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Fetal Alcohol Spectrum
Disorders (FASDs)

Foetal Alcohol Syndrome or FASDs is the most severe of the foetal alcohol disorders. This condition is caused by a group of birth defects that can happen when someone who is pregnant drinks alcohol during her pregnancy. There are various expressions of these disorders that can range in severity. The symptoms of these disorders can be managed, but they might also be progressive in nature and grow worse over time.

Many patients with FASDs will suffer from more than one of the various possible FASDs disorders. These patients might also experience a wide array of possible symptoms, or they might only show a few symptoms of these conditions.

Symptoms

There are several foetal alcohol spectrum disorders:

  • Partial foetal alcohol syndrome
  • Alcohol-related birth defects
  • Alcohol-related neurodevelopmental disorder
  • Neurobehavioral disorder caused by alcohol exposure during the prenatal phase of development

The various FASDs can share common symptoms, which include:

  • Heart conditions and heart health issues
  • Low body weight
  • Poor coordination
  • Hyperactive behaviour
  • Difficulty in school
  • Poor memory
  • Speech and language delays
  • Poor reasoning or judgement skills
  • Sleeping issues or sucking issues in infants
  • Bone health problems
  • Problems with the kidneys
  • Shorter-than-average height
  • Vision or hearing problems
  • Small head size
  • Low IQ
  • Difficulty with attention
  • Abnormal facial features- most commonly philtrum, which is a smooth ridge between the nose and upper lip

Causes & Risk Factors

The cause of FASDs is a woman drinking alcohol while she is pregnant with a child. Wine, beer, and liquor can all cause FASDs. Babies do not have fully developed livers when they are in the womb. They are not able to process or break down alcohol, which is why being exposed to it during this phase of their development can cause birth defects.

There is only one risk factor for the development of FASDs:

  • Being the child of a woman who drank alcohol during her pregnancy.

Diagnosis

Diagnosis of these conditions is made with the help of a thorough medical exam. Some patients will have observable physical signs of FASDs, while others will only display behavioural changes related to this diagnosis. Various tests can also be ordered to help confirm a diagnosis of FASDs:

  • Cognitive and memory testing
  • Coordination and developmental testing
  • Tests for organ problems with the heart, kidneys, or bones
  • Central nervous system testing
  • Observation and tracking of height, weight, or both

In some cases, mothers will reveal that they are worried about this outcome at the time of birth, which allows for the tracking of possible symptoms and signs to begin very early. These cases are often the most favourable over the long term, as early support and care can help to prevent the progression of FASDs-related complications.

Treatment & Prevention

FASDs last for the lifetime of the patient who has one of these conditions. There are supportive treatments that can be used to help manage some of the symptoms of patients with FASDs. The common treatment protocol usually combines behavioural therapy, counselling services, learning disability support, and medications to help support organ health problems or pain and stress that the patient is experiencing.

These patients succeed most often when diagnosed before six years of age, when they live in a loving and stable home, when they are not exposed to violence, and when they get educational and social support for their unique circumstances.

FASDs are preventable. Women who are pregnant must not drink any alcohol during their pregnancy to prevent FASDs. Women who are trying to get pregnant should abstain from alcohol as soon as they begin trying. As soon as a woman has confirmed that she is pregnant, she will need to stop drinking to protect her baby from FASDs.

 
 
 

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