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Rekindling awareness for the new millennium. Fetal Alcohol Syndrome Persists. Fetal Alcohol Syndrome Persists. Research strong in 1970’s-1980’s Culture insures the problem persists Fetal damage: body, mind, social issues Nature insures the problem persists

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fetal alcohol syndrome persists2
Fetal Alcohol Syndrome Persists
  • Research strong in 1970’s-1980’s
    • Culture insures the problem persists
  • Fetal damage: body, mind, social issues
    • Nature insures the problem persists
  • Topic bridges the gap between science, medical, clinical, social, and practical
fas problem researchers
“Fetal alcohol syndrome (FAS) now is recognized as the leading known cause of mental retardation in the US, surpassing Down syndrome and spina bifida.”

Ann Streissguth, Ph.D

FAS Problem, Researchers
alcohol affects placenta
Late-term fetus

Placenta structure and function

Umbilical cord

Alcohol reduces oxygen to fetus

Alcohol reduces AA’s, glucose & vitamins passing thru placenta

Alcohol Affects Placenta
teratogen alcohol
Teratogen: Alcohol
  • Maternal blood alcohol concentration
  • Alcohol breakdown (liver) elimination
  • Fetus BAC
  • Alcohol diffusion across placenta
    • High concentration to low
    • No liver enzymes to breakdown alcohol
    • Alcohol diffuses out when mother BAC is lower than fetal BAC
alcohol as a teratogen
Alcohol as a Teratogen
  • FAS/FAE continuum: who is affected?
  • Agent: Alcohol
  • Dose: light, moderate, heavy, binge
  • Timing: 1st, 2nd, 3rd trimester
  • Genetic/metabolic factors: enzymes
  • Nutritional: vitamins, prenatal care
  • Polydrug use: smoking, others
fasd changes
FASD Changes
  • Cognitive changes
    • Intelligence
    • Math weakness
  • Social changes
    • Several antisocial behaviors
    • Prison time
  • FAS induced static encephalopathy
    • Several abnormalities
fasd developmental changes
FASD Developmental Changes

Physical alterations:

    • Face, less noticeable
    • Size, smaller than average
  • Cognitive changes (few alterations)
    • Math problems persist
    • Abstract thinking, problem solving same
  • Social problems same or worse
fasd social challenges
FASD Social Challenges
  • Failure to consider consequences
  • Unresponsive to subtle social cues
  • Lack of friendships
  • Stubbornness or sullenness
  • Low self-esteem
  • Social withdrawal
  • Teasing or bullying
  • Dishonesty
  • Excessive unhappiness
fasd school challenges
FASD School Challenges
  • Lack of initiative
  • Poor concentration
  • Poor math skills
  • Dependency
  • Impulsivity
  • ADHD symptoms
  • Adverse relationships with teachers
fasd adult challenges
FASD Adult Challenges
  • Delinquent behaviors
  • Sexual problems
    • Pregnancy, paternity
    • STD’s
  • Not able to find and hold jobs
  • Drug use and abuse including alcohol
  • Prison recidivism, est. 1/5 prisoners FAS
fas statistics
FAS Statistics
  • Over 10,000 births/day in USA
  • FAS births: 1/700 = 14/day
  • FAE disorders: 1/100 = 100/day
  • Over 90% FAS/FAE develop mental probs
  • Lifetime cost: $5M/FAS person
  • Taxpayers cost: $5M/day, $1.9B/year
alternatives solutions
Alternatives & Solutions
  • Challenges:
    • Clinicians have a good understanding of alcohol’s ability to damage CNS
    • Educators inform themselves & students
    • Parental involvement = better outcomes
    • Community assistance
      • Living/working arrangements
      • Alternatives to prison
teacher s opportunities
Teacher’s Opportunities
  • More info:  NEW  K-12 Curriculum Available from NOFAS from CDC education and prevention program
  • PPT show package about FAS
  • Resource guide for teachers working with FAS students
  • Biological Psychology can be useful
  • Students will make choices
  • Informed students make better choices
ad