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Results for “Fetal Alcohol Spectrum Disorders”

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PubMed1993

Alcohol consumption, low birth weight, and preterm delivery in the National Addiction Survey (Mexico).

In 1988 the Mexican General Directorate of Epidemiology and the Mexican Institute of Psychiatry carried out the first National Addiction Survey that provided prevalence estimates at national and regional levels of alcohol consumption, tobacco smoking, and several other drugs use. In addition, a questionnaire included questions regarding alcohol consumption during pregnancy and adverse outcomes. According to the results of logistic regression, women classified as suffering from Alcohol Dependence Syndrome had a very high risk of low birth weight and/or preterm delivery: Odds ratio = 12.1 with a 95% confidence interval of (1.3, 108.9) and p = .026. After controlling for several confounding variables, the findings remained basically the same.

Adolescent↗
PubMed1999

Vanished twin and fetal alcohol syndrome in the surviving twin. A case report.

BACKGROUND: The diagnosis of twin pregnancy can be made early in pregnancy by ultrasonography (US). Follow-up examination occasionally demonstrates the disappearance of one of the twins. CASE: A twin disappeared on US examination; the surviving twin exhibited signs of fetal alcohol syndrome and other congenital anomalies, accompanied by a placental form of fetus papyraceus. CONCLUSION: Early US examination is useful for diagnosing multiple gestation. However, a follow-up examination is required to alert the clinician to the disappearance of one twin. Careful examination of the placenta may document fetal remnants. In this case a small, atretic nodule on the placental surface was evidence of the vanished twin.

Abnormalities, Multiple↗
PubMed1999

Prenatal alcohol use and offspring size at 10 years of age.

The Maternal Health Practices and Child Development Project is a longitudinal study of the effects of prenatal exposure to alcohol and other substances. Women were selected from a prenatal clinic and interviewed at the 4th and 7th months of pregnancy. Their offspring were examined at delivery, at 8 and 18 months, and at 3, 6, and 10 years. This report examined 610 offspring, at age 10, who were exposed prenatally to alcohol. Most alcohol use in this low-income cohort was light to moderate, although the entire spectrum of alcohol use is represented. The weight, length, head circumference, and skinfold thickness of the offspring were measured. At each assessment phase, we found a significant association between size and prenatal exposure to alcohol. At age 10, the children who were prenatally exposed to alcohol continued to be significantly smaller in weight, height, head circumference, and skinfold thickness. These results indicate that prenatal alcohol exposure has a long-term impact on offspring growth.

Alcohol Drinking↗
PubMed2000

[Fetal alcohol syndrome].

Fetal alcohol syndrome is frequently observed. It is estimated that 0.2% of newborns in France have fetal alcohol syndrome, a rate which reaches 1% in certain studies. Ultrasound diagnosis is straightforward, based on: - intrauterine growth retardation, predominantly involving the limbs and occurring early without oligoamnios; - specific facial dysmorphism with two essential signs, frontal rounding of the philtrum, suppression of the Cupidon arch; - several malformations involving the corpus callosum, ocular and renal tissue; - markedly higher incidence in multiple parity women over thirty who gain little weight during pregnancy. We report seven cases observed between 1994 and 1999 and discuss the growth curve and the facial dysmorphism.

Adult↗
PubMed2001

Prevention of fetal demise and growth restriction in a mouse model of fetal alcohol syndrome.

Two peptides [NAPVSIPQ (NAP) and SALLRSIPA (ADNF-9)], that are associated with novel glial proteins regulated by vasoactive intestinal peptide, are shown now to provide protective intervention in a model of fetal alcohol syndrome. Fetal demise and growth restrictions were produced after intraperitoneal injection of ethanol to pregnant mice during midgestation (E8). Death and growth abnormalities elicited by alcohol treatment during development are believed to be associated, in part, with severe oxidative damage. NAP and ADNF-9 have been shown to exhibit antioxidative and antiapoptotic actions in vitro. Pretreatment with an equimolar combination of the peptides prevented the alcohol-induced fetal death and growth abnormalities. Pretreatment with NAP alone resulted in a significant decrease in alcohol-associated fetal death; whereas ADNF-9 alone had no detectable effect on fetal survival after alcohol exposure, indicating a pharmacological distinction between the peptides. Biochemical assessment of the fetuses indicated that the combination peptide treatment prevented the alcohol-induced decreases in reduced glutathione. Peptide efficacy was evident with either 30-min pretreatment or with 1-h post-alcohol administration. Bioavailability studies with [(3)H]NAPVSIPQ indicated that 39% of the total radioactivity comigrated with intact peptide in the fetus 60 min after administration. These studies demonstrate that fetal death and growth restriction associated with prenatal alcohol exposure were prevented by combinatorial peptide treatment and suggest that this therapeutic strategy be explored in other models/diseases associated with oxidative stress.

