How Alcohol Affects the Unborn Baby
An unborn baby is nourished through the mother's placenta. When
the mother drinks, alcohol passes freely through the placenta to the unborn
baby, or fetus. When the mother has alcohol in her bloodstream, there
will be alcohol in the baby's bloodstream too. As the fetus's liver
is still developing, it does not work as quickly as the mother's liver
in breaking down the alcohol. Therefore, alcohol stays in the unborn
baby's body longer. Both alcohol and its major breakdown product,
acetaldehyde, cross the placenta and can damage the developing fetus.
Fetal Alcohol Syndrome
Fetal Alcohol Syndrome, or FAS, is a pattern of mental and physical
defects that may occur in some individuals whose mothers drank a lot of
alcohol during pregnancy. FAS is a life-long condition -- a
child with FAS becomes an adult with FAS.
Characteristics of People with FAS
There are three groups of characteristics present in an individual born
with FAS:
3. Facial Abnormalities
In addition to these three groups of problems, individuals with FAS
often have other health concerns. Abnormalities of the skeleton,
cleft lip and palate, heart defects and other internal organ problems are
common in individuals with FAS.
All of these characteristics can be present in people who do not have
FAS.
Factors Involved in FAS
No one can predict which infants born to mothers who drink will be affected,
nor can anyone predict how severe these effects will be. Not every
woman who drinks during pregnancy, even though she may drink heavily, will
have a child with FAS.
Four factors affect how severe the damage will be to the unborn baby:
1. The time in the pregnancy at which alcohol is consumed.
Prevention
Fetal Alcohol Syndrome is preventable by avoiding alcohol during pregnancy.
The safest decision a woman can make is to avoid completely beer, wine
and hard liquor during her pregnancy. If a woman is planning a pregnancy,
she should decide to stop drinking before becoming pregnant. Women
who need assistance to stop drinking during pregnancy should be advised
to consult with their doctors or should be directed to agencies that can
assist them to stop drinking.
Babies born with FAS are noticeably smaller than other babies.
Their growth does not usually catch up" to that of other children.
They remain small throughout their lives.
2. Central Nervous System Dysfunction
Poor growth of the central nervous system may result in intellectual
and developmental disabilities, short attention span, learning disabilities,
hyperactivity, poor muscle tone and poor coordination. The
brain also fails to grow, staying smaller than that of other individuals
of the same age.
The face of a baby with FAS does not form in the usual manner.
The result may include small eye openings; drooping eyelids; flat, wide
nose bridge; thin upper lip; flat groove between the nose and the upper
lip.
Although the fetus may be most at risk in the first three months when
vital organs are being formed, damage can occur anytime during the pregnancy.
Alcohol may affect whatever growth or development is taking place at the
time of the mother's consumption. The unborn baby's brain develops
throughout the pregnancy.
2. The amount of alcohol consumed during the pregnancy.
We know that there is a significant risk of FAS as well as stillbirth
and spontaneous abortion with "heavy" drinking. However, no one knows
how much alcohol a pregnant woman can drink without hurting the baby.
"Binge" drinking, which sharply raises the amount of alcohol in the blood,
greatly increases the risk to the baby.
3. Individual susceptibility to alcohol.
Genetic factors determine the baby's ability to deal with the alcohol
in its system. These genetic factors also determine how quickly the
alcohol in the baby's system can be broken down.
4. Nutrition.
Alcohol affects how the placenta transfers important nutrients necessary
for fetal growth. Good nutrition for the fetus is important throughout
the entire pregnancy.
Committee on Substance Abuse and Committee on Children With Disabilities. "Fetal Alcohol Syndrome and Fetal Alcohol Effects." Pediatrics 1993; 91:1004-1006.
Morse, B.; Weiner, L., "FAS Pediatric Issues." Fetal Alcohol Education Program: Brookline Massachusetts, 1995.
For printed copies of this Fact Sheet, contact the Saskatchewan Institute
on Prevention of Handicaps.