Historique
Article de Périodique
Alcohol use in pregnancy and its impact on the mother and child (2020)
Auteur(s) :
OEI, J. L.
Année
2020
Page(s) :
2148-2163
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
199
Domaine :
Alcool / Alcohol
Discipline :
PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods)
Thésaurus mots-clés
ALCOOL
;
SYNDROME D'ALCOOLISATION FOETALE
;
GROSSESSE
;
MERE
;
ENFANT
;
FACTEUR DE RISQUE
;
ALLAITEMENT
;
EPIDEMIOLOGIE
;
SYMPTOME
;
MECANISME D'ACTION
Résumé :
AIMS: To review the impact of prenatal alcohol exposure on the outcomes of the mother and child.
DESIGN: Narrative review.
SETTING: Review of literature.
PARTICIPANTS: Mothers and infants affected by prenatal alcohol use.
MEASUREMENTS: Outcomes of mothers and children.
FINDINGS: Prenatal alcohol exposure is one of the most important causes of preventable cognitive impairment in the world. The developing neurological system is exquisitely sensitive to harm from alcohol and there is now also substantial evidence that alcohol-related harm can extend beyond the individual person, leading to epigenetic changes and intergenerational vulnerability and disadvantage. There is no known safe level or timing of drinking for pregnant or lactating women and binge drinking (> four drinks within 2 hours for women) is the most harmful. Alcohol-exposure increases the risk of congenital problems, including Fetal Alcohol Spectrum Disorder (FASD) and its most severe form, Fetal Alcohol Syndrome (FAS).
CONCLUSION: The impact of FASD and FAS is enduring and life-long with no current treatment or cure. Emerging therapeutic options may mitigate the worst impact of alcohol exposure but significant knowledge gaps remain. This review discusses the history, epidemiology and clinical presentations of prenatal alcohol exposure, focusing on FASD and FAS, and the impact of evidence on future research, practice and policy directions.
DESIGN: Narrative review.
SETTING: Review of literature.
PARTICIPANTS: Mothers and infants affected by prenatal alcohol use.
MEASUREMENTS: Outcomes of mothers and children.
FINDINGS: Prenatal alcohol exposure is one of the most important causes of preventable cognitive impairment in the world. The developing neurological system is exquisitely sensitive to harm from alcohol and there is now also substantial evidence that alcohol-related harm can extend beyond the individual person, leading to epigenetic changes and intergenerational vulnerability and disadvantage. There is no known safe level or timing of drinking for pregnant or lactating women and binge drinking (> four drinks within 2 hours for women) is the most harmful. Alcohol-exposure increases the risk of congenital problems, including Fetal Alcohol Spectrum Disorder (FASD) and its most severe form, Fetal Alcohol Syndrome (FAS).
CONCLUSION: The impact of FASD and FAS is enduring and life-long with no current treatment or cure. Emerging therapeutic options may mitigate the worst impact of alcohol exposure but significant knowledge gaps remain. This review discusses the history, epidemiology and clinical presentations of prenatal alcohol exposure, focusing on FASD and FAS, and the impact of evidence on future research, practice and policy directions.
Affiliation :
School of Women's and Children's Health, University of New South Wales, Randwick, NSW, Australia
Cote :
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