Fetal alcohol spectrum disorders (FASDs) are a group of conditions that can occur in a person whose mother drank alcohol during pregnancy. Symptoms can include an abnormal appearance, short height, low body weight, small head size, poor coordination, behavioural problems, learning difficulties, and problems with hearing and sight. Those affected are more likely to have trouble with school, the legal system, alcohol, other drugs, and other areas of high risk. The several forms of the condition (in order of most severe to least severe) are: Fetal Alcohol Syndrome (FAS), Partial Fetal Alcohol Syndrome (pFAS), Alcohol-Related Birth Defects (ARBD),Static Encephalopathy, Alcohol-Related Neurodevelopmental Disorder (ARND) and Neurobehavioral Disorder associated with Prenatal Alcohol Exposure (ND-PAE). Some authorities accept only FAS as a diagnosis, seeing the evidence as inconclusive with respect to other types.Fetal alcohol spectrum disorders are caused by the mothers drinking alcohol while pregnant with the affected person. Surveys from the United States found that about 10% of pregnant women drank alcohol in the past month, and 20% to 30% drank at some point during the pregnancy. 3.6% of pregnant American women met criteria for an alcohol use disorder in a 2001 epidemiological study. The risk of FASD depends on the amount consumed, the frequency of consumption, and the points in pregnancy at which the alcohol is consumed. Other risk factors include the mothers older age, smoking, and poor diet. There is no known safe amount or time to drink alcohol during pregnancy. Although drinking small amounts does not cause facial abnormalities, it may cause behavioral problems.
Fetal alcohol syndrome
The following criteria must be fully met for an FAS diagnosis:
Growth deficiency: Prenatal or postnatal height or weight (or both) at or below the 10th percentile
FAS facial features: All three FAS facial features present
Central nervous system damage: Clinically significant structural neurological, or functional impairment
Prenatal alcohol exposure: Confirmed or Unknown prenatal alcohol exposureFetal alcohol syndrome (FAS) is the first diagnosable condition of FASD that was discovered. FAS is the only expression of FASD that has garnered consensus among experts to become an official ICD-9 and ICD-10 diagnosis. To make this diagnosis or determine any FASD condition, a multi-disciplinary evaluation is necessary to assess each of the four key features for assessment. Generally, a trained physician will determine growth deficiency and FAS facial features. While a qualified physician may also assess central nervous system structural abnormalities and/or neurological problems, usually central nervous system damage is determined through psychological, speech-language, and occupational therapy assessments to ascertain clinically significant impairments in three or more of the Ten Brain Domains. Prenatal alcohol exposure risk may be assessed by a qualified physician, psychologist, social worker, or chemical health counselor. These professionals work together as a team to assess and interpret data of each key feature for assessment and develop an integrative, multi-disciplinary report to diagnose FAS (or other FASD conditions) in an individual. Partial FAS
Partial FAS (pFAS) was previously known as atypical FAS in the 1997 edition of the "4-Digit Diagnostic Code".