Fetal Alcohol Syndrome

Accurate diagnosis of FAS is extremely important because affected children require special education to enable them to integrate more easily into society. Mild FAS often goes unnoticed or mimics symptomatology caused by other birth defects. It is important, therefore, that children with abnormalities, especially in cases where the mother consumes alcohol during pregnancy, be fully evaluated by a professional knowledgeable about birth defects. Evidence of the characteristic facial abnormalities, growth retardation, and neurodevelopmental abnormalities are critical for diagnosing FAS. Neuroimaging techniques, such as CT or MRI scans provide a visual representation of the affected areas of the brain and studies using these techniques support observations that alcohol has specific rather than global effects on brain development.

Genetic differences in an individual's ability to metabolize alcohol may contribute to the variability in clinical manifestations. For example, in comparing the effects on the offspring of a woman who ingests moderate amounts of alcohol to the offspring of another woman who drinks the same amount can be variable.

Alcohol is a legal psychoactive drug with a high potential for abuse and addiction. Because it crosses the placenta (and enters the blood stream of the unborn baby), the level of blood alcohol in the baby is directly related to that of the mother, and occurs within just a few short minutes of ingestion. Despite warnings about alcohol consumption by pregnant women placed on the labels of alcoholic beverages initiated during the early 1980s, more than 70,000 children in the ensuing 10 years were born with FAS in the United States. The Centers for Disease Control and Prevention estimates that in the United States, more than 130,000 pregnant women per year consume alcohol at levels known to considerably increase the risk of having a infant with FAS or FAS-related disorder.