| Pediatricians' knowledge, training, and experience in the care of children with fetal alcohol syndrome. | |
| | |
MedLine Citation:
|
PMID: 16950957 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: Prenatal exposure to alcohol interferes with fetal development and is the leading preventable cause of birth defects and developmental disabilities. The purpose of this study was to identify current knowledge, diagnosis, prevention, and intervention practices related to fetal alcohol syndrome and related conditions by members of the American Academy of Pediatrics. METHODS: This study was developed collaboratively by the American Academy of Pediatrics and the Centers for Disease Control and Prevention. Questionnaires were mailed to a 3% random sample (n = 1600) of American Academy of Pediatrics members in the United States. General pediatricians, pediatric subspecialists, and pediatric residents were included. RESULTS: Participation rate was 55% (n = 879). Respondents almost universally knew the teratology and clinical presentation of fetal alcohol spectrum disorders. However, they were less likely to report comfort with routine pediatric care of these children. Whereas 62% felt prepared to identify and 50% felt prepared to diagnose, only 34% felt prepared to manage and coordinate the treatment of children with fetal alcohol spectrum disorders. Even fewer (n = 114 [13%]) reported that they routinely counsel adolescent patients about the risks of drinking and pregnancy. CONCLUSIONS: The survey confirms that pediatricians are knowledgeable about fetal alcohol syndrome but do not feel adequately trained to integrate the management of this diagnosis or prevention efforts into everyday practice. Furthermore, the respondents were not active in routine anticipatory guidance with adolescents for prevention of alcohol-affected pregnancies. The development, dissemination, and implementation of best practice tools for prevention, diagnosis, and referral of fetal alcohol syndrome that are specific for general and subspecialist pediatricians are recommended. |
| | |
Authors:
|
Sheila Gahagan; Tanya Telfair Sharpe; Michael Brimacombe; Yvonne Fry-Johnson; Robert Levine; Mark Mengel; Mary O'Connor; Blair Paley; Susan Adubato; George Brenneman |
Related Documents
:
|
10844537 - Paternal transmission of genetic damage: findings in animals and humans. 18609307 - Intergenerational effects of cocaine on maternal aggressive behavior and brain oxytoci... 20727217 - Women's knowledge and attitudes regarding alcohol consumption in pregnancy: a national ... 4033867 - Factors affecting the outcome of maternal alcohol exposure: ii. maternal age. 15936867 - Drug intake behaviour of immigrants during pregnancy. 3778597 - Acute carbon monoxide poisoning during pregnancy. |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Pediatrics Volume: 118 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2006 Sep |
Date Detail:
|
Created Date: 2006-09-04 Completed Date: 2006-09-29 Revised Date: 2007-11-14 |
Medline Journal Info:
|
Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
|
Languages: eng Pagination: e657-68 Citation Subset: AIM; IM |
Affiliation:
|
Center for Human Growth and Development, University of Michigan, Ann Arbor, Michigan 48109-0406, USA. sgahagan@umich.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Female Fetal Alcohol Syndrome / diagnosis*, prevention & control, therapy* Health Care Surveys Health Knowledge, Attitudes, Practice* Humans Infant, Newborn Pediatrics* Physician's Practice Patterns / statistics & numerical data* Pregnancy Societies, Medical |
| Grant Support | |
ID/Acronym/Agency:
|
U59/CCU521266//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Changing their minds with time: a comparison of hypothetical and actual reproductive behaviors in pa...
Next Document: Adverse perinatal outcomes and risk for postpartum suicide attempt in Washington state, 1987-2001.