
Fetal Alcohol Spectrum Disorders (FASDs) are a group of conditions that can occur in a person exposed to alcohol before birth. Fetal Alcohol Syndrome (FAS) is the most serious type of FASD. People with FAS have central nervous system (CNS) problems, abnormal facial features, and growth problems. FASDs can cause lifelong effects, including problems with behaviour and learning as well as physical problems. The specific disabilities that people with FASDs face vary widely and can range from mild to severe.
| Characteristics | Values |
|---|---|
| Facial abnormalities | Wide-set and narrow eyes, smooth ridge between nose and upper lip, thin upper lip, small eyes |
| Growth problems | Low birth weight, short height, small head size |
| Nervous system abnormalities | Vision or hearing problems, learning disabilities, poor coordination, poor reasoning and judgement skills, poor memory, difficulty distinguishing reality from fantasy |
| Behavioral problems | Hyperactivity, impulsivity, inattentiveness, short attention span, severe tantrums, difficulty in social settings |
| Birth defects | Abnormal changes to parts of the body including heart, eyes, skeletal system, ears, kidneys |
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What You'll Learn

Facial abnormalities
Fetal Alcohol Syndrome (FAS) is a condition that occurs when a person drinks alcohol during pregnancy. It can cause a range of physical and neurological issues, including facial abnormalities.
The presence of these facial abnormalities can be indicative of the underlying central nervous system (CNS) problems caused by FAS. In some cases, the facial abnormalities may be the only physical indicators of FAS, with other symptoms being behavioural or cognitive.
The specific facial abnormalities associated with FAS can vary, but there are three key features that are commonly present. Firstly, short palpebral fissures, which refer to the small eye openings mentioned earlier. Secondly, a smooth philtrum, which is the flat ridge between the nose and upper lip. And finally, a thin vermilion of the upper lip, which means the upper lip appears thinner than usual.
These facial abnormalities are thought to be caused by the toxic effects of alcohol on the developing fetus. Alcohol can increase oxidative stress and lead to alterations in gene expression and the generation of abnormal cell metabolites. This can result in structural damage to the brain and other physical abnormalities, including those affecting facial features.
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Central nervous system (CNS) problems
Fetal Alcohol Spectrum Disorders (FASDs) are a group of preventable conditions that occur in people exposed to alcohol before birth. The conditions can vary in severity and affect each person differently. The most severe form of FASD is Fetal Alcohol Syndrome (FAS).
People with FAS have central nervous system (CNS) problems, minor facial features, and growth problems. CNS abnormalities can cause a mix of problems with learning, memory, attention span, communication, vision, or hearing. People with FAS often struggle in school and have trouble getting along with others.
Partial fetal alcohol syndrome (pFAS) is a less severe form of FASD. People with pFAS have some of the characteristics of FAS, such as facial features and growth problems, but do not meet the full diagnostic criteria. They may also have CNS abnormalities, which can cause similar problems to those seen in FAS, such as learning difficulties and poor impulse control.
Alcohol-related neurodevelopmental disorder (ARND) is another FASD that can cause intellectual disabilities, behavioral problems, and learning difficulties. People with ARND may also experience problems with memory, attention, judgment, and impulse control, which can lead to poor academic performance.
Neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE) is diagnosed when a child has been exposed to more than minimal levels of alcohol before birth (more than 13 drinks per month or 2 drinks in one sitting). ND-PAE is associated with intellectual disabilities and significant behavioral issues, such as severe tantrums, that can make daily tasks difficult.
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Growth problems
Fetal Alcohol Spectrum Disorders (FASDs) are a group of conditions that can occur when a baby is exposed to alcohol in the womb. FASDs can cause a wide range of physical, behavioural, and cognitive impairments, including growth problems.
Growth deficiencies are a key sign of fetal alcohol syndrome (FAS). This can manifest as low birth weight, short height, and a small head circumference (microcephaly). These growth problems can be caused by alcohol interfering with the development of the baby's brain and other critical organs and physiological functions.
People with FAS may also have central nervous system (CNS) problems, which can be structural or functional. Structurally, this can mean small brain size or alterations in specific brain regions. Functionally, this can lead to cognitive and behavioural deficits, motor and coordination problems, and learning disabilities.
