Introduction Pre-natal alcohol exposure is an established cause of fetal alcohol spectrum disorder (FASD), which is now recognized as the most common preventable cause of mental impairment in North America (Popova et al., 2013). Individuals with FASD experience a wide range of neurological and psychological disabilities caused by permanent brain alterations (Petrenko et al., 2014). The adverse health outcomes that arise from FASD have lifelong implications and pose a significant burden on the Canadian health care system (Popova et al., 2013). From a public health perspective, FASD presents a unique and complex challenge due to the specialized needs of those diagnosed with FASD, and the complexities of maternal alcohol use. Understanding the status of FASD is a difficult endeavour. Difficulty of screening and diagnosis along with an underreporting of maternal alcohol use have led to prevalence data which is generally assumed to be underestimated (Clarren et al., 2001). National prevalence statistics may be also be subject to an ecological fallacy because the data may not be representative of highly vulnerable subsets of the greater population (ie., Aboriginal people living on reserves in Canada) (Chudley et al. 2005). Understanding the scope and breadth of the problem is a challenge for researchers and public health administrators since a vast number of Canadians spanning across all levels of society are adversely affected.
Health Perspectives The way in which we define
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
This paper explores the effects of prenatal alcohol exposure on motor development. With this topic, came many questions. They are: Is every child effected the same amount, or does it depends on how much the mother drank and how much the fetus was exposed to?, Is there anything the mother can do to reverse the effects of exposure, or perhaps lessen the damage on the child?, Is there a safe amount of alcohol that can be consumed without harm?, And lastly, do the effects of prenatal alcohol exposure ever go away? Coles et al. (2015) and Lucas et al. (2016) suggest answers and evidence to these questions. This paper explains what happens when a fetus is exposed to alcohol, and how it
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.
“Fetal Alcohol Spectrum Disorder (FASD) is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. These effects may include physical, mental, behavioral, and/or learning disabilities with possible lifelong implications” (HHS, 2005). FASD refers to conditions such as: fetal alcohol syndrome including partial FAS, fetal alcohol effects (FAE), alcohol related neurodevelopment disorder, alcohol-related birth defects. The conditions that are involved with FASD can range from mild to severe and it is not likely that two people share the exact same symptoms.
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.
In the United States, epidemiological data suggest that the rates of FAS tend to higher in African American and Native Americans than whites of similar socioeconomic status. A survey complied by the centers for disease control and prevention reviewed more than 4.6 million births in approximately 1,200 hospitals and showed considerable differences in occurrence of FAS among racial groups. The reason for variance among these groups remains unclear. Among Native Americans, rates of FAS even varied between the different tribes. This may be attributed to nutrition, fertility, or metabolic differences in the genetic makeup of each tribe. Also Native American family culture can influence drinking patterns often leading to a higher rate of alcohol consumption.
Fetal alcohol spectrum disorder (known as FASD), is a term which encompasses a wide variety of negative health consequences as a result of exposure to alcohol while in the womb (Williams, 2006). This exposure has the potential to cause severe, permanent brain damage leading to cognitive and behavioural deficiencies throughout childhood and adolescence (Brown et al., 2015). FASD only occurs within the general population of North America in approximately 9.1 out of every 1000 births (McLachlan et al., 2014). However, this condition is much more prevalent in individuals involved in various stages of the justice system, affecting between 10% and 23% (McLachlan et al., 2014). This paper aims to explain how FASD affects a juvenile’s brain
Currently, worldwide prevalence rates suggest that FASD affects as many as one in 100 children, and a study in England suggests that the incidence of FASD is underreported there. (Callanan, 2013) Fetal Alcohol Spectrum Disorders are likely underreported everywhere, based on this information, which makes early treatment interventions more difficult.
would not be able to live a normal life for the rest of its life. The
Sample. The focus of this study were primarily black females within the Detroit University hospital. There is an uneven balance between racial groups because 90% of woman who go to this hospital are black. Participants had been screened during their pregnancy for alcohol, cocaine, tobacco, and other drugs that they could have used during this time. Also, time frame at which participants had to have given birth was between September 1, 1989, and August 31, 1991. Follow ups were intensively sought after by phone, mailing address, or if necessary, directly to the front door of the participant. There was no response rate clearly stated. During the final study conducted, of the 664 participants, 94% of them agreed to be in the study. Additionally, participants who had missed previous testing appointments, had congenital malformations other than fetal alcohol syndrome (FAS) were excluded
FASD can easily be prevented. If a mother does not consume alcohol during pregnancy, her child will not suffer with FASD. It can easily be prevented, but precautions are not being put in place to prevent FASD. Since interventions are not being used, the health care system is left to pay the costs. Doreen, M. R., Bonnett, D. M., & Gass, C. B. (2006) notes that FASD has been studied ever since the 19th century but has been “poorly understood and largely overlooked.” In the past (Doreen, M. R., Bonnett, D. M., & Gass, C. B. 2006). Since the behaviours and outcomes of FASD have been neglected, there has not been the