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Fetal Alcohol Spectrum Disorder Case Study

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Whether the mother of a child drank heavily or mildly during her pregnancy, her child can be diagnosed with fetal alcohol spectrum disorder (FASD). Within FASD, there are three disorders that a child can be diagnosed with: fetal alcohol syndrome (FAS), partial fetal alcohol syndrome (p-FAS), or alcohol related neurodevelopment disorder (ARND). The severity of the disorder and what the child will be diagnosed with depends on the severity, duration, frequency of exposure, maternal genetics, the mother’s metabolism, and the timing of the exposure (O’Neil. 2011). FAS is the most severe diagnoses of FASD and is the result of the mother drinking heavily during her pregnancy, with p-FAS being the second and ARND being the least severe. Children born …show more content…

At each stage, alcohol exposure effects the child differently. During the zygotic stage, alcohol consumption does not have very much of a negative effect. However, excessive drinking during this stage can prevent the blastocyst (pre-embryo) from implanting into the uterus correctly, which can lead to the body reabsorbing and terminating the pregnancy. This typically happens before the mother even knew she was pregnant. The embryonic stage is the most important part of the child’s prenatal development, and this is when the most damage can be done with alcohol exposure. During this stage, the body plans for the child are laid out and the indication of what will become the organ systems are determined. Alcohol exposure during this stage mostly effects the central nervous system, especially in the formation of the child’s cerebellum and growth. If exposed, alcohol effects the neural migration of cells and synaptogenesis (the formation of synapses between neurons), which leads to significant brain damage. If the effects during this stage are severe enough, the body will self-abort the baby and the pregnancy will be terminated. In the fetal stage, the fetus has begun to self-regulate and is less sensitive to the alcohol. During this self-regulation, the fetus copes with …show more content…

In a recent Centers for Disease Control and Prevention (CDC) study, 10.2% of pregnant women stated that they drank alcohol in various amounts during the last month, and 3.1% stated that they binge drank. Women who are in a committed relationship, including marriage, are at a higher risk for an alcohol-exposed pregnancy since they tend to be less likely to use contraception. Also, women who smoke are at a higher risk because they are more likely to consume alcohol if they smoke. In a current study, 3.3 million women between the ages of 15 and 44 stated that they had drank alcohol in the last month and had sexual intercourse without using protection. All 3.3 million women are at risk for an alcohol-exposed pregnancy. Since about half of pregnancies in the U.S. are unplanned, the best time to talk to women about the consequences of their alcohol consumption to them and their baby is before they are pregnant. To help prevent a child from becoming permanently damaged, healthcare providers should talk to women about available contraception methods to prevent an unplanned pregnancy, and all of the possible defects they can cause a child due to an alcohol-exposed pregnancy (Green, McKnight, Lela, Tan, Mejia, & Denny.

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