scholarly journals Health professionals' knowledge, practice and opinions about fetal alcohol syndrome and alcohol consumption in pregnancy

2005 ◽  
Vol 29 (6) ◽  
pp. 558-564 ◽  
Author(s):  
Jan Payne ◽  
Elizabeth Elliott ◽  
Heather D'Antoine ◽  
Colleen O'Leary ◽  
Anne Mahony ◽  
...  
1998 ◽  
Vol 17 (2) ◽  
pp. 113-117 ◽  
Author(s):  
Ernest L. Abel

Deborah Mathieu's proposal for state intervention in the lives of pregnant substance abusers in order to prevent serious harm to their future children sparked a lively debate in this journal. The present discussion characterizes the three main arguments offered against her proposal as (a) the “uncertainty principle''—the inability to predict which fetuses will be affected, (b) the “father factor”—gender bias with respect to prenatal damage, and (c) “critical periods”—the vulnerability of the embryo/fetus at different times of pregnancy. Each of these arguments is examined in the specific context of fetal alcohol syndrome (FAS). Since the birth of a child with FAS is a virtual certainty if a woman has previously given birth to a child with FAS, since no father has ever sired a child with FAS unless his spouse is an alcoholic, and since the most damaging effects are those associated with exposure throughout and especially late in pregnancy, none of the arguments offered against Mathieu's proposal are relevant in this particularly narrow set of circumstances. While Mathieu's proposal seems pertinent in this situation, her proposal would be even more effective if modified as suggested here.


2014 ◽  
Vol 95 (2) ◽  
pp. 287-291
Author(s):  
A Yu Marianian

Alcohol consumption during pregnancy can cause serious birth defects and developmental disorders. The article reviews scientific literature describing modern conceptions of alcohol-associated teratogenicity. Problems of public awareness of alcohol negative impact on pregnancy and the fetus (particularly by informing women of reproductive age and pregnant women) are raised. Literature review revealed that there is a lack of information on fetal disorders associated with alcohol consumption by the mother. Nowadays, alcohol consumption in Russia is one of the highest in the world (15.8 liters per capita per year, including newborns, 2011), which is significantly higher than the absolute level of alcohol consumption associated with serious health risk for an individual and for the population as a whole. Awareness among women of reproductive age and pregnant women is very low. Therefore, it is necessary to inform and teach physicians screening methods of medical problems associated with alcohol intake and brief intervention strategies that will help to identify and inform women at risk for having children with fetal alcohol syndrome and fetal alcohol spectrum disorders and prevent the birth of mentally retarded children. The problem of fetal alcohol syndrome and the whole spectrum of fetal alcohol disorders is of great theoretical and practical significance in Russia.


AAESPH Review ◽  
1977 ◽  
Vol 2 (3) ◽  
pp. 164-168
Author(s):  
Sam Delaney ◽  
Alice Hayden

In the paper the authors synthesize the information regarding the impact of alcohol consumption upon the offspring of alcoholic women, a condition more specifically known as Fetal Alcohol Syndrome. It is the intent of the authors that this information spur the development of a number of strategies aimed at primary and secondary preventative interventions for women who either have the disposition to the disease or have the disease, affecting them and their offspring.


Author(s):  
Nancy Poole ◽  
Rose A. Schmidt ◽  
Alan Bocking ◽  
Julie Bergeron ◽  
Isabel Fortier

Prenatal alcohol exposure is a leading cause of disability, and a major public health concern in Canada. There are well-documented barriers for women and for service providers related to asking about alcohol use in pregnancy. Confidential research is important for learning about alcohol use before, during and after pregnancy, in order to inform fetal alcohol spectrum disorder (FASD) prevention strategies. The Research Advancement through Cohort Cataloguing and Harmonization (ReACH) initiative provides a unique opportunity to leverage the integration of the Canadian pregnancy and birth cohort information regarding women’s drinking during pregnancy. In this paper, we identify: The data that can be collected using formal validated alcohol screening tools; the data currently collected through Canadian provincial/territorial perinatal surveillance efforts; and the data currently collected in the research context from 12 pregnancy cohorts in the ReACH Catalogue. We use these findings to make recommendations for data collection about women’s alcohol use by future pregnancy cohorts, related to the frequency and quantity of alcohol consumed, the number of drinks consumed on an occasion, any alcohol consumption before pregnancy, changes in use since pregnancy recognition, and the quit date. Leveraging the development of a Canadian standard to measure alcohol consumption is essential to facilitate harmonization and co-analysis of data across cohorts, to obtain more accurate data on women’s alcohol use and also to inform FASD prevention strategies.


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