Fetal Alcohol Syndrome Diagnosis, Epidemiology, Prevention, and Treatment (1996) / Chapter Skim
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Pages 52-62
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From page 52... ...
Dorris has also written essays describing the lives of his other adopted children who are affected by prenatal alcohol exposure (included in Dorris, 1994~. Dorris' works are particularly important for their description of the difficulties parents have in accepting their child's limitations and of problems faced by prenatal alcohol-affected teenagers and adults.
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From page 53... ...
Some of these similarities include the following: alcohol abuse is usual in the family of birth of women who drink during pregnancy; early experimentation with alcohol is common; first pregnancy often occurs at a very young age; FAS and other levels of alcohol-related damage usually occur in later pregnancies and in the later years of childbearing; child neglect is frequent; unstable domestic relations are common, particularly when a spouse who abuses alcohol is involved; there is a general lack of stable employment and occupational commitment; and low education and unstable living conditions are frequent. Commonly, there is intervention by others with the children after birth to protect them from chaotic home environments.
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From page 54... ...
She is not at risk for another FAS child because of a recent tubal ligation. During the pregnancy with her second child, she reported drinking four to six drinks one to two times per week, generally at local parties in bars in the nearby towns, through the first and second trimesters.
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From page 55... ...
Her mother does not drink, which is true of many women in this particular community, where drinking is more typically a male recreational activity. Her first experience with alcohol was at age 12; however, she did not start drinking regularly until she was 20.
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From page 56... ...
This child, a boy, weighed less than 6 pounds at birth and had facial dysmorphology characteristic of FAS, including short palpebral fissures, flat philtrum, hypoplastic midface, and moderate hirsutism. However, at the time of examination (when the boy was 3 years old)
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From page 57... ...
Mark also had the characteristic facial features associated with fetal alcohol syndrome. The caseworker who supervised the brothers' care reported that the boys were "crack" babies and, at that time, she and the foster parents attributed their unusual behavior to prenatal cocaine exposure.
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From page 58... ...
Mark, who is more clearly mentally retarded, has been able to receive special education services and has had fewer behavior problems. Their foster parents, who have four other children in the home, have provided good basic care but have not been able to make the emotional connections with the boys that might have helped them overcome their early attachment difficulties.
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From page 59... ...
The family has found that it requires nearly continual supervision to keep Peter in the shop during business hours and to supervise all business transactions. He also needs to be gently guided in the evenings to prevent wayward activities.
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From page 60... ...
Mary had two unstable marriages and vacillated in her drinking from heavy bingeing on weekends to regular drinking every night. Both of her husbands and her friends condoned and even encouraged heavy drinking on weekends.
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From page 61... ...
The medical staff dysmorphologist determined that Herbert had fetal alcohol syndrome and called the referring physician with this information. The physician responded that the mother had been seen in an emergency room two weeks prior to delivery with acute gastritis and a high blood alcohol concentration.
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From page 62... ...
In fact, the hospital staff had no information at the time to indicate that Brenda (when sober) could not care for her child effectively, or that she had rationally understood that drinking during pregnancy could hurt her baby and yet continued to drink anyway.
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