Fetal Alcohol Syndrome: A Case Study

The science behind FAS is quite simple; as it is known that alcohol has a damaging effect on the body, it has similar consequences on the fetus. Since the fetus is constantly developing, the alcohol causes more serious defects to the unborn child. Alcohol exposure to a fetus is known as a teratogen. “Teratogens are substances or conditions that disrupt typical development in offspring as a result of gestational exposure and cause birth defects.” (Wilson & Fraser, 1977). Although the exposure to alcohol causes problems in the fetus, studies have shown that it may not accurately be the alcohol in the mother’s system that causes these defects, rather the byproducts that form when the body metabolizes the alcohol. This can lead to a decrease in brain cells, abnormal location of neurons, and gross malformation to the brain. Since alcohol causes this central nervous system damage, it is classified as a neurobehavioral teratogen, which is a group of teratogens that cause brain damage and modify behaviors. (Riley & Vorhees, 1986). The CNS damage is the primary defect due to alcohol and it is quite common to have these damages without any physical abnormalities. The more alcohol that is consumed the more birth defects that will arise in the

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

Fetal alcohol spectrum disorder (FASD) is a concise, uniform definition for conditions caused by prenatal alcohol exposure. FASD is a broad term used to describe the range of effects that can occur in an individual whose mother drank alcohol during pregnancy (Caley, Kramer, & Robinson, 2005). Fetal alcohol spectrum disorder can also cause growth retardation, birth defectscomma and deficits in cognitive, languagecomma and motor development (Coles et al., 2015). Fetal alcohol spectrum disorder is a teratogenic effect, which is caused by daily, chronic, heavy and frequent alcohol use while in utero. Chances of an infant diagnosed with FASD are 0.5 to 3 in 1,000 live births (Cone-Wesson, 2005). Fetal alcohol spectrum disorder has many different diagnoses. There is fetal alcohol syndrome (FAS), partial fetal alcohol syndrome (PFAS)comma and alcohol-related neuro-developmental disorder (ARND)comma all under the fetal alcohol spectrum disorder umbrella (Brown et al., 2015). Maternal alcohol use is correlated to the timing, frequencycomma and quantity of the consumption of alcohol during pregnancy. Drinking during the first trimester may not be as detrimental as drinking during the second or third trimester. The frequency of alcohol consumed is also a key factor in FASD, such as how often per day drinks are consumed, the quantity of alcohol consumed, and how many glasses or cans per day the mother consumes

As a result of pregnant women drinking, there have been a profuse amount of children born with Fetal Alcohol Syndrome. Armstrong and Abel confirm that it wasn’t until 1973

The term “Fetal Alcohol Spectrum disorders” (FASDS) is used to describe the numerous problems associated with exposure to alcohol before birth. Each year in the United States, up to 40,000 babies are born with “Fetal Alcohol Spectrum disorders” (FASDs) (Substance Abuse and Mental Health Services Administration). Additionally, Fetal Alcohol Spectrum disorders (FASDs) comes with effects that range from mild to severe. These effects include mental retardation; learning, emotional and behavioral problems; and defects involving the heart, face and other organs. According to the U.S. Surgeon General, the patterns of drinking that place a baby at greatest risk for FASDS are binge drinking and drinking seven or more drinks per week (Surgeon General). However, FASDS can occur in babies of women who drink less. There is no way of measuring how much alcohol one can consume before defects occur, and no proof that small amounts of alcohol are safe. As little as one drink a day can cause a baby some degree of harm and interfere with their normal development.

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

FAS is defined as a medical diagnosis involving four key features: alcohol exposure, growth deficiently, certain facial features, and brain damage. Infants who have been exposed to prenatal alcohol rarely show all symptoms of the medical condition FAS. Other terms have been used to describe the implication involved with FAS. Frequently used terms are: Partial Fetal Alcohol Syndrome, Alcohol-related Neurodevelopmental Disorder and Alcohol-related Birth Defects. A child with Partial Fetal Alcohol syndrome exhibits only some of the physical signs of FAS and will likely have both learning and behavioral difficulties. A child suffering from Alcohol-related Neurodevelopmental Disorder will demonstrate signs of neural damage, problems with memory, poor social skills, and learning difficulties. Children diagnosed with

As stated earlier, alcohol has its greatest effect on the developing embryo during the first trimester of pregnancy with its teratogenic effect causing mental retardation as well as characteristic craniofacial abnormalities that are characteristic of the disease. It has also been demonstrated with experimental animal models that there is a clear "dose-response" effect between the amount of alcohol consumed by the mother and the risk that is associated with developing FAS symptoms (Walpole, p. 875). It has been proposed by Walpole and associates that there are various degrees to which the fetus An be effected. Walpole uses the term "fetal alcohol syndrome" to refer to serious effects due to heavy maternal drinking and "fetal alcohol effect" to refer to those effects thought to occur with lower maternal alcohol intake (Walpole, p. 875). Regardless of the degree to which

Even though a number of things cause an IUGR drinking alcohol is one factor that can be prevented. During the first trimester of the pregnancy, the caregiver assesses the size of the pregnant woman’s uterus by doing a pelvic exam. After that the initial assessment of the uterus she checks the baby’s growth by measuring the belly at every prenatal visit, if the measurement is smaller than your due date an ultrasound is done to determine the weight and size of the baby, but sometimes the woman may have the date of her last period wrong, which will throw off the due date (Intrauterine growth restriction, 2012). Fetal Alcohol Syndrome is not genetically inherited but rather an acquired syndrome. This syndrome is a spectrum disorder; the child can have it very mild or extremely severe. Fetal alcohol syndrome is irreversible and has no cure; the child just undergoes treatment for the rest of his life. A study showed that about 30% of women in the U.S. drink alcohol during pregnancy (Fetal Alcohol Syndrome, 2011). This number will only continue if women are not educated about the effects of alcohol on the unborn child. If a woman is pregnant or plans to get pregnant she should not have a drink of alcohol not even a single drop during her term. Phil Petrosky an Ohio Department of Health employee says; “I would absolutely say there is no safe amount of alcohol at all during pregnancy.” If the pregnant woman did not know she was pregnant and drank alcohol, she should

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

Fetal Alcohol Syndrome (FAS) refers to a group of physical and mental birth defects resulting from a women’s drinking alcohol heavily or at crucial stages during pregnancy. Fetal Alcohol Syndrome was first named and treated in the late 1960's. This condition results from the toxic effect of alcohol and its chemical factors on the developing fetus. FAS is the leading cause of mental retardation occurring in 1 out of every 750 births. The frequency of FAS occurs about 1.9 times out of every 1000 births according to the latest figures, and minor effects can be seen in up to 20% of pregnancies per year. This number changes drastically for women who are clearly alcoholics. As high as 29 children out of every 1000 births will suffer from FAS

As a result of the neurological damage typical of FASD, children and adolescents may experience a wide range of abnormal behavioural symptoms including learning deficiencies, attention issues, delays in their normal development and a lack of control over impulses (Williams, 2006). These individuals are unable to see the cause and effect relationship between their chosen behaviour and its consequences, thus predisposing them to a life of crime (Williams, 2006).

would not be able to live a normal life for the rest of its life. The

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