Maternal Alcohol Use and Infant Development

PEDIATRICS ◽  
1982 ◽  
Vol 70 (6) ◽  
pp. 931-934
Author(s):  
Nancy L. Golden ◽  
Robert J. Sokol ◽  
Betty R. Kuhnert ◽  
Sidney Bottoms

A prospective controlled study of the effect of fetal alcohol on infant development was performed. Twelve infants were identified as possibly having fetal alcohol effects based on the maternal history of alcohol abuse and the neonatal physical examination. Physical characteristics, growth, and development of these infants were compared with those of 12 control infants at birth and at a mean age of 12 months; control infants were matched for gestational age, sex, and race. Data were evaluated by descriptive statistics and analysis of differences between matched pairs of study and control infants. The results showed a significant correlation between the history of heavy antenatal maternal alcohol use and delayed mental and motor development, physical abnormalities, and growth retardation in the infants. This study suggests that infants with fetal alcohol effects can be correctly classified at birth and their outcome accurately predicted.

PEDIATRICS ◽  
1983 ◽  
Vol 71 (6) ◽  
pp. 989-989
Author(s):  
PATRICK H. CASEY

To the Editor.— The recent article by Golden et al1 on fetal alcohol syndrome (FAS) and infant development purpots to be a controlled study which suggests that infants with fetal alcohol effects can be classified at birth and that their developmental outcome can be accurately predicted. Although there are several problems in the interpretation of their data and conclusions, I would like to address a major methodologic flaw in this report which persists throughout the literature on FAS.


PEDIATRICS ◽  
1990 ◽  
Vol 85 (5) ◽  
pp. 748-752
Author(s):  
Nancy L. Day ◽  
Gale Richardson ◽  
Nadine Robles ◽  
Usha Sambamoorthi ◽  
Paul Taylor ◽  
...  

In this prospective study of alcohol and other substance use during pregnancy, a cohort of women was interviewed at each trimester of pregnancy and when the offspring were 8 months of age. Data are presented concerning the outcome for 461 infants. A significant relationship was found between alcohol use during pregnancy and the growth and morphology of the offspring at the 8-month follow-up observation. Alcohol use during the second and third trimesters of pregnancy and continuous use of alcohol throughout pregnancy were significantly related to lower weight, length, and head circumference in the exposed infants at the follow-up observation. A significant increase in the risk of minor physical anomalies and fetal alcohol effects was also predicted by prenatal alcohol exposure.


PEDIATRICS ◽  
1982 ◽  
Vol 69 (6) ◽  
pp. 813-816
Author(s):  
Henry L. Rosett ◽  
Lyn Weiner

The effects of alcohol on fetal development have gained renewed scientific attention during the decade following identification and description of the fetal alcohol syndrome (FAS). An association between maternal alcohol abuse and growth retardation, physical anomalies, and developmental delay in the fetus has been demonstrated through clinical, epidemiologic, and experimental evidence. The effects of various doses at different stages of gestation remain unclear. Is there a critical level of alcohol consumption that regularly produces the full FAS? Is there a lower threshold below which there is no danger of adverse effects? Is there one critical period during gestation or can adverse effects occur throughout pregnancy?


PEDIATRICS ◽  
1989 ◽  
Vol 84 (3) ◽  
pp. 536-541 ◽  
Author(s):  
Nancy L. Day ◽  
Dorcie Jasperse ◽  
Gale Richardson ◽  
Nadine Robles ◽  
Usha Sambamoorthi ◽  
...  

In this prospective study of alcohol and other substance use during pregnancy, a cohort of 650 women was interviewed at each trimester of pregnancy. Data are presented concerning the status of 595 live singleton births. A relationship was demonstrated between prenatal maternal alcohol use and growth and morphologic abnormalities in the offspring. Low birth weight, decreased head circumference and length, and an increased rate of fetal alcohol effects were all found to be significantly correlated with exposure to alcohol during the first 2 months of the first trimester.


Author(s):  
Tracey Ward ◽  
Raphael Bernier ◽  
Cora Mukerji ◽  
Danielle Perszyk ◽  
James C. McPartland ◽  
...  

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