Heavy drinking during pregnancy could mean serious problems for the child. The situation is acute in Germany, and hence many are calling for a concerted campaign to fight the disastrous trend.
Every year, almost 4000 babies in Germany are born with alcohol-related defects. The mothers of these children have often drunk alcohol regularly during the pregnancy. The consequences are often devastating and commonly persist into adulthood.
The various forms of fetal alcohol spectrum disorders are presented by pediatricians Hans-Ludwig Spohr and Hans-Christoph Steinhausen in the latest issue of
Deutsches Ärzteblatt. Despite intensive research, the precise pathogenetic mechanism of intrauterine alcohol damage remains to be clearly established. Affected neonates are too small and underweight, with craniofacial deformities. A narrowed palpebral fissure and a thin upper lip are typical manifestations. The children's physical and mental development is delayed, the research paper says.
Many children so affected are poor learners or they display conspicuous behavior. Psychiatric and neurological disorders such as depression and epileptic seizures occur with increased frequency in them.
Longitudinal studies confirm the horrible consequences of intrauterine alcohol exposure into adulthood. These consequences are independent of the initial phenomenological diagnosis in childhood, and limit opportunities for independent living for affected individuals.
Fetal alcohol spectrum disorders are therefore a lifelong diagnosis, whose significance needs to be borne in mind by doctors if affected individuals are to receive available help for their numerous problems.