Advances in Treatment of Fetal Alcohol Spectrum Disorder According to the Center for Disease Control and Prevention (CDC, 2015), in 2011 to 2013, one in ten pregnant women reported consuming alcohol in the past 30 days. Additionally, one in 33 women admitted to binge drinking during pregnancy (CDC, 2015). Consummation of alcohol during pregnancy is one of the leading causes for developmental disabilities. The term fetal alcohol spectrum disorders (FASD) is being increasingly used to refer to the full range of problems caused by prenatal alcohol exposure (PAE) (Paley & O’Connor, 2009). As a result of PAE many developmental deficits are manifested. According to Paley and O’Connor (2009), extensive research has shown that these can include “intellectual and learning disabilities, deficits in executive functioning, memory problems, speech and language delays, inattention, hyperactivity…behavior problems, and social impairments” (p. 258). While this disorder manifests a host of symptoms, there is no known cure and no standard of treatment (CDC, 2015). It is critical that we identify methods of treating FASD because even mothers with the best intentions may consume alcohol before they know they are pregnant. Encouragingly, many studies have been conducted with promising results, particularly in nutrition, pharmacology, and in the environment of the education system.
Nutritional Interventions
Prenatal Nutrition According to some research, women who drink during pregnancy are
Although throughout the United States activist and educational campaigns have flooded U.S citizens with education on the detrimental effects of maternal alcohol consumption, women are still continuing to consume alcohol while pregnant. Fifty three percent of non-pregnant woman drink alcohol, and despite health warnings, twelve percent of pregnant mothers in the United States still consume alcohol (Pruett &Waterman & Caughey, 2013, p. 62). Fetal alcohol exposure is also believed to be widely underreported in the United States (Pruett et al., 2013, p. 66). Current research concludes that there is no safe level of alcohol consumption, nor a safe time during gestation for alcohol consumption to take place (National Organization on Fetal Alcohol Syndrome [NOFAS], 2014). Fetal Alcohol Spectrum Disorders (FASD) is an umbrella term used for the various conditions that maternal alcohol consumption causes. Although each case of FASD can present differently, cognitive disabilities, facial deformities, and growth retention are a few of the hallmark adverse effects that alcohol has when it enters fetal circulation (Paley & O’Connor, 2011, p. 64). The United States is impacted economically by these debilitating conditions as well, as it costs our nation $746 million dollars annually to care for these children (Bhuvaneswar, Chang, Epstein & Stern, 2007, p. 3). Nurses in America, and across the globe have a key role in helping to eliminate, and minimize adverse effects of these conditions
Alcoholism is a real threat to pregnant women. In particular, there is a huge rise in Fetal Alcohol Syndrome (FAS) cases, which is when an unborn fetus actually becomes addicted to and dependent on alcohol passed from the mother. In 1996, only 0.5 to 3.0 cases were confirmed for every 1,000 pregnancies, but today, that number is a staggering 20 to 50 cases per 1,000
Fetal alcohol spectrum disorder (FASD) is a concise, uniform definition for conditions caused by prenatal alcohol exposure. FASD is a broad term used to describe the range of effects that can occur in an individual whose mother drank alcohol during pregnancy (Caley, Kramer, & Robinson, 2005). Fetal alcohol spectrum disorder can also cause growth retardation, birth defectscomma and deficits in cognitive, languagecomma and motor development (Coles et al., 2015). Fetal alcohol spectrum disorder is a teratogenic effect, which is caused by daily, chronic, heavy and frequent alcohol use while in utero. Chances of an infant diagnosed with FASD are 0.5 to 3 in 1,000 live births (Cone-Wesson, 2005). Fetal alcohol spectrum disorder has many different diagnoses. There is fetal alcohol syndrome (FAS), partial fetal alcohol syndrome (PFAS)comma and alcohol-related neuro-developmental disorder (ARND)comma all under the fetal alcohol spectrum disorder umbrella (Brown et al., 2015). Maternal alcohol use is correlated to the timing, frequencycomma and quantity of the consumption of alcohol during pregnancy. Drinking during the first trimester may not be as detrimental as drinking during the second or third trimester. The frequency of alcohol consumed is also a key factor in FASD, such as how often per day drinks are consumed, the quantity of alcohol consumed, and how many glasses or cans per day the mother consumes
According to Seaver, Fetal Alcohol Syndrome (FAS) is birth defects causing learning, and behavioral problems in individuals whose mothers drank alcohol during pregnancy. This disorder is very serious, yet it is recognized as one of the most preventable. This causes major issues, when something so serious could be prevented but is not. Fetal Alcohol Syndrome is a problem because it leaves a permanent effect on the unborn child, but some solutions could be educating women and putting up more informational posters and warning labels on products.
