Fetal Alcohol Syndrome Treatment & Management

  • Author: Keith K Vaux, MD; Chief Editor: Ted Rosenkrantz, MD   more...
 
Updated: Aug 25, 2010
 

Medical Care

The medical care of the child with fetal alcohol syndrome (FAS) or fetal alcohol syndrome disorder (FASD) is treatment for associated birth defects and intervention for potential cognitive and behavioral abnormalities.

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Consultations

If fetal alcohol syndrome or fetal alcohol syndrome disorder is suspected, consult a subspecialist (eg, geneticist, developmentalist) to confirm the diagnosis and provide guidance for formulating an ongoing care plan.

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Contributor Information and Disclosures
Author

Keith K Vaux, MD  Associate Professor of Pediatrics, University of California San Diego School of Medicine; Attending Physician, Rady Children's Hospital and Health Center; Assistant Clinical Professor of Pediatrics, Uniformed Services School of the Health Sciences

Keith K Vaux, MD is a member of the following medical societies: American College of Medical Genetics and Western Society for Pediatric Research

Disclosure: Nothing to disclose.

Coauthor(s)

Christina Chambers, MPH, PhD  Associate Professor of Pediatrics and Family and Preventive Medicine, University of California at San Diego; Assistant Professor, Graduate School of Public Health, San Diego State University

Christina Chambers, MPH, PhD is a member of the following medical societies: International Society for Pharmacoepidemiology, Research Society on Alcoholism, Society for Epidemiologic Research, and Teratology Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Oussama Itani, MD, FAAP, FACN  Clinical Associate Professor of Pediatrics and Human Development, Michigan State University; Medical Director, Department of Neonatology, Borgess Medical Center

Oussama Itani, MD, FAAP, FACN is a member of the following medical societies: American Academy of Pediatrics, American College of Nutrition, American College of Physician Executives, and American Heart Association

Disclosure: Nothing to disclose.

Mary L Windle, PharmD  Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Pharmacy Editor, eMedicine

Disclosure: Nothing to disclose.

Arun K Pramanik, MD, MBBS  Professor of Pediatrics, Director of Neonatal Fellowship, Louisiana State University Health Sciences Center

Arun K Pramanik, MD, MBBS is a member of the following medical societies: American Academy of Pediatrics, American Thoracic Society, National Perinatal Association, and Southern Society for Pediatric Research

Disclosure: Nothing to disclose.

Carol L Wagner, MD  Professor of Pediatrics, Medical University of South Carolina

Carol L Wagner, MD is a member of the following medical societies: American Academy of Pediatrics, American Chemical Society, American Medical Women's Association, American Public Health Association, American Society for Bone and Mineral Research, American Society for Clinical Nutrition, Massachusetts Medical Society, National Perinatal Association, and Society for Pediatric Research

Disclosure: Nothing to disclose.

Chief Editor

Ted Rosenkrantz, MD  Professor, Departments of Pediatrics and Obstetrics/Gynecology, Division of Neonatal-Perinatal Medicine, University of Connecticut School of Medicine

Ted Rosenkrantz, MD is a member of the following medical societies: American Academy of Pediatrics, American Medical Association, American Pediatric Society, Connecticut State Medical Society, Eastern Society for Pediatric Research, and Society for Pediatric Research

Disclosure: Nothing to disclose.

References

  1. Jones KL, Smith DW. Recognition of the fetal alcohol syndrome in early infancy. Lancet. Nov 3 1973;2(7836):999-1001. [Medline].

  2. Gray R, Mukherjee RA, Rutter M. Alcohol consumption during pregnancy and its effects on neurodevelopment: what is known and what remains uncertain. Addiction. Aug 2009;104(8):1270-3. [Medline].

  3. Bonthius DJ, Tzouras G, Karacay B, Mahoney J, Hutton A, McKim R. Deficiency of neuronal nitric oxide synthase (nNOS) worsens alcohol-induced microencephaly and neuronal loss in developing mice. Brain Res Dev Brain Res. Sep 20 2002;138(1):45-59. [Medline].

  4. Astley SJ, Aylward EH, Olson HC, et al. Magnetic Resonance Imaging Outcomes From a Comprehensive Magnetic Resonance Study of Children With Fetal Alcohol Spectrum Disorders. Alcohol Clin Exp Res. Jul 1 2009;[Medline].

  5. Abel EL. "Moderate" drinking during pregnancy: cause for concern?. Clin Chim Acta. Mar 15 1996;246(1-2):149-54. [Medline].

  6. Abel EL. An update on incidence of FAS: FAS is not an equal opportunity birth defect. Neurotoxicol Teratol. Jul-Aug 1995;17(4):437-43. [Medline].

  7. Abel EL. Fetal alcohol syndrome: the American Paradox. Alcohol Alcohol. May-Jun 1998;33(3):195-201. [Medline].

  8. [Guideline] Bertrand J, Floyd LL, Weber MK. Guidelines for identifying and referring persons with fetal alcohol syndrome. MMWR Recomm Rep. Oct 28 2005;54:1-14. [Medline].