Animals↗
PubMed1992

[Effects of acetaldehyde exposure on maternal rats and their offspring].

The effects of intake of acetaldehyde, the proximal metabolite of ethanol, were studied in two groups of Fischer strain rats. Virgin rats were mated at 3 months of age or at 8 months of age. The acetaldehyde intake group (AcH) was given a 2% aqueous solution of acetaldehyde for the first time on the first day of pregnancy. The solution was then given once a day, oral net acetaldehyde 240 mg/kg b.w. through gestation, labor and lactation. The control group was not exposed to acetaldehyde. Comparative observations were made on both maternal rats and their offspring. 1) Maternal body weight gain between the first and 20th day of pregnancy was significantly low in the AcH group compared with the control group (3-month-old: p less than 0.05, 8-month-old: p less than 0.05). As for placental weight, 3-month-old AcH mothers showed no significant differences from the controls, whereas 8-month-old AcH mothers weighed significantly less than those in the control group (p less than 0.01). Histological investigation disclosed that the brain, liver, and kidney had slight changes in all AcH mothers, whereas the control group showed almost no changes. 2) The average number of fetuses at the 20th day of gestation, neonates per litter, did not significantly differ among the groups. 3) As for the body weight of the offspring of 3-month-old mothers, the AcH neonates and 10-day-old offspring weighed significantly less than those in the control group (p less than 0.01, p less than 0.01). In the case of 8-month-old mothers, the AcH fetuses at the 20th day of gestation and neonates weighed significantly less than the controls (p less than 0.01, p less than 0.01). 4) Histological study of the brain, lung, liver, kidney, and thymus in offspring revealed remarkable visceral immaturity and hemorrhage in the AcH group, as compared to the controls.

Acetaldehyde↗
PubMed2004

Alcohol consumption among women who are pregnant or who might become pregnant--United States, 2002.

Alcohol use during pregnancy is associated with health problems that adversely affect the mother and fetus; no level of alcohol consumption during pregnancy has been determined safe. Fetal alcohol syndrome (FAS) is recognized as the foremost preventable condition involving neurobehavioral and developmental abnormalities. Women who drink during pregnancy place themselves at risk for having a child with FAS or fetal alcohol spectrum disorders (FASD). To determine the alcohol consumption patterns among all women of childbearing age, including those who are pregnant or might become pregnant, CDC analyzed data for women aged 18-44 years from the 2002 Behavioral Risk Factor Surveillance System (BRFSS) survey. The results of that analysis indicated that approximately 10% of pregnant women used alcohol, and approximately 2% engaged in binge drinking or frequent use of alcohol. The results further indicated that more than half of women who did not use birth control (and therefore might become pregnant) reported alcohol use and 12.4% reported binge drinking. Women who are pregnant or who might become pregnant should abstain from alcohol use.

Adult↗
PubMed1992

[Alcohol drinking and intrauterine dystrophia. Effects and significance in infancy].

In a prospective study intrauterine growth retardation (IUGR) (less than 10. growth percentile at birth) was used as a predictor to diagnose intrauterine alcohol exposure. An interview about maternal alcohol consumption was performed prenatally--when IUGR was diagnosed by ultrasound--or postnatally. The children were followed up to 18 months of age. In 6/47 children we diagnosed various degrees of the Fetal Alcohol Syndrome FAS, with only one patient showing a full blown syndrome at birth. 5 patients could not be identified until the pediatric reexamination at the age of 8-18 months. IUGR and a maternal history of even moderate drinking during pregnancy should emphasize the possibility of an intrauterine alcohol damage, even in a normal child at birth.

Alcohol Drinking↗
PubMed2005

Fetal alcohol syndrome: anthropometric and oral health status.

