The NICE guideline for Pregnancy and complex social factors (2010) recommends that midwives ask all pregnant women, regardless of social status, about alcohol intake so that appropriate referrals can be made. Elliott and Bower (2008) also encourage antenatal assessment of maternal alcohol consumption and state that accurate recording of foetal alcohol exposure assists in identifying children who may benefit from paediatric assessment following birth.
Universal antenatal screening for alcohol consumption in pregnancy is beneficial in preventing foetal alcohol exposure or identifying the need for and providing early intervention which in turn improves health outcomes for women and infants (Seib et al., 2012). Maternity services within the Queensland Health service currently screen all women who attend the antenatal clinic using a screening tool referred to as Alcohol Use Disorders Identification Test-C (AUDIT-C) (Seib et al., 2012). The AUDIT-C screening tool can be found on page a11 of the Pregnancy Health Record provided to women attending the public health maternity service (Queensland Health, 2012). This tool provides consistency across many maternity settings and assists in accurately identifying alcohol use in pregnant women and therefore supports with early intervention (Seib et al., 2012).
It is important for midwives to be mindful that pregnant women who misuse substances such as alcohol while pregnant may be apprehensive about being judged by healthcare
There were many other factors in this pregnancy that could also be harmful to the child. Not only was the mother an alcoholic who continued to drink, she also was under a severe amount of stress throughout the pregnancy. She suffers a nasty fall and countless
Warnings and dangers of alcohol abuse have been recognized since biblical times. “Behold, thou shalt conceive and bear a son: and now drink no wine or strong drinks” (Holy Bible, Judges 13:7, 1970, p.261). There was even mention from Aristotle who noted “that foolish, drunken and harebrained women most often bring forth children like unto themselves, morose and languid.” (Buxton, 2004, p.42). Alcohol abuse is not easily recognized by a mother or easily identified at birth. Some mothers continue to drink because they are unaware they have actually conceived a child. It is important that once pregnancy is
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
National surveys show that about six out of every ten women of child-bearing age 18-44 years old use alcohol, and slightly less than one-third of women who drink alcohol in this age group binge drink. Excessive exposure to alcohol during pregnancy can inflict serious, permanent physical and mental damage on her child like Fetal Alcohol Spectrum disorders (FASDS), Fetal Alcohol Syndrome (FAS), miscarriage, and premature birth. Although men are more likely to drink alcohol, and drink in larger amounts, gender differences in body structure and chemistry cause women to absorb more alcohol, and take longer to break it down and remove it from their bodies. Upon drinking equal amounts, women have higher alcohol levels in their blood than men, and
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
During pregnancy - The low alcohol exposure group represented the larger part of the sample, and the moderate/heavy group accounted for a very small part of it. This would suggest that a significant number of moderate/heavy users of alcohol periconceptional reduced their consumption during pregnancy. There was only a difference in about half a drink a day between different groups. These results suggest that children who are exposed prenatally to any alcohol at all have significantly higher odds of having delinquent behavior. Pregnant women should be advised at the onset of their prenatal care that there is NO safe amount of alcohol which can be consumed during pregnancy and that should they choose otherwise, that their child will be 3.2 times more likely to develop Delinquent Behavior versus those who have had no exposure at
Considering the multitudes of things that could go wrong during a pregnancy, why would mothers consume alcohol despite the warnings of possible birth defects? Many are familiar with the "Just Say No" campaign spearheaded by Nancy Reagan in the 1980 's to prevent drug and alcohol use among teens. However, many turn a blind eye to the warnings of the surgeon general stating alcohol consumption during pregnancy can result in birth defects. When a pregnant woman consumes alcohol, she puts her fetus at risk from mild to severe physical, mental and cognitive disabilities. Fetal alcohol spectrum disorder (FASD) is the term that is used to describe an array of disorders that occurs as a consequence of women consuming alcohol during pregnancy. There are many types of FASD including fetal alcohol syndrome (FAS), partial fetal alcohol syndrome, alcohol-related birth defects(ARBD), alcohol-related neurodevelopment disorder(ARND), and neurobehavioral disorder associated with prenatal alcohol exposure. Although alcohol consumption during pregnancy is ill-advised, throughout the United States mothers continue to drink during pregnancy. Being FASD is the most preventable of developmental disabilities, I will examine the irreparable consequences of alcohol consumption during pregnancy and its behavioral, physical, cognitive and educational implications on the fetus and the family.
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
All communities nationwide, and especially high-risk women in their childbearing years, need better information about the dangers of drinking during pregnancy. But most health care providers are unfamiliar with and untrained in the issues of substance abuse
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.
They are able to run tests with an ultrasound, and for a clearer picture, MRI’s and CT scans are used to diagnose the severity of the child’s disability. Fetal alcohol syndrome is irreversible, but there are treatments for the symptoms. For example, if a child has a difficult time learning how to walk, a physical therapist could assist the child in taking the first steps. For those with mental disabilities, like difficult with self control, reasoning and understanding, executive function training is an option. Some women still choose to drink during pregnancy, and it is recommended to drink less than one to two unit of alcohol, no more than one to two times a week, there is a less of chance of the child being born with FAS. as there is no evidence of harm at this level. They are also advised that binge drinking may harm the baby. “However, Department of Health (DH) guidelines released for consultation in January 2016 look set to advise that the safest course is for women to abstain from alcohol altogether during pregnancy” Drinking during pregnancy is the only to prevent FAS, so women who are trying to get pregnant should avoid drinking, and those who are pregnant should be aware of the effects alcohol has on a child and not
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.
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
Alcohol is a substance that should be consumed in moderation, and should be used responsibly. Similar to any substance, there are consequences that come with the irresponsible and abusive use of it. Not only the drinker is affected by alcohol abuse. People around them including family, friends, potential offspring and even Canada’s Health Care System are affected too. Specific to the health care system, there is a burden placed on it in regards to Fetal Alcohol Spectrum disorder (FASD) a variety of disorders grouped together as a result of the abuse of alcohol while pregnant. Alcohol abuse is a factor that contributes to health issues that some women endure from engaging in activities such as the consumption of alcohol while pregnant. Thus, Canada’s health care system has to deal with the outcome associated with alcohol-related health problems, specifically, FASD.