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Fetal Alcohol Spectrum Disorders

Article Provided by The ARC of Georgia

Fact Sheet:

Fetal Alcohol Spectrum Disorder (FASD) describes a range of conditions associated with prenatal alcohol exposure. There are three different conditions in the spectrum, depending on which stage the heaviest alcohol exposure occurs:

  • Fetal Alcohol Syndrome (FAS) with some (but probably not all) of the following physical characteristics:
     

    • Small birth weight

    • Small head circumference

    • Small, widely spaced eyes

    • Flat midface

    • Short, upturned nose

    • Smooth wide philtrum

    • Thin upper lip
       

  • Partial Fetal Alcohol Syndrome (FAS) with fewer of the physical differences.

  • Alcohol-Related Neurodevelopmental Disorder (ARND) with little or no physical characteristics.

Most infants with FASD are irritable, have trouble eating and sleeping, are sensitive to sensory stimulation, and have a strong startle reflex. They may hyperextend their heads or limbs with hypertonia (too much muscle tone) or hypotonia (too little muscle tone) or both. Some infants may have heart defects or suffer anomalies of the ears, eyes, liver, or joints.

Children with FASD may have growth problems and developmental delays and some have cognitive disabilities, but most children with FASD have IQ in the normal or above normal range.

The most serious characteristics of FASD are the invisible symptoms of neurological damage. These symptoms persist into adulthood and may include the following:

  • Attention deficits

  • Memory deficits

  • Hyperactivity

  • Difficulty with abstract concepts

  • Inability to manage money

  • Poor problem solving skills

  • Difficulty learning from consequences

  • Immature social behavior

  • Inappropriately friendly to strangers

  • Lack of control over emotions

  • Poor impulse control

  • Poor judgment

Helpful Information:

People with FASD may have complex medical needs associated with their higher than average congenital anomalies. Infants are at risk for central nervous system problems, including a weak suck and feeding and sleeping difficulties as well as failure to thrive.

Educational Needs

Children with FASD have special educational needs. Even very young infants can benefit from early stimulation programs to help with intellectual and motor development. These programs are now widely available, with some even offered at home by traveling therapists and educators.

Preschoolers often have a range of developmental and language delays as well as signs of hyperactivity, irritability, and distractibility. Preschool programs which follow individualized educational plans are helpful for the child as well as for the parents who gain valuable respite time to regroup from the intense demands of these children.

Appropriate placement in special education classes beginning in elementary school is often necessary for children with FASD. A small classroom setting with clear guidelines and a great deal of individual attention can maximize the intellectual capabilities of these learners.

Some people with FASD reach an academic plateau in high school, and they may be unable to hold a regular job. Nonetheless, all of these students need to know basic life skills, including money management, safety skills, interpersonal relating, and so forth. These tasks will enrich their adult lives and allow them a degree of independence. Wherever possible and appropriate, vocational training should be part of the high school experience.

Family Needs

These children need a supportive, loving home environment with clear guidelines and clear lines of communication in order to develop to their fullest potential. When foster (or adoptive) placement is necessary, the greatest progress is made by calm, low key individuals, who are secure and comfortable with themselves and live stable and predictable lives. Families who treat the FASD child as normally as possible, combining loving acceptance with firm limit setting are ideal.

Resources:

FAS Community Resource Center  

Seek Wellness


National Organization on Fetal Alcohol Syndrome





 

 
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