid alcohol if she is pregnant or might be pregnant. This is because a woman could get pregnant and not know for up to 4 to 6 weeks.

Diagnosis is based on an assessment of growth, facial features, central nervous system, and alcohol exposure by a multi-disciplinary team of professionals. The main criteria for diagnosis of FASD is nervous system damage and alcohol exposure, with FAS including congenital malformations of the lips and growth deficiency. In some cases, your healthcare provider might be able to diagnose a child with fetal alcohol syndrome at birth based on small size and specific physical appearance. However, diagnosis of addiction art therapy ideas fetal alcohol spectrum disorders can be difficult. FASD may present in childhood or early adulthood with mild social or intellectual concerns, or it can present with birth defects and growth problems during pregnancy. Clinicians should be fully aware that fetal alcohol syndrome is preventable.

If you adopted a child or are providing foster care, you may not know if the biological mother drank alcohol while pregnant. International adoption from some countries may have a higher rate of alcohol use by pregnant mothers. If you have concerns about your child’s learning or behavior, talk with your child’s healthcare professional to find out what might be causing these problems. Symptoms of fetal alcohol syndrome may include any mix of issues with how the body develops; thinking, learning and behavior; and functioning and coping in daily life. There is no amount of alcohol that’s known to be safe to drink during pregnancy.

And other disorders, such as ADHD (attention-deficit/hyperactivity disorder) and Williams syndrome, have some symptoms like FAS. If your child is diagnosed with an FASD, the diagnosis will be for a specific condition under the umbrella of FASDs, as listed above. Tony Loneman, a character in Tommy Orange’s 2018 novel There There, was born with fetal alcohol syndrome, which he calls « the Drome ». The more alcohol you drink during pregnancy, the greater the chance of problems in your baby.

Behavioral interventions

No, but early diagnosis and treatment for specific FAS symptoms can greatly improve your child’s life. It’s not known whether a father’s drinking affects their sperm or contributes to fetal alcohol syndrome at conception. A child with fetal alcohol syndrome needs to be watched closely to see if their treatment needs to be adjusted. Because brain growth takes place throughout pregnancy, stopping alcohol use will improve the baby’s health and well-being. Receiving treatment as soon as possible in childhood can help decrease the likelihood of developing these secondary effects in life. Fetal alcohol syndrome isn’t curable, and the symptoms will impact your child throughout life.

If fetal alcohol syndrome is suspected, your pediatrician or other healthcare professional will likely refer your child to an expert with special training in fetal alcohol syndrome. This may be a developmental pediatrician, a neurologist or another expert. The expert does an evaluation to rule out other conditions with similar symptoms to help make a diagnosis. Fetal alcohol syndrome is a condition in a child that results from alcohol exposure during the mother’s pregnancy. Drinking alcohol during pregnancy can cause the child to have disabilities related to behavior, learning and thinking, and physical development. The symptoms of fetal alcohol syndrome vary from child to child but are lifelong.

Early intervention and a stable, nurturing home are important to music therapy addiction protect children with fetal alcohol syndrome from some of the other issues they’re at risk of later in life. After delivery, you should continue to pay attention to when you drink alcohol if you’re breastfeeding your baby. To prevent fetal alcohol syndrome, don’t drink alcohol during pregnancy. The full picture of FAS usually occurs in babies born to alcoholic mothers, or to those who drink regularly or binge-drink. A child is considered to have partial fetal alcohol syndrome when they have been exposed to alcohol in the womb and have some but not all of the traits linked to FAS.

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