1. FETAL ALCOHOL SPECTRUM DISORDERS INFORMATION AND PREVENTION April 2009

2. Training Objectives Identify the effects of children being born with Fetal Alcohol Spectrum Disorders (FASD) Recognize the risk factors of pregnant women consuming alcohol Identify ways family and friends can support a pregnant woman with an alcohol addiction

3. Fetal Alcohol Spectrum Disorders Fetal Alcohol Spectrum Disorders (FASD), is a term that describes the range of effects that can occur in a person whose mother drank alcohol while pregnant. Effects of alcohol use during pregnancy include physical and mental disabilities, and problems with behavior and learning.

4. People with Fetal Alcohol Spectrum Disorders (FASD) often have problems with learning, problem solving, attention spans, memory, hearing and speech. People born with FASD are at high risk for trouble in school and with the law, alcohol and drug use, and mental health disorders.

5. Fetal Alcohol Syndrome (FAS) is a FASD. Children who do not have all of the symptoms of FAS can have another Fetal Alcohol Spectrum Disorder. Studies by the CDC have shown that there are 0.2 to 1.5 cases of FAS for every 1,000 live births in the United States. Other studies have estimated the rate of FAS at 0.5 to 2.0 cases per 1,000 live births. Centers for Disease Control and Prevention (CDC)

6. What is Fetal Alcohol Syndrome? According to the CDC, Fetal Alcohol Syndrome (FAS), represents the severe end of a spectrum of effects that can occur when a woman drinks alcohol during pregnancy.

7. Fetal Alcohol Syndrome and Pregnancy These are the outcomes of drinking alcohol while pregnant: –Birth Defects of the heart, brain and other major organs –Developmental Disabilities –Problems in how a person looks, grows, thinks and acts –Fetal Death Centers for Disease Control and Prevention (CDC)

8. According to the CDC, children with FAS have a distinct pattern of facial characteristics such as a thin upper lip, small eye openings and a small philtrum (the groove running vertically between the nose and lips). Babies born with FAS are often underweight and small.

9. Alcohol and Pregnancy According to the CDC, 1 in 12 pregnant women reports alcohol use in the United States. Alcohol use can harm a baby at any time during a pregnancy. It can cause problems in early pregnancy, even before a woman knows she is pregnant.

10. All drinks with alcohol can harm an unborn baby. A 12-ounce can of beer has as much alcohol as a 4-ounce glass of wine or a 1-ounce shot of liquor. Some drinks, such as malt beverages, wine coolers and mixed drinks have more alcohol than a 12- ounce can of beer. One in 30 pregnant women report binge drinking (having five or more drinks at one time). (Centers for Disease Control and Prevention)

11. A woman should not drink any alcohol if she is pregnant or is planning on becoming pregnant. FASD last a lifetime. There is no cure for them. FASDs are preventable - if a woman does not consume alcohol during pregnancy. (Centers for Disease Control and Prevention)

12. Showing Support According to the National Organization on Fetal Alcohol Syndrome, there are many women who do not realize the dangers drinking poses for their babies. Women with alcohol addiction may have a very difficult time breaking their cycle of addiction.

13. The National Organization on Fetal Alcohol Syndrome suggests that partners, friends and families can support these pregnant women in many ways: –Help plan strategies to make it easier to stop or cut back on drinking –Do fun things together that do not involve alcohol

14. –Encourage the use of alternative, nonalcoholic beverages –Encourage her to follow up with her health care provider. –Be within a phone call if she needs support. –Do not be judgmental or critical; this can hurt your relationship.

15. For More Information, Visit These Websites: Centers for Disease Control and Prevention, http://www.cdc.gov/ncbddd/fas/default.htm http://www.cdc.gov/ncbddd/fas/default.htm Kids Health, http://www.kidshealth.org/parent/medical/b rain/fas.html http://www.kidshealth.org/parent/medical/b rain/fas.html Medline Plus, http://www.nlm.nih.gov/medlineplus/fetalal coholsyndrome.html http://www.nlm.nih.gov/medlineplus/fetalal coholsyndrome.html

16. National Organization on Fetal Alcohol Syndrome, http://www.nofas.org/ http://www.nofas.org/ Missouri Department of Health and Senior Services, http://www.dhss.mo.gov/ATOD/ http://www.dhss.mo.gov/ATOD/

17. Missouri Department of Social Services State Technical Assistance Team Address: PO Box 208 Jefferson City, MO 65102-0208 Telephone: (573) 751-5980 (800) 487-1626 (8 a.m. to 5 p.m. CST, Monday – Friday) Email: dls.stat@dss.mo.gov