FAS is the most severe form of FASDs, followed by partial fetal alcohol syndrome (pFAS), alcohol-related neurodevelopmental disorder (ARND), and neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE). However, it is important to note that FASDs can vary widely in their symptoms and severity, and not all people with FAS will experience the same growth problems.
Diagnosing FASDs can be challenging due to the variety of symptoms and spectrum of severity. There is no medical test, such as a blood test, to diagnose these conditions. Furthermore, the stigma associated with FASDs and the underreporting of alcohol consumption during pregnancy can lead to under-diagnosis and misdiagnosis.
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Learning disabilities
Fetal Alcohol Spectrum Disorders (FASDs) are a group of preventable conditions that arise when a person is exposed to alcohol before birth. The conditions can range from mild to severe, and they can affect each person differently. FASDs can cause lifelong effects, including physical problems, behavioural issues, and learning disabilities.
Fetal Alcohol Syndrome (FAS) is the most severe and involved type of FASD. People with FAS often have central nervous system (CNS) problems, abnormal facial features, and growth problems. They may also experience learning disabilities, including problems with memory, attention span, communication, and reasoning. These difficulties can lead to poor school performance and trouble getting along with others.
Partial Fetal Alcohol Syndrome (pFAS) is a less severe form of FASD. People with pFAS have some characteristics of FAS, such as facial features and growth problems, but do not meet the full diagnostic criteria. They may also experience learning difficulties, although the impact may be less severe than in FAS.
Alcohol-Related Neurodevelopmental Disorder (ARND) is another FASD that can cause intellectual disabilities and learning problems. People with ARND may struggle with school, particularly with math, memory, attention, judgment, and impulse control. They may also experience behavioural issues.
Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE) is diagnosed when a child has been exposed to more than minimal levels of alcohol before birth, defined as more than 13 alcoholic drinks per month during pregnancy or more than two drinks in one sitting. ND-PAE can cause significant behavioural issues and learning disabilities, impacting daily tasks and social settings.
The specific learning disabilities associated with FASDs can vary widely between individuals, and there is no "one-size-fits-all" treatment. However, treatments can help improve outcomes. These may include medications, medical care, behaviour and education therapy, and parent training.
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Behavioural issues
Fetal Alcohol Spectrum Disorders (FASDs) are a group of conditions that can occur in a person exposed to alcohol before birth. FASDs can cause a range of physical and behavioural issues, and affect each individual differently. The conditions are entirely preventable if a developing baby is not exposed to alcohol.
- Impulsiveness
- Inattentiveness
- Poor judgment
- Hyperactivity
- Conduct disorder
- Disruptive behaviour
- Learning disabilities
- Poor school performance
- Poor social skills
- Difficulty with daily tasks
- Tantrums
FASDs are often misdiagnosed as ADHD due to the overlap in behavioural symptoms. However, FASDs are caused by prenatal alcohol exposure, whereas ADHD is not. Diagnosing FASDs can be challenging due to the variety of symptoms and the spectrum of severity. There is also no medical test, such as a blood test, to diagnose FASDs.
The specific behavioural issues experienced by individuals with FASDs can vary widely, and there is no "one-size-fits-all" treatment. Treatment plans should be tailored to the specific problems presented by each individual.
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Frequently asked questions
Fetal alcohol syndrome (FAS) is a preventable condition that can occur in a person exposed to alcohol before birth. It is characterised by growth deficiencies, distinct facial features, and other physical factors in addition to central nervous system (CNS) involvement.
People with FAS can have a range of disabilities, including problems with learning, memory, attention span, communication, vision, or hearing. They might have a mix of these problems. FAS often results in poor school performance and trouble getting along with others.
FAS is characterised by distinct facial features, including abnormal changes to parts of the face, such as the lips, eyes, and nose. Specifically, this can include short palpebral fissure lengths, a smooth philtrum, and a thin upper lip.
FAS is caused by alcohol exposure before birth. Alcohol use during pregnancy can result in FAS by interfering with the development of the baby's brain and other critical organs and physiological functions. There is no known safe amount of alcohol during pregnancy or when trying to get pregnant.











































