KiwiParent from Parents Center NZ Test Volume | Page 30

alcohol & babies DON’T MIX We hear of so many physical disorders these days that it is tempting to ignore threats of more disorders as just another scare tactic to spoil our fun in life, or get us to spend money on something or other. However, foetal alcohol spectrum disorder (FASD) really is very serious. It’s permanent. If your baby is adversely affected by alcohol while still in the womb, there is no cure, and treatment can only hope to make the condition manageable at best. As foetal alcohol syndrome (FAS) has become more extensively studied, it has become recognised as a spectrum of disorders, rather than a single disorder. Its name has therefore been changed to FASD, incorporating the disorders that particularly attack the nervous system and brain. As the title indicates, this range of disorders is caused by alcohol affecting the unborn baby. While some stages of foetal development are especially critical, alcohol in the mother’s blood system crosses into the baby’s blood at any stage of pregnancy, so if you suspect you are pregnant – or even if there is just a possibility of it – avoid alcohol entirely, as there really is no safe limit. So, what are the effects of FASD? ? We’ve all heard that alcohol can kill brain cells. When it does that in a baby, whose cells are rapidly dividing and developing, there is no way for that child’s brain to recover. The effects of FASD are noticeably related to the organs that develop in the mother’s womb at the earliest stages – the heart, nervous system and especially the brain. A low IQ is the most noticeable symptom of FASD. This isn’t just an issue of getting poor scores in school test results. It also means that children aren’t able to figure things out very well generally, and their behaviour can also be bizarre and extremely difficult to manage. They usually have poor memories, and are often very unhappy. Heart defects, low birth weight and poor overall health are more common than in other babies. Many of these unfortunate children have noticeable differences in their face structure, such as small eyes, thin upper lips, flattened face and nose, and a small lower jaw. They may also be prone to muscular and joint problems. They are much more likely to become a long-term burden to parents and society because they are unable to cope with independence as adults. FASD is considered the leading preventable cause of mental retardation in the developed world. There is good news in that sentence – it is preventable. In fact, it is one of the easiest conditions to prevent, and the way to do it is obvious. The first three months are the most critical. Unfortunately, that is the period of time when a mother may still not have realised she is pregnant, and the maternal instincts that prompt pregnant women to make changes may not yet have kicked in. If a woman commonly drinks socially, she may not yet be willing to abstain, especially if she doesn’t recognise the danger. The rising disaster NZ Children’s Commisioner, Russell Willis (a paediatrician practicing in Hawke’s Bay) has expressed his alarm at Continued overleaf... subscribe online at www.kiwiparent.co.nz – kiwiparent 29