The term “Fetal Alcohol Spectrum disorders” (FASDS) is used to describe the numerous problems associated with exposure to alcohol before birth. Each year in the United States, up to 40,000 babies are born with “Fetal Alcohol Spectrum disorders” (FASDs) (Substance Abuse and Mental Health Services Administration). Additionally, Fetal Alcohol Spectrum disorders (FASDs) comes with effects that range from mild to severe. These effects include mental retardation; learning, emotional and behavioral problems; and defects involving the heart, face and other organs. According to the U.S. Surgeon General, the patterns of drinking that place a baby at greatest risk for FASDS are binge drinking and drinking seven or more drinks per week (Surgeon General). However, FASDS can occur in babies of women who drink less. There is no way of measuring how much alcohol one can consume before defects occur, and no proof that small amounts of alcohol are safe. As little as one drink a day can cause a baby some degree of harm and interfere with their normal development.
FAS is defined as a medical diagnosis involving four key features: alcohol exposure, growth deficiently, certain facial features, and brain damage. Infants who have been exposed to prenatal alcohol rarely show all symptoms of the medical condition FAS. Other terms have been used to describe the implication involved with FAS. Frequently used terms are: Partial Fetal Alcohol Syndrome, Alcohol-related Neurodevelopmental Disorder and Alcohol-related Birth Defects. A child with Partial Fetal Alcohol syndrome exhibits only some of the physical signs of FAS and will likely have both learning and behavioral difficulties. A child suffering from Alcohol-related Neurodevelopmental Disorder will demonstrate signs of neural damage, problems with memory, poor social skills, and learning difficulties. Children diagnosed with
Fetal Alcohol Syndrome (FAS) is a pattern of mental, physical, and behavioral defects that may develop in the unborn child when its mother drinks during pregnancy. These defects occur primarily during the first trimester when the teratogenic effects of the alcohol have the greatest effect on the developing organs. The symptoms associated with FAS have been observed for many centuries, but it was not until 1968 that Lemoine and his associates formally described these symptoms in the scientific literature, and again in 1973 when Jones and associates designated a specific pattern of altered growth and dysmorphogenesis as the Fetal Alcohol Syndrome (Rostand, p. 302). The set of abnormalities characterized by Jones
Every year, about 40,000 babies are born with symptoms of prenatal alcohol exposure (Lupton, 2003). This number will only continue to grow if the risk of drinking alcohol while pregnant is not brought to the people’s attention. When the mother takes a drink of alcohol, so does the fetus, which will cause physical and behavioral problems after birth. Fetal Alcohol Syndrome (FAS) is completely preventable and irreversible. FAS awareness and prevention is important; expectant mothers need to know the background information about the syndrome, some common symptoms, signs, and treatments, and the mental and physical abnormalities that will occur because of this lifelong syndrome.
