Assessing Prenatal Alcohol Exposure in a Study of Foetal Alcohol Spectrum Disorder

Foetal Alcohol Spectrum Disorder (FASD) is a diagnostic term used to describe physical, neurodevelopmental, and cognitive impairments that have occurred following exposure to alcohol during pregnancyThe diagnosis of FASD requires a complex assessment and confirmation of maternal alcohol consumption during pregnancy. Obtaining accurate and reliable assessment results can be difficult.

Researchers from the University of Western Australia have conducted a study to assess the challenges practitioners face when trying to gain information about prenatal alcohol exposure as part of a broader FASD assessment.

Interviews were carried out with the birth mother or responsible adult for 88 young people sentenced to detention in Western Australia.

Results found that:

  • The birth mother provided information on prenatal alcohol exposure for 55 (63%) of the 88 young people. The other remaining accounts of prenatal alcohol exposure were mostly from relatives.
  • Of the 88 young people with information on prenatal alcohol exposure, 41 (47%) had no reported prenatal alcohol exposure, 19 (22%) had either unknown or moderatequantity prenatal alcohol exposure, and 28 (32%) reported prenatal alcohol exposure at highrisk levels
  • 54% consumed a drink containing alcohol during pregnancy.
  • The most common reported number of standard drinks containing alcohol consumed on a typical day during pregnancy was 7 to 9 drinks (26%)
  • Only 29 of the 47 sources that confirmed prenatal alcohol exposure provided enough information to complete the questionnaire.

Obtaining a reliable measure of prenatal alcohol exposure using maternal recall and selfreport is likely to be limited due to suspected underreporting and lack of clarity as to what constitutes a standard drink. It is likely this is influenced by social stigma and recall bias. The authors suggest standardized recording on all antenatal birth records would aid later assessment for FASD and provide opportunities for advice and support for women who continue to drink.

Jose Luis Vazquez Martinez

This webinar, "Research and Evaluation of Treatment and Treatment Systems for Pregnant/Parenting Women with Opioid Use Disorder," is the third of a series of discussions pertaining to CTN collaborations with CSAT.

Evaluation of State-Mandated Reporting of Neonatal Abstinence Syndrome — Six States, 2013–2017


What is already known about this topic?

In 2014, in the United States, an infant with neonatal abstinence syndrome (NAS) was born every 15 minutes. Historically, NAS surveillance has depended on hospital discharge data, frequently with a time lag, limiting ability to rapidly direct public health resources.

What is added by this report?

Among six identified states with mandated NAS reporting laws during 2013–2017, NAS incidence could be quantified to inform programs and services. However, differences in reporting methods and case definitions might influence states’ abilities to monitor NAS incidence.

What are the implications for public health practice?

States considering requiring NAS case reporting for public health surveillance can benefit from understanding advantages and challenges of approaches used by states with mandated NAS reporting.

Jose Luis Vazquez Martinez

Fumar durante el embarazo puede causar problemas para las mujeres que intentan embarazarse, las que están embarazadas y también para sus bebés antes y después de nacer.

Información del CDC de Estados Unidos, en español.