Research Update

Alcohol Use and Pregnancy: An Important Canadian Public Health and Social Issue

[Previous] [Table of Contents] [Next]

8.8 Prevention Through Diagnosis

Mothers of children with FASD have numerous needs that must be addressed to prevent future prenatal alcohol exposure in subsequent pregnancies.²⁹² The diagnosis of FASD in children, young people and adults should be seen as a crucial form of prevention in that mothers who have had an affected child are at high risk to have another. Moreover, if the multiple needs of the affected child are not adequately addressed, she may one day be at risk of having a child with FASD. Astley et al. reported on the preventative potential of FASD diagnostic clinics in Washington State. Mothers of diagnosed children had "very harsh profiles," with 95% having been physically or sexually abused, and most having one or more mental health problems. In a number of cases, these women had made constructive changes in their lives and the FASD diagnosis appeared to be an instigating factor. Women most likely to stop their alcohol use were those receiving mental health care, those receiving social support, those with higher incomes and those with higher IQs.^293,294 Significant efforts have been made in Canada to educate and provide guidance to physicians in diagnosing FASD.^295,296

Highlighting the intergenerational aspect of FASD, some researchers have posited that pregnant women who drink too much may, in some cases, be affected by FASD themselves.²⁹⁷ There is a growing consensus that tailored substance abuse treatment for persons affected by FASD is necessary, and clinical experience is being gained in this area; however, there is currently no empirical knowledge to guide programming.²⁹⁸

[Previous] [Table of Contents] [Next]