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Health Matters: No amount of alcohol is ‘safe’ during pregnancy

By MAUREEN MAHANEY
Friday, January 2, 2009 11:59 PM CST

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Anyone born prior to 1965 (who is still alive and well) has many reasons for which to be thankful. We grew up in a world that was anything but childproof, and yet we survived. When we were babies, most cars had no seat belts and infant car seats had yet to be invented. Our parents knew nothing about the dangers of lead paint, baby aspirin or easily opened medicine bottles. We rode our bikes without helmets and skated without kneepads or elbow pads - all of this while playing outside without the protection of sunscreen.

This is not to say that parents intentionally put their children at risk. Valid safety information was not readily available and most were only doing what they thought was best. Many women of this time period naively continued smoking and drinking alcohol throughout their pregnancies, unaware of any potential threat to their unborn children.

Although there are documents dating as far back as the 1700s suggesting that alcohol may have an adverse effect on the development of babies, it wasn’t until 1973 that the term “fetal alcohol syndrome” was formally used in a medical journal written by Drs. Kenneth Jones and David Smith. These doctors noted “unusual physical features” and “failure to thrive” in infants of alcoholic mothers at the Harborview Hospital in Seattle.

“We’ve learned a lot since the ’70s, but, unfortunately, there are still many unknowns,” says Jessica Diame, LifeSkills KIDS NOW Plus prevention coordinator. “For instance, we don’t know how much or how little alcohol it takes to damage a growing fetus, which is why there is no safe amount that can be consumed at any point during a pregnancy. That’s one reason why it is important to inform your doctor and be honest about any alcoholic beverages you have while pregnant.”

We know that this birth defect is 100 percent preventable, since it is impossible for a baby to be born with FAS if the mother does not drink alcohol during her pregnancy.

Here are some other known facts:

  • Of all the substances of abuse (including heroin, cocaine and marijuana), alcohol produces by far the most serious neuro-behavioral effects in the fetus, resulting in lifelong, permanent disorders of memory function, impulse control and judgment.

  • Each and every organ and body system in the developing baby can be affected by alcohol, depending on the specific development occurring at the moment alcohol is consumed.

  • The brain develops every single day of the pregnancy, which makes it especially vulnerable to damage.

  • Forty-eight percent of all pregnancies and 78 percent of teenage pregnancies are unplanned. Thus, many women do not know they are pregnant until they are in their second or third month of pregnancy.

  • Binge drinking rates among teenage girls and college students are increasing faster than any other group.

  • More babies are born with FAS each year than Down syndrome, spina bifida and AIDS combined.

  • FAS is the leading cause of mental retardation.

  • There is no known cure and babies will not “grow out of it.”

    There are four criteria used to diagnose fetal alcohol syndrome. These are:

    1. Distinctive facial features - these include a sunken or flat nasal bridge, wide set eyes, an exceptionally thin upper lip, a flat forehead, low set ears and a smooth skin surface between the nose and upper lip.

    2. Growth delay in either height or weight.

    3. Central nervous system dysfunction.

    4. Confirmed exposure to alcohol during pregnancy.

    The LifeSkills KIDS NOW Plus program hosts an on-site lending library for those interested in borrowing materials to learn more about giving birth to healthy babies. Free-of-charge trainings for church groups, high schools, middle schools and professional community groups can also be arranged.

    “If you’re going to do things to get pregnant, don’t drink,” Diame says. “If you’re going to drink, don’t do things to get pregnant.”

    For more information or to schedule a training, call Jessica Diame at (270) 901-5000, Ext. 1114. A Kentucky Web site designed for parents, caregivers and family members who live with fetal alcohol syndrome can be found at http://sycamorefamilies.blogspot.com/

    — Maureen Mahaney coordinates public information for LifeSkills Inc., a nonprofit, behavioral health care corporation that plans for and serves the people of southcentral Kentucky in three main areas: mental health, substance abuse and developmental disabilities. Her column appears monthly.


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