Professor Sandmire
Bio 440
30 April 2015 The Effects of Fetal Alcohol Syndrome on Infants
Abstract
Fetal alcohol syndrome is caused when women during their pregnancy drink alcohol and cause developmental problems that can affect the fetus and infant for the rest of his or her life. Fetal alcohol syndrome can cause facial abnormalities, mental retardation, and a significant decrease in overall growth of the fetus.1 There are numerous studies about prevalence of fetal alcohol syndrome, and its effects on physical, neurological, and socioemotional functions of children. Many studies highlight that the risk of fetal alcohol increases by the amount of alcohol a woman drinks during her pregnancy. Many studies also support the idea that the more alcohol that is consumed during pregnancy, the greater the severity of the associated abnormalities that are found in the child. Because there is no cure for fetal alcohol syndrome, researchers have tried to achieve successful prevention plans by studying several options that could be implemented. The work that has been done to try and help children who have fetal alcohol syndrome is extensive but allows for further research.2
Introduction
Fetal alcohol syndrome (FAS) is a disorder that develops in a child when a woman drinks alcohol during a pregnancy.2 It is usually characterized by many abnormalities like deficient growth, cognitive dysfunction that usually causes behavioral and mental issues, and a very specific set of facial
The science behind FAS is quite simple; as it is known that alcohol has a damaging effect on the body, it has similar consequences on the fetus. Since the fetus is constantly developing, the alcohol causes more serious defects to the unborn child. Alcohol exposure to a fetus is known as a teratogen. “Teratogens are substances or conditions that disrupt typical development in offspring as a result of gestational exposure and cause birth defects.” (Wilson & Fraser, 1977). Although the exposure to alcohol causes problems in the fetus, studies have shown that it may not accurately be the alcohol in the mother’s system that causes these defects, rather the byproducts that form when the body metabolizes the alcohol. This can lead to a decrease in brain cells, abnormal location of neurons, and gross malformation to the brain. Since alcohol causes this central nervous system damage, it is classified as a neurobehavioral teratogen, which is a group of teratogens that cause brain damage and modify behaviors. (Riley & Vorhees, 1986). The CNS damage is the primary defect due to alcohol and it is quite common to have these damages without any physical abnormalities. The more alcohol that is consumed the more birth defects that will arise in the
Alcohol is not the solution; it’s proven that those who consume alcohol have a greater risk to have a baby with fetal alcohol syndrome. Signs and symptoms are different on most babies but may include different physical defects as intellectual or cognitive disabilities and problems coping and functioning with daily life. Distinctive facial features, deformity of joins, vision and hearing problems, poor coordination and valance, poor memory, poor social skills and difficulty planning or working towards a goal are just some of those problems.
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
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
Symptoms of Fetal Alcohol syndrome are present not only at birth, but also during gestation. Low prenatal growth, and birth weight are common primary signs. A small head, small eye openings, droopy eye lids, a short upturned nose, thin upper lip, and small jaw are just some of the many physical abnormalities that can occur with chronic drinking. The physical birth defects are devastating yet just as much damage is unseen by the naked eye. Central nervous system defects such as Mental Retardation and behavior disorders can be seen. Poor concentration, impulsiveness and lack of judgment have a severe impact on the child's overall development. Children with behavior problems also do worse than normal children in school. Fetal Alcohol Syndrome children have problems paying attention, score lower in mathematics and spelling, and have lower I.Q scores. Not only do these defects get worse as the child ages, the vicious cycle of alcohol abuse is also very likely to continue. Fetal Alcohol syndrome children are more likely to become alcohol dependant adults than children of mothers who did not drink. All the devastating disabilities last a lifetime. Early and accurate diagnosis of Fetal Alcohol
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
Alcohol consumption during pregnancy can cause fetal alcohol syndrome. The severely effected victims of the syndrome have a variety of congenital defects: mental retardation, coordination problems, and heart, eye, and genitourinary malformations, as well as low birth weight and slowed growth rate. Most apparent are characteristic facial abnormalities.
Even though there are many studies that highlight the damaging effects of maternal alcohol use on a fetus in utero, there are a multitude of other substances that are used by pregnant mothers that have similar and even, in some cases, more extreme repercussions such as marijuana, heroin, and cocaine. When speaking about pregnancy and drug use, the most common drug that comes to mind is alcohol. During 12 years of schooling, most people are exposed, at one point or another, to the idea of Fetal Alcohol Syndrome and the detrimental effects of alcohol on a fetus in utero. The effects of maternal use of the aforementioned illicit drugs is less studied, partially because they are used less frequently. It is important, however, that as a population, we become more educated about these drugs and the potentially life threatening outcomes for babies in utero.
Fetal alcohol syndrome, or FAS, is a condition that is caused by alcohol use during pregnancy. Doctors have repeatedly warned about the dangers of alcohol use during pregnancy. However, some women still choose to drink while they are pregnant. It is estimated that one in 750 babies in America are born with FAS.
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
attaining fetal alcohol syndrome from its mother. Fetal Alcohol Syndrome (FAS) is a pattern of
The best was to prevent Fetal alcohol syndrome is to stay away from any alcohol. Some symptoms of fetal alcohol syndrome is low birth weight, small head circumferences, failure to thrive, developmental delay, organ dysfunction, epilepsy, poor coordination, poor socialization skills, a lack of imagination or curiosity, learning difficulties, behavioral problems, and facial abnormalities: smaller eye openings, flattened cheekbones, and instinct philtrum.
The fastest sperm has finally reached the outskirts of the awaiting egg, its sole purpose in life has been fulfilled as it fuses with the oocyte. Lots of divisions begin to occur, what was once a zygote becomes a blastocyst, which becomes the embryo, and the beginning formation of a baby has commenced. The difficult part is over now, right? This could not be further from the truth. The development of a human, from fertilization to birth, is a very complex and intricate process. It is through very specific processes that an embryo develops normally, without any sort of functional or structural irregularities. When harmful substances like alcohol interrupt these processes, the contaminated environment surrounding and