Sunday, February 7, 2016

Module 3 Assignment 1

Alcohol is a teratogen that should be avoided during pregnancy. Mothers who drink during pregnancy put their child to risk for developing fetal alcohol syndrome (FAS). FAS can result in growth problems as well as mental and other physical congenital defects. Alcohol is a toxin that affects the developing central nervous system of the fetus. Children with fetal alcohol syndrome often show slow physical growth, delayed mental development that can be mild to serve, facial abnormalities, heart defeats, and abnormalities of the skeleton. These children usually have mental retardation and frequently have behavior problems and hyperactivity.
The behavioral and cognitive impairments associated with FAS reflect underlying structural or functional changes in the brain. Techniques for viewing the living brain, such as magnetic resonance imaging (MRI), reveal reduced overall brain size in persons with FAS and disproportionate reductions in the size of specific brain structures.
One such area is the deep-brain structure called the basal ganglia. Damage to the basal ganglia impairs spatial memory and set shifting in animals and various cognitive processes in humans. Another common finding is reduced size of the cerebellum, a structure involved in balance, gait, coordination, and cognition. Finally, prenatal alcohol exposure is the major cause of impaired development or complete absence of the corpus callosum, a band of nerve fibers that forms the major communication link between the right and left halves of the brain. Approximately 7 percent of children with FAS may lack a corpus callosum, an incidence rate 20 times higher than that in the general population.


Pregnant women may be putting their unborn babies at risk thanks to conflicting advice on how much alcohol it's safe to drink while expecting. One in 100 babies are born in Britain each year brain-damaged with Foetal Alcohol Spectrum Disorder (FASD), ITV documentary Exposure: When Pregnant Women Drink reveals this week - and many mothers may be unwittingly putting their babies at risk because they've been led to believe it's okay to drink one or two units a week. In fact, some mothers, including Sam whose 11-year-old son Stanley has FASD, believed that some alcoholic drinks, such as Guinness, were even good for the baby. 
Damage: Stanley was born with Foetal Alcohol Spectrum Disorder and struggles to communicate 'I was told he had frontal lobe brain damage, cognitively he would be behind and his social skills would be poor. His difficulties to communicate can make him angry.' 
The Government's current guidelines advise that those who are pregnant, or trying to get pregnant, should avoid alcohol altogether – but then adds, 'If women do choose to drink, to minimise the risk to the baby, we recommend they should not drink more than one to two units once or twice a week and they should not get drunk.' The Royal College of Obstetricians and Gynaecologists has taken a similar view, stating: 'There is no proven safe amount of alcohol that you can drink during pregnancy. It is also often difficult to work out just how much you are drinking, especially if you have a drink at home. 'The only way to be certain that your baby is not harmed by alcohol is not to drink at all during pregnancy or while breastfeeding.
 What it's doing is it's stopping normal development, it's interfering with the process, so you've got brain cells being killed off, you get brain cells in the wrong place, you've got parts of the brain that just are absent
Dr Raja Mukherjee 

'It is recommended that you do not drink alcohol during the first three months of pregnancy. 
'Drinking small amounts of alcohol after this time does not appear to be harmful for the unborn baby, but you should not: drink more than one or two units, and then not more than once or twice per week. Binge drink (which for a woman is when she has six units or more of alcohol on any one occasion).' Meanwhile the National Institute for Health and Care Excellence (NICE) recommend women abstain from alcohol completely during the first three months of pregnancy because of the risks of miscarriage. Then for the remainder of the pregnancy, they recommend drinking no more than one or two units of alcohol once or twice a week. However in countries including the USA, Canada, France and South Africa, pregnant women are told to avoid alcohol completely for the entire time they are carrying a baby. Due to such conflicting views, many British expectant mothers admitted on Exposure that they don't know what to think. Some were given no information on alcohol consumption, while others found the NHS guidelines confusing and contradictory. One mother-to-be said on the show: My understanding is you shouldn't - but you can drink a little if you want to.' Another admitted: 'The internet tells you all sort of different things, I got confused.'







Sam, whose last name is not revealed, admits she had an addiction to alcohol that made it hard for her to give it up when she was pregnant. But she said she also wasn't warned enough about the dangers to her baby as a result of her drinking habit.
She said: 'I used to go and have my scans and then have a couple of pints of Guinness and a brandy. I thought Guinness was good for the baby.
'I wasn't given any advice. I presumed I could get drunk and it would just leave my system.
'I hadn't heard of Foetal Alcohol Spectrum Disorder, I wasn't told. Had I known the facts I may have been shocked enough to seek help.' Damage: Stanley was born with Foetal Alcohol Spectrum Disorder and struggles to communicate 'I was told he had frontal lobe brain damage, cognitively he would be behind and his social skills would be poor. His difficulties to communicate can make him angry.' The Government's current guidelines advise that those who are pregnant, or trying to get pregnant, should avoid alcohol altogether – but then adds, 'If women do choose to drink, to minimise the risk to the baby, we recommend they should not drink more than one to two units once or twice a week and they should not get drunk.' The Royal College of Obstetricians and Gynaecologists has taken a similar view, stating: 'There is no proven safe amount of alcohol that you can drink during pregnancy. It is also often difficult to work out just how much you are drinking, especially if you have a drink at home. 'The only way to be certain that your baby is not harmed by alcohol is not to drink at all during pregnancy or while breastfeeding.
 'It is recommended that you do not drink alcohol during the first three months of pregnancy. 
'Drinking small amounts of alcohol after this time does not appear to be harmful for the unborn baby, but you should not: drink more than one or two units, and then not more than once or twice per week. Binge drink (which for a woman is when she has six units or more of alcohol on any one occasion).' Meanwhile the National Institute for Health and Care Excellence (NICE) recommend women abstain from alcohol completely during the first three months of pregnancy because of the risks of miscarriage. Then for the remainder of the pregnancy, they recommend drinking no more than one or two units of alcohol once or twice a week. However in countries including the USA, Canada, France and South Africa, pregnant women are told to avoid alcohol completely for the entire time they are carrying a baby. Due to such conflicting views, many British expectant mothers admitted on Exposure that they don't know what to think. Some were given no information on alcohol consumption, while others found the NHS guidelines confusing and contradictory. One mother-to-be said on the show: My understanding is you shouldn't - but you can drink a little if you want to.
How Alcohol Affects the Baby's Brain:
The most common effect is permanent brain damage which leads to learning disabilities, behavior problems, memory deficits, attention deficit hyperactive disorder, and/or mental retardation. This is called "static encephalopathy" meaning brain damage that doesn't get any better and doesn't get any worse. There is way to reverse the damage. More subtle damage from occasional binge drinking can cause damage that is like buck shot - scattered holes in the brain that affect whatever area that was developing at the time, causing brain cells death, migration of cells to the wrong place, or tangles in the neurons with inaccurate connections. 'Another admitted: 'The internet tells you all sort of different things, I got confused.


 














References
Birth Defects and Brain Development – body, last, cause. Retrieved from
 www.humanillnesses.com
Fetal Alcohol Exposure and the Brain. – Alcohol Alert No. 50. Retrieved from
 pubs.niaaa.nih.gov/
Mother’s grief at damaging son’s brain with pregnancy drinking. Retrieved from
            www.dailymail.co.uk/…/Mother-s-grief-damaging-son-s-brain…













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