Fetal Alcohol Syndrome (FAS) is a disorder that can happen to children whose mothers drank sufficient amounts of alcohol sometime throughout their pregnancy. Fetal Alcohol Syndrome is a condition classified in a group called Fetal Alcohol Spectrum Disorders, and is the most known and severe of the group.
FAS, depending on the factors such as location, population and race studied is considered one of the leading known causes of mental retardation and birth defects, with 0.2 – 1.5 out of every 1,000 live births (Ismail, Buckley, Budacki, Jabbar, & Gallicano, 2010) and as many as 40,000 infants born with some sort of disorder or complication related to alcohol consumption every year. (Mayo Clinic, 2009) The severity that the disorder may
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(Ismail, Buckley, Budacki, Jabbar, & Gallicano, 2010) FAS is causes by an ingestion of alcohol consumed by a woman sometime during her pregnancy, while there has been no specific amount of alcohol that is considered safe to drink throughout her pregnancy, it has been recommended to be avoided all together. The effects of excessive alcohol consumption has been proven to have had negative and persistent effects on babies, born from mothers who have consumed alcohol throughout their pregnancy, evidence linking that low to moderate amounts have put the fetus at risk for delays and have lifelong complications. (Nathanson, & O'Brien, 2000) Fetal Alcohol Syndrome has had the highest incidence among disadvantaged groups although drinking is much more common among the middle to higher classes, than the poor, reasons that FAS is seen more in the poverty than the upper classes may be related to more negative choices and lack of resources. (Abel, & Armstrong, 2000) Other factors such as poverty, previous alcohol abuse, timing and amount consumed smoking, drug use, poor nutrition and lack of care before, during and after pregnancy can put the fetus at risk for other health complications that have an added impact to the predisposition of FAS. (Cronk, Glysch, Mahkorn, Weiss, & Zirbel, 2004) When a pregnant woman consumes alcohol during pregnancy it is able to cross the
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
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
As a result of pregnant women drinking, there have been a profuse amount of children born with Fetal Alcohol Syndrome. Armstrong and Abel confirm that it wasn’t until 1973
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.
The fetus is not the only one harmed by alcohol consumption during pregnancy, but the mother is as well. In fact, many doctors urge women who think they are pregnant or are trying to get pregnant to stop drinking (“Fetal Alcohol”). “One percent of all mothers consume fourteen or more drinks per week during the three months before pregnancy” (Walsh 3). To the average person one percent is not too large of a proportion. However, the volume of alcohol consumed is high during
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
As stated earlier, alcohol has its greatest effect on the developing embryo during the first trimester of pregnancy with its teratogenic effect causing mental retardation as well as characteristic craniofacial abnormalities that are characteristic of the disease. It has also been demonstrated with experimental animal models that there is a clear "dose-response" effect between the amount of alcohol consumed by the mother and the risk that is associated with developing FAS symptoms (Walpole, p. 875). It has been proposed by Walpole and associates that there are various degrees to which the fetus An be effected. Walpole uses the term "fetal alcohol syndrome" to refer to serious effects due to heavy maternal drinking and "fetal alcohol effect" to refer to those effects thought to occur with lower maternal alcohol intake (Walpole, p. 875). Regardless of the degree to which
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.
Among factors to consider, alcohol consumption is frequently associated with drug abuse, smoking, and malnutrition. All of these factors can cause serious harm to the developing embryo of a child. It is difficult for researchers to decide which effects are caused by alcohol alone.
Fetal Alcohol Spectrum Disorders describes the wide range of effects that can occur if a mother drank alcohol during pregnancy. These effects include physical abnormalities, mental problems, and/or learning disabilities with possible lifelong implications. The child affected is more likely to have trouble in school, problems with the law, participate in high risk behaviors and/or problems with drugs or alcohol. The most severe form of Fetal Alcohol Spectrum Disorders is known as fetal alcohol syndrome (FAS).
would not be able to live a normal life for the rest of its life. The
Based on the data of Samuels and other medical researchers, it becomes clear that less than 0.1% of all birth defects are related to alcohol, and that more than 90% of the affected children are born to women with a history of alcohol
It can not be explained why one fetus with exposure to alcohol during pregnancy can be born with no disabilities while another with similar exposure can be born with fetal alcohol syndrome (FAS)