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Fetal Alcohol Spectrum Disorder in Children

Published: 2009/03/23 - Updated: 2023/10/02
Author: Disabled World - Contact Details
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Synopsis: This article discusses the key features of Fetal Alcohol Syndrome (FASD). The complete evaluation to determine diagnosis should include an assessment of the child's central nervous system, speech/language, and fine motor skills which are assessed by an occupational therapist.

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Do you know a child who may have received a prenatal exposure to alcohol?

Have you adopted a child or do you work with a child that may have the affects of prenatal exposure to alcohol?

Would you like to know what the 4 key features of this disorder is?

The Center for Disease Control (CDC) has a document entitled: Fetal Alcohol Syndrome: Guidelines for Referral and Diagnosis. This document established a general consensus among medical professionals, on what constitutes a diagnosis in the USA. There is some disagreement among medical professionals about children that have some of the four key features but not all of them.

Fetal Alcohol Syndrome has the most consensus among medical professionals and has a ICD-9 or ICD-10 diagnosis. The complete evaluation to determine diagnosis should include an assessment of the child's central nervous system, speech/language, and fine motor skills which are assessed by an occupational therapist. After the testing is complete the team should work together to interpret the data of each key feature that was assessed, and develop a multi disciplinary report to diagnose this in a child.

Partial FAS have a confirmed history of prenatal exposure, but may lack growth deficiency of the complete facial stigmata. The following criteria must be met for a diagnosis:

The Four Main Features Are

Growth Deficiency

This is defined as significantly below average height, weight, or both due to prenatal alcohol exposure. Criteria are less specific in the diagnostic system. Low weight to height measurement, or decelerating weight not due to poor nutrition.

Growth deficiency is ranked as follows by the: 4 digit diagnostic code:

Specific Facial Features

Three characteristic craniofacial abnormalities are visible in children with FAS. The 3 facial features are:

Central Nervous System Damage

The primary key feature of any diagnosis. The prenatal exposure can damage the brain across a continuum;from subtle impairments, to more severe impairments. The 4-digit diagnostic code gives four rankings for CNS damage:

Documented Prenatal Exposure to Alcohol

This can be determined by interviews of the biological mother, other family members, court records, as well as chemical dependency treatment records.

Some children with FAS are adopted and it may be difficult to determine if the biological mother used alcohol during the pregnancy. So a determination of unknown exposure is often used for these children. The diagnosis of FAS can still be determined with an unknown exposure if the child has the other three key features.

It is sometimes difficult to determine why a child has a disability, so understanding this information could be critical to being able to help the child learn. Many children with this syndrome require intensive special education services to help them learn and have a happy and fulfilled life.

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Cite This Page (APA): Disabled World. (2009, March 23). Fetal Alcohol Spectrum Disorder in Children. Disabled World. Retrieved October 4, 2023 from www.disabled-world.com/health/pediatric/fetal-alcohol-spectrum-disorder.php

Disabled World provides general information only. The materials presented are never meant to substitute for qualified professional medical care, nor should they be construed as such. Funding is derived from advertisements or referral programs. Any 3rd party offering or advertising does not constitute an endorsement.