Fetal Alcohol Syndrome: birth defects, brain damage at NOFAS
HomeDonateeStoreResourcesContact Us

National Organization on Fetal Alcohol Syndrome, Protecting children and families by fighting the leading known cause of mental retardation and birth defects
About NOFASEducatorsAdvocatesExpectant Mothers/Family PlanningLiving with FAS/FASDHealthcare Professionals
E-mail this page  |   Print this page  |   Bookmark this page  |   Link to us
 More Information
Treating Individuals Affected with FASD
Identifying Individuals with Prenatal Alcohol Exposure
Screening Patients for Alcohol Use
FAS and FASD Clinical Indicators
Resources - Support
Calendar of Events
NOFAS Programs
Web Resources

FAS and FASD Clinical Indicators

The diagnosis of fetal alcohol syndrome (FAS) is based on four criteria: prenatal alcohol exposure (confirmed or unconfirmed), growth retardation, facial characteristics and neurodevelopment problems.

The criteria for FAS include:

    Growth retardation
    Weight: < 10th percentile
    Length or height: < 10th percentile

Facial malformations:

  • Short palpebral fissues, abnormal philtrum, thin upper lip, hypoplastic midface
  • Neurodevelopment disorder (more than one may be identified, but not all conditions must be present)
  • Head circumference < 10th percentile
  • Intellectual impairment
  • Memory problems
  • Delayed development
  • Attachment concerns
  • Attention deficit disorder
  • Impaired motor skills
  • Hyperactivity
  • Neurosensory hearing loss
  • Problems with reasoning and judgment
  • Learning disabilities
  • Inability to appreciate consequences
  • Impaired visual/spatial skills

Child's face indicators
Enlarge picture

Different periods of Embroy and Fetus
Enlarge picture

Alcohol is a recognized human teratogen that can produce FAS and a variety of alcohol-related effects. The fetal brain is particularly sensitive to alcohol during the period of rapid growth in the third trimester. After exposure, the cerebral cortex exhibits abnormal patterns in the distribution of neurons and abnormal neurotransmission. The hippocampus and cerebellum have decreased cell numbers and altered neurochemical activity. The corpus callosum appears to be absent or poorly developed in many children, as shown by MRI testing. The size and volume of the cerebellum and basal ganglia are reduced.

There are many long-term effects of FAS. The majority of children who have been followed into adulthood have problems leading independent lives. Many young adults who do not receive appropriate support are unable to maintain employment and relationships with family, friends and partners. Many have legal problems.

FASD

Fetal Alcohol Spectrum Disorders (FASD) is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. These effects may include physical, mental, behavioral, and/or learning disabilities with possible lifelong implications. The term FASD is not intended for use as a clinical diagnosis.

FASD covers other terms such as fetal alcohol syndrome, alcohol-related neurodevelopmental disorder (ARND), partial fetal alcohol syndrome (PFAS), alcohol-related birth defects (ARBD) and fetal alcohol effects (FAE). People affected by FASD can have brain damage; facial deformities; growth deficits; mental retardation; heart, lung and kidney defects; hyperactivity; attention and memory problems; poor coordination; behavioral problems; and learning disabilities.

Copyright 2001-2004 National Organization on Fetal Alcohol Syndrome