Document Detail

Failure to recognize fetal alcohol syndrome in newborn infants.
MedLine Citation:
PMID:  2403097     Owner:  NLM     Status:  MEDLINE    
A clinically distinct constellation of major and minor anomalies, termed the fetal alcohol syndrome, occurs among infants whose mothers abuse alcohol during pregnancy. In addition, significantly higher rates of pregnancy complications, including perinatal deaths and fetal growth retardation, occur among these women and their offspring. We studied the medical records of 40 infants born to 38 alcohol abusers and the frequency of characteristics associated with fetal alcohol syndrome. Physical examinations of 6 infants revealed primary features consistent with a diagnosis of fetal alcohol syndrome. Postnatal growth and development were very poor in 17 (50%) of 34 liveborn alcohol-exposed infants. The diagnosis of fetal alcohol syndrome did not appear in the medical records of any of these infants despite the fact that the mothers' obstetric records included a history of alcohol abuse during pregnancy. This finding emphasizes the importance of good communication between obstetric and pediatric medical staff at this hospital, particularly when providing care for pregnant women and newborn infants at high risk for complications due to maternal alcohol or other drug abuse.
B B Little; L M Snell; C R Rosenfeld; L C Gilstrap; N F Gant
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  144     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1990-10-23     Completed Date:  1990-10-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1142-6     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas 75235-9032.
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MeSH Terms
Alcoholism / complications
Fetal Alcohol Syndrome / diagnosis*,  epidemiology
Infant, Newborn
Pregnancy Complications
Pregnancy Outcome
Substance-Related Disorders / complications
Texas / epidemiology
Comment In:
Am J Dis Child. 1991 Jul;145(7):721   [PMID:  2058598 ]

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