The purpose of this study was to analyze the anthropometric measures and oral health status of children with fetal alcohol syndrome (FAS) and compare them to matched controls. The sample of 90 cases (children diagnosed with FAS) and 90 controls were matched for age, gender, and social class. The mean age of the cases was 8.9 years with the controls slightly older at 9.1 years. The results of the anthropometric measurements in respect of weight, height, and head circumference showed significantly lower values for the FAS children when compared to the controls. Several physical abnormalities described in children with FAS were seen in this study. Some of these abnormalities seen in the FAS children included deformities in the small joints of the hand, altered palmar creases, and malformation of the ears. The prevalence of enamel opacities between FAS and controls was not significantly different and averaged around 15% for both groups. More than three quarters of both the cases and the controls demonstrated the presence of plaque and almost two-thirds demonstrated gingival bleeding on probing. FAS patients had statistically significantly (p<0.001) more dentofacial anomalies than the controls. The mean decayed, missing, and filled teeth (dmft) score for the FAS sample was slightly higher, though not significantly different from that of the controls, and the decayed component (d) made up the largest part of the index in both groups.

Anthropometry↗
PubMed1991

Fetal alcohol syndrome: report of a case.

Fetal alcohol syndrome is an uncommon occurrence in Taiwan, especially in the southern area. We report here a case who demonstrated severe intrauterine growth retardation with major limb reduction, chest hypoplasia and characteristic facial dysmorphism-short palpebral fissures, hypoplastic philtrum, and a thin upper lip. The mother had been consuming large quantities of alcohol, 6 bottles of "rice wine" per day (800 grams of absolute alcohol per day) during the pregnancy. The maternal serum level of ethanol was as high as 173 mg/dl. According to previous reports, we causally suggest that maternal ethanol abuse may be related to fetal anomalies in this case.

Adult↗
PubMed1991

[Effects of ethanol exposure beginning at an early age on maternal rat and their offspring].

The effects of ethanol intake were studied in the three groups of Fischer strain rats. The EtOH-F group began drinking freely at 29 days of age and continued all through mating, pregnancy, delivery, and lactation days. They drank a 10% aqueous solution of ethanol, with net ethyl alcohol 9.7 g/kg b. w. on average. The EtOH-P group drank a 20% aqueous solution of ethanol for the first time on the first day of pregnancy. The solution was then given periodically once a day, oral net ethyl alcohol 3.8 g/kg b. w., through gestation, labor, and lactation. The control group was not exposed to ethanol. Comparative observation were made on both maternal rats and their offspring. 1) Maternal rats: Maternal body weight gain between the first and 20th days of pregnancy was significantly low in the two drinking groups (EtOH-F:p less than 0.01, EtOH-P:p less than 0.01), compared with the control group. Comparing the EtOH-F and the EtOH-P, it was found that body weight gain during the 20 days of pregnancy was significantly depressed in the former group (p less than 0.05). There were no significant differences in placental weight among the three groups. Histological findings disclosed that the brain, liver, and kidney had moderate changes in the EtOH-F, whereas the control showed only slight changes. 2) The average number of fetuses at the 20th day of gestation, neonates per litter, did not significantly different among the three groups. The body weights of fetuses at the 20th day of gestation, of neonates and 10-day-old offspring were recorded. In the case of the EtOH-P group, significantly low values (p less than 0.05, p less than 0.01, p less than 0.01) compared with the respective controls. In the case of the EtOH-F group, the differences were non-significant, p less than 0.01 and p less than 0.01 respectively. 3) Histological study of the brain, lung, liver, kidney, and thymus in offspring revealed that remarkable visceral immaturity and hemorrhage were in the EtOH-P and the EtOH-F groups as compared to the control, and they were more pronounced in the EtOH-F group than in the EtOH-P group. 4) Different ways of ethanol administration brought about different results: The EtOH-P group showed a clearer tendency to have low-body-weight of offspring than those the EtOH-F group.(ABSTRACT TRUNCATED AT 400 WORDS)

Age Factors↗
PubMed1990

Drug-exposed neonates.

Drug use during pregnancy can have detrimental effects--both nonspecific and highly specific--on the perinatal outcome. Nonspecific effects include fetal growth retardation, resulting in small infants and decreased head circumference. Specific effects include facial dysmorphology and organ system anomalies such as alcohol-related birth defects. Patients abusing drugs are at an increased risk for preterm labor, thereby placing an already compromised fetus at increased risk. The number of mothers and infants being infected by the human immunodeficiency virus from sharing needles, multiple sexual contacts, and mother-to-infant transmission is increasing at an alarming rate.

Abnormalities, Drug-Induced↗