It sounds simple: Women who drink while pregnant may give birth to children with defects, so women should not drink during pregnancy. Yet in the 20 years since it was first described in the medical literature, fetal alcohol syndrome (FAS) has proved to be a stubborn problem, with consequences as serious as those of the more widely publicized "crack babies." This volume discusses FAS and other possibly alcohol-related effects from two broad perspectives: diagnosis and surveillance, and prevention and treatment. In addition, it includes several real-life vignettes of FAS children. The committee examines fundamental concepts for setting diagnostic criteria in general, reviews and updates the diagnostic criteria for FAS and related conditions, and explores current research findings and problems associated with FAS epidemiology and surveillance. In addition, the book describes an integrated multidisciplinary approach to research on the prevention and treatment of FAS. The committee * Discusses levels of preventive intervention. * Reviews available data about women and alcohol abuse and treatment among pregnant women.* Explores the psychological and behavioral consequences of FAS at different ages. * Examines the current state of knowledge about medical and therapeutic interventions, education efforts, and family support programs. This volume will be of special interest to physicians, nurses, mental health practitioners, school and public health officials, policymakers, researchers, educators, and anyone else involved in serving families and children, especially in high risk populations.
Kathleen Stratton, Cynthia Howe, and Frederick C. Battaglia, Editors; Committee to Study Fetal Alcohol Syndrome, Institute of Medicine
Front MatterExecutive Summary1 Introduction2 Issues in Research on Fetal Drug Effects3 Vignettes4 Diagnosis and Clinical Evaluation of Fetal Alcohol Syndrome5 Epidemiology and Surveillance of Fetal Alcohol Syndrome6 Epidemiology of Women's Drinking7 Prevention of Fetal Alcohol Syndrome8 The Affected Individual: Clinical Presentation, Intervention, and Treatment9 Integration and Coordination: A Concluding Comment and RecommendationAppendix: BiographiesIndex
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb
Institute of Medicine, Board on Health Promotion and Disease Prevention, Immunization Safety Review Committee, Marie C. McCormick, Alicia Gable, Kathleen Stratton
and Medicine National Academies of Sciences, Engineering, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on Addressing Evidence Gaps in Clinical Prevention Recommendations, Tracy A. Lieu, Kathleen Stratton, Alexis Wojtowicz
Institute of Medicine, Board on Health Promotion and Disease Prevention, Immunization Safety Review Committee, Marie C. McCormick, Theresa M. Wizemann, Donna A. Almario, Kathleen Stratton
Institute of Medicine, Board on Health Promotion and Disease Prevention, Immunization Safety Review Committee, Marie McCormick, Padma Shetty, Alicia Gable, Kathleen Stratton
and Medicine National Academies of Sciences, Engineering, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee to Review Relevant Literature Regarding Adverse Events Associated with Vaccines, Dara Rosenberg, Ogan K. Kumova, Kathleen Stratton, Anne R. Bass
Institute of Medicine, Board on Population Health and Public Health Practice, and Consequences Committee on Reducing Tobacco Use: Strategies, Barriers, Robert B. Wallace, Kathleen Stratton, Richard J. Bonnie
Institute of Medicine, Board on Health Promotion and Disease Prevention, Committee on Smallpox Vaccination Program Implementation, Brian Strom, Kathleen Stratton, Andrea Pernack Anason, Alina Baciu
Institute of Medicine, Board on Population Health and Public Health Practice, Committee on the Public Health Implications of Raising the Minimum Age for Purchasing Tobacco Products, Leslie Y. Kwan, Kathleen Stratton, Richard J. Bonnie
Institute of Medicine, Board on Health Promotion and Disease Prevention, Immunization Safety Review Committee, Marie C. McCormick, Donna A. Almario, Kathleen Stratton
Institute of Medicine, Board on Population Health and Public Health Practice, Committee to Review Adverse Effects of Vaccines, Ellen Wright Clayton, Erin Rusch, Andrew Ford, Kathleen Stratton