Fetal Alcohol Syndrome (FAS) is a disorder that occurs when a mother consumes alcohol while pregnant. Individuals with FAS may face many problems such as, bad vision, hearing impairments, memory difficulty, communicative hurdles, and much more (Bergen & Yu, 2012). In began in 1981 when expecting mothers were advised not to drink while pregnant (Alcohol Policies Project, n.d). However, is 1995 4 times more mothers were consuming alcohol in comparison to a few years earlier in 1991 (Alcohol Policies Project, n.d). In addition, 52 percent of women ages 18-34 claimed to have been consuming alcohol while pregnant (Alcohol Policies Project, n.d). The reason for a mothers decision to drink is unknown, it could possibly be that mothers have read reports
Fetal alcohol spectrum disorder (FASD) is a general term consist disabilities when a mother consumes alcohol during her pregnancy. The medical prognosis of FASD includes: Fetal Alcohol Syndrome (FAS), Partial Fetal Alcohol Syndrome (PFAS), Alcohol Related Neurodevelopmental Disorder (ARND) and Alcohol Related Birth Defects (ARBD). Moreover, teratogen is a harmful agent that can interrupt the development of an embryo. For instance, alcohol is teratogen. As per Health Canada, FASD is a leading cause of a completely avertable developmental disability but it still affects approximately one percent of the Canadian population (Batshaw, Roizen & Lotrecchiano, 2012). However, there are many alterations to the disabilities and the development of sub-groups. Thereby, the term FASD is introduced to ensure the incidence of all the characteristics (mental, behavioral and physical) associated with prenatal exposure to alcohol. The exposure to alcohol during the pregnancy places the infant at the risk of developing problems such as abnormal appearance, low body weight, poor coordination, low intelligence, facial abnormalities, neuropsychological deficits, central nervous system deficits and growth delays (Riley, Infante & Warren, 2011). As the paper progress, we will discuss the characteristics, causes and the epidemiology of FASD. In addition we will all focus on the mental disorder such as Attention Deficit Hyperactivity Disorder (ADHD) associated with FASD and a
“Fetal alcohol syndrome is a condition in a child that results from alcohol exposure during the mother's pregnancy” (Fetal alcohol syndrome. n.d.). Each year 1 in 750 infants in the United States are born in the United States alone, while another 40,000 are born with alcohol fetal effects. This happens to a child when the mother continues to drink alcohol during her pregnancy. Fetal alcohol syndrome can cause mental, physical, developmental disabilities in the baby, while fetal alcohol effects are milder, less advanced form of fetal alcohol syndrome.
Fetal Alcohol Syndrome (FAS) refers to a group of physical and mental birth defects resulting from a women’s drinking alcohol heavily or at crucial stages during pregnancy. Fetal Alcohol Syndrome was first named and treated in the late 1960's. This condition results from the toxic effect of alcohol and its chemical factors on the developing fetus. FAS is the leading cause of mental retardation occurring in 1 out of every 750 births. The frequency of FAS occurs about 1.9 times out of every 1000 births according to the latest figures, and minor effects can be seen in up to 20% of pregnancies per year. This number changes drastically for women who are clearly alcoholics. As high as 29 children out of every 1000 births will suffer from FAS
Behavioral malformations can include attention deficit or hyperactivity, as well as impaired adaptive behavior, social skills, and social communication.2 A range of affected behavior is evident, with any degree of general impairment possible in intelligence, reflex development, motor coordination, and hyperactivity of muscle.1 Core deficits that are found in a majority of cases of prenatal alcohol exposure include deficits in attention, learning, memory, emotional dysregulation, and executive functioning, which
Even a small amount of alcohol has the potential to hurt the child. The unborn child of a person who occasionally drinks is at risk of receiving fetal alcohol effects. This condition causes children to receive some of the same of the same effects that come from fetal alcohol syndrome. A child may not receive any of these conditions due to a mother’s alcohol consumption, but there are still some potential effects. Evidence shows that when a pregnant mother consumes an average of two alcoholic beverages per day, her child may have a lower amount of intelligence and is also at risk for having mental retardation. Also, there is research that suggests that even low quantities of alcohol consumed during pregnancy can have contrary effects on the child’s behavioral and psychological functions, and can cause a child to exhibit behaviors such as hyperactivity, unusual nervousness or anxiety, and poor impulse control. Alcohol consumption during pregnancy can also cause children to have less accuracy in their spatial and visual reasoning later in their lives. Due to these results, Sarah should be advised to not drink alcohol while she is
Some of the secondary disabilities included mental illness, anti-social behaviors, and attention deficit disorders including, attention deficit hyperactivity disorder. According to the study it was concluded that children of binge drinking mothers exhibited especially severe cognitive and behavioral deficits. Although, some of the studies reviewed had vague definitions of binge drinking, potential recall and reporting biases. As you can see here binge drinking while pregnant is not only not healthy to the developing fetus, but it will cause many developmental problems for the future.