Fetal Alcohol Spectrum Disorder (FASD)

Understanding the Impact of Alcohol Exposure During Pregnancy

Pediatrics

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Last updated: Mar 24, 2025

What is FASD?

Fetal Alcohol Spectrum Disorder (FASD) refers to a range of physical, mental, and behavioral effects that can occur in individuals who were exposed to alcohol before birth. It is a lifelong condition with no cure, but early intervention can help manage symptoms.

Causes

  • Prenatal alcohol exposure during any stage of pregnancy
  • No known safe amount of alcohol during pregnancy
  • Risk increases with higher amounts and frequency of alcohol consumption

Common Signs and Symptoms

Physical Features

  • Distinctive facial features (small eyes, thin upper lip, smooth philtrum)
  • Small head size
  • Below average height and weight
  • Poor coordination

Cognitive and Behavioral Issues

  • Learning difficulties
  • Poor memory
  • Attention problems
  • Poor judgment and reasoning
  • Difficulty with social skills
  • Impulsivity

Diagnosis

Diagnosis typically involves:

  • Detailed medical history
  • Physical examination
  • Neurobehavioral testing
  • Assessment of growth and development
  • Evaluation of maternal alcohol exposure

Management and Support

Medical Care

  • Regular health monitoring
  • Early intervention services
  • Occupational therapy
  • Speech therapy
  • Physical therapy

Educational Support

  • Special education services
  • Individualized education plans
  • Behavioral support

Family Support

  • Parent education programs
  • Support groups
  • Respite care
  • Family counseling

Prevention

  • Complete abstinence from alcohol during pregnancy
  • Early prenatal care
  • Family planning
  • Education about risks

Long-term Outlook

With proper support and intervention, individuals with FASD can:

  • Develop coping strategies
  • Learn life skills
  • Achieve independence
  • Lead fulfilling lives

Where to Find Help

  • Healthcare providers
  • FASD clinics
  • Support organizations
  • Educational specialists
  • Mental health professionals

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