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FOETAL ALCOHOL SPECTRUM DISORDERS (FASD)
EUROPEAN PARLIAMENTSTRASBOURGH,TUESDAY SEPTEMBER 4TH 2007
Dr. Kieran D. O’ Malley MB,BAO,BCH, DABPNConsultant in Adolescent Psychiatry,Belfast Trust,UK (Previously ran FAS Clinic in Edmonton,Canada & Academic Faculty,FADU, University.of Washington,Seattle,USA)
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Incidence of FASIncidence of FAS
Cleveland 4.6
Roubaix, France 1.3 – 4.8
Seattle 2.8
Cleveland 4.6
Roubaix, France 1.3 – 4.8
Seattle 2.8
per 1,000 birthsper 1,000 births
Sampson, Streissguth, et al., Teratology, 1997Sampson, Streissguth, et al., Teratology, 1997
Prevalence of ARND & FASPrevalence of ARND & FAS
Seattle 9.1Seattle 9.1
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THE EFFECT OF ALCOHOL AS A TERATOGEN DEPENDS ON- THE DOSE,- TIMING (TRIMESTER),- HOST (MATERNAL HEALTH)
THERE IS`NO SAFE AMOUNT OF ALCOHOL CONSUMPTION DURING PREGNANCY ALCOHOL IS A TERATOGEN THROUGHOUT THE WHOLE OF PREGNANCY
THIS INCLUDES THE CHRONICITY OF MOTHER’S ALCOHOL ABUSE, NUTRITIONAL FACTORS, SPECIFIC GENETIC FACTORS
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PRENATAL ALCOHOL EXPOSURECAUSES CHRONIC DEVELOPMENTAL AND NEUROPSYCHIATIC DISORDERS CALLEDFOETAL ALCOHOL SPECTRUM DISORDERS (FASD)
1.FOETAL ALCOHOL SYNDROME (FAS), 15-20%,FACIAL DYSMORPHOLOGY
2.ALCOHOL RELATED NEURODEVELOPMENTAL DISORDER (ARND), 80-85%, NO FACIAL DYSMORPHOLOGY
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PRENATAL ALCOHOL CAN CAUSE A CHRONIC DEVELOPMENTAL & NEUROPSYCHIATRIC DIS.(Dual Diagnosis) FROM INFANCY TO ADULTHOOD
i.e. REGULATORY DISORDER (Infancy) ADHD (Childhood) . DEPRESSION WITH IMPULSIVE SUICIDE RISK or MIXED `PERSONALITY DISORDER (Adulthood)
S
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PRENATAL ALCOHOL IS THE COMMONEST ‘ACQUIRED’ CAUSE OF MENTAL RETARDATION
BUT
70 TO 75% of People with FASD ( FAS, OR FAE, now called ARND)Do NOT HAVE Mental Retardation BUT Do HAVE a Developmental Disability
IT is the ‘Functional Disability’ coupled with the co-morbid Neuropsychiatric Disorder that becomes the management problem
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PRIMARY PREVENTION-Labels on alcohol bottles,coupled with general population health education awareness projects-Parent/Child Assistance Programme with substance-abusing pregnant mothers (PCAP)-Alcohol counselling programmes for teenager girls-School education programmes on pregnancy, including safe sex,and the risks of alcohol, smoking & drugs -Medical /Nursing/Social Work University Education on the teratogenic causes of developmental disability and neuropsychiatric disorder, especially prenatal alcohol,
SECONDARY PREVENTION-Identification of ‘At Risk’ Pregnancies-Identification of ‘ At Risk’ or alcohol-affected infants-Use of neuroprotective agents during pregnancy-Specialized early intervention multi-disciplinary clinics-Educated use of psychotropic medication
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Swayze II et al., (1997). Pediatrics. 99:232-240
Agenesis of the Corpus Callosum
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