Definition Fetal Alcohol Syndrome comes from the umbrella term Fetal Alcohol Syndrome Disorders (FASDs). This occurs when a pregnant woman drinks alcohol during pregnancy. Damage can already be done in just the first few weeks of pregnancy (even if the soon-to-be mother does not know she is pregnant). Who, When, and How FAS was not a widely known disorder until 1973 when it was called a “tragic disorder” by David W. Smith and Kenneth L. Jones who were physicians studying at the University of Washington Smith and Jones examined a group of 8 children at the University’s Harborview Medical Center to try to determine what caused the developmental delays Who, When, and How Cont. 4 of the 8 children were observed with similar growth deficiencies, abnormally small heads, and delays in cognitive development. All 8 of the mothers of the children observed were alcoholics. Smith and Jones suspected that alcohol might be acting as a teratogen (an agent that causes damage to an embryo) and thus, causing the developmental defects observed in the children. Biological Factors When a pregnant woman drinks alcohol, some of that alcohol easily passes across the placenta to the fetus. The body of a developing fetus doesn’t process alcohol the same way as an adult does. The alcohol is more concentrated in the fetus, and it can prevent enough nutrition and oxygen from getting to the fetus’s vital organs. (FAS is a biological syndrome, thus I did not find any known environmental factors) Red Flags/Characteristics FAS can result in a variety of symptoms, ranging from mild to severe. A physical exam of the baby may show a heart murmur (sounds during your heart beat cycle) or other heart problems. As the baby matures, there may be other signs that help confirm the diagnosis. These include: 1. slow rate of growth 2. abnormal facial features (a smooth ridge between the upper lip and nose, small and wide-set eyes, thin upper lip, etc) 3. hearing and vision problems 4. slow language acquisition 5. small head size 6. poor coordination 7. delayed development and problems in thinking, speech, movement, and social skills Age of Onset Inthe most severely affected children, FAS can be diagnosed at birth, however, the characteristic physical features are most pronounced between eight months and eight years of age https://www.youtube.com/watch?v=I2c mss3tZ1s What Has Become Known About FAS 1988 a US federal-level Surgeon General’s warning was issued that cautioned against drinking when pregnant, and was required to be displayed on all alcoholic products. Since then, there has been an outburst of court cases charging mothers who drink during pregnancy with reckless endangerment, child abuse, or attempted homicide. The discovery of FAS presented the need to redefine how society perceives its role in regulating drinking when pregnant, a relationship that continues to be defined today References Armstrong, E. M. & E L. Abel, E. L. (2000) Fetal alcohol syndrome: The origins of a moral panic, Alcohol and Alcoholism, 35(3), 276–282, https://doi.org/10.1093/alcalc/35.3.276. Diagnosis of fetal alcohol syndrome (FAS). (2003). The Canadian Child and Adolescent Psychiatry Review, 12(3), 81–86. FASDfamilies. (2012, November 5). The faces of FASD. Retrieved from https://www.youtube.com/watch?v=I2cmss3tZ1s Fetal Alcohol Syndrome, (2017, August). Healthline. Retrieved from https://www.healthline.com/health/fetal- alcohol-syndrome O’Neil, E. (2011) The Discover of Fetal Alcohol Syndrome. The Embryo Project Encyclopedia. Retrieved from https://embryo.asu.edu/pages/discovery-fetal-alcohol- syndrome.