  9. Carmichael Olson H, Burgess DM, Streissguth AP. Fetal alcohol syndrome (FAS) and fetal alcohol effects (FAE): A lifespan view, with implications for intervention. Zero to Three/National Center for Clinical Infant Programs;13(1):1992: 24-9.

  10. Clark CM, Li D, Conry J, et al. Structural and functional brain integrity of fetal alcohol syndrome in nonretarded cases. Pediatrics. May 2000;105(5):1096-9. [Medline].

  11. Day NL, Richardson GA. Prenatal alcohol exposure: a continuum of effects. Semin Perinatol. Aug 1991;15(4):271-9. [Medline].

  12. Flandermeyer A. The drug exposed neonate. In: Kenner C, ed. Comprehensive Neonatal Nursing: A Physiological Perspective. Philadelphia, PA: WB Saunders; 1993:997-1033.

  13. Forrest F, Florey CD, Taylor D, McPherson F, Young JA. Reported social alcohol consumption during pregnancy and infants' development at 18 months. BMJ. Jul 6 1991;303(6793):22-6. [Medline].

  14. Hoyme HE, May PA, Kalberg WO, et al. A practical clinical approach to diagnosis of fetal alcohol spectrum disorders: clarification of the 1996 institute of medicine criteria. Pediatrics. Jan 2005;115(1):39-47. [Medline].

  15. Iyasu S, Randall LL, Welty TK, et al. Risk factors for sudden infant death syndrome among northern plains Indians. JAMA. Dec 4 2002;288(21):2717-23. [Medline].

  16. Jacobson SW, Chiodo LM, Sokol RJ, Jacobson JL. Validity of maternal report of prenatal alcohol, cocaine, and smoking in relation to neurobehavioral outcome. Pediatrics. May 2002;109(5):815-25. [Medline].

  17. Kavale KA, Karge BD. Fetal alcohol syndrome: A behavioral teratology. In: The Exceptional Child. Columbus, OH: Charles E. Merrill; 1986:1986: 4-16.

  18. Levy M, Koren G. Clinical toxicology of the neonate. Semin Perinatol. Feb 1992;16(1):63-75. [Medline].

  19. May PA, Brooke L, Gossage JP, et al. Epidemiology of fetal alcohol syndrome in a South African community in the Western Cape Province. Am J Public Health. Dec 2000;90(12):1905-12. [Medline].

  20. May PA, Gossage JP, White-Country M, et al. Alcohol consumption and other maternal risk factors for fetal alcohol syndrome among three distinct samples of women before, during, and after pregnancy: the risk is relative. Am J Med Genet C Semin Med Genet. May 15 2004;127(1):10-20. [Medline].

  21. Phelps L, Grabowski J. Fetal alcohol syndrome: Diagnostic features and psychoeducational risk factors. School Psychol Q. 1992;7(2):112-28.

  22. Russell M. Clinical implications of recent research on the fetal alcohol syndrome. Bull N Y Acad Med. May-Jun 1991;67(3):207-22. [Medline].

  23. Russell M, Czarnecki DM, Cowan R, et al. Measures of maternal alcohol use as predictors of development in early childhood. Alcohol Clin Exp Res. Dec 1991;15(6):991-1000. [Medline].

  24. Sampson PD, Streissguth AP, Bookstein FL. Incidence of fetal alcohol syndrome and prevalence of alcohol-related neurodevelopmental disorder. Teratology. Nov 1997;56(5):317-26. [Medline].

  25. Shaywitz SE, Cohen DJ, Shaywitz BA. Behavior and learning difficulties in children of normal intelligence born to alcoholic mothers. J Pediatr. Jun 1980;96(6):978-82. [Medline].

  26. Sommers M. Alcohol intoxication and multiple trauma: A catastrophic combination. Med Surg Nurs Q. 1992;1:110-21.

  27. Spadoni AD, McGee CL, Fryer SL, Riley EP. Neuroimaging and fetal alcohol spectrum disorders. Neurosci Biobehav Rev. 2007;31(2):239-45. [Medline].

  28. Stratton K, Howe C, Battaglia F. Fetal Alcohol Syndrome: Diagnosis, Epidemiology, Prevention, and Treatment. National Academy Press; 1996.

  29. Streissguth A, LaDue R. Psychological and behavioral effects in children prenatally exposed to alcohol. Alcohol Health Res World. 1985;10:6-12.

  30. Streissguth AP, Barr HM, Sampson PD, Bookstein FL. Prenatal alcohol and offspring development: the first fourteen years. Drug Alcohol Depend. Oct 1994;36(2):89-99. [Medline].

  31. Taybi H. Handbook of Syndromes and Metabolic Disorders: Radiologic and Clinical Manifestations. Philadelphia, PA: Mosby-Year Book; 1998:71-2.

  32. Warren KR, Li TK. Genetic polymorphisms: impact on the risk of fetal alcohol spectrum disorders. Birth Defects Res A Clin Mol Teratol. Apr 2005;73(4):195-203. [Medline].

  33. West JR, Goodlett CR, Brandt JP. New approaches to research on the long-term consequences of prenatal exposure to alcohol. Alcohol Clin Exp Res. Oct 1990;14(5):684-9. [Medline].

 
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Facial characteristics of a child with fetal alcohol syndrome.
 
 
 
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