Fetal Alcohol Spectrum Disorder (FASD)

FASD Prevention

Fetal Alcohol Spectrum Disorders (FASD) are a group of conditions that can occur in a person whose mother drank alcohol during pregnancy. FASD is the leading known preventable cause of permanent learning disability worldwide and is caused by maternal use of alcohol during pregnancy. Avoiding alcohol during pregnancy and when trying to become pregnant is the only way to be sure that the baby will not be affected by FASD. FASDs are completely preventable if a woman does not drink alcohol during pregnancy.

Fetal Alcohol Syndrome (FAS) is one of the most serious consequences of heavy drinking during pregnancy. FAS is a devastating group of birth defects characterized by malformations of the skull and face, neurological and movement problems, intrauterine growth retardation, learning disabilities, and behavioral and social problems. It is estimated that for every child born with FAS, three additional children are born who may not have the physical characteristics of FAS, but who, as a result of prenatal alcohol exposure, still experience neurobehavioral deficits that affect learning and behavior. NIH Fact Sheet on Fetal Alcohol Syndrome Exit Disclaimer: You Are Leaving www.ihs.gov 

Fetal alcohol exposure occurs when a woman drinks alcohol while pregnant. Alcohol can disrupt, or interfere with the development of the fetus (baby) at any stage during pregnancy including at the earliest stages before a woman even knows she is pregnant.

Research shows that binge drinking, which for women means drinking four or more drinks per occasion, and heavy drinking, puts a fetus at the greatest risk for severe problems. But even lesser amounts can cause damage. In fact, there is no known safe level of alcohol that a pregnant woman can drink, and no safe type of alcohol (wine, beer, distilled spirits or hard liquor).

Related Links

• FASD Fact Sheet Exit Disclaimer: You Are Leaving www.ihs.gov  – National Institute on Alcohol Abuse and Alcoholism (NIAAA)
• FASD Prevention Tool Kit for Women’s Health Providers Exit Disclaimer: You Are Leaving www.ihs.gov  – Centers for Disease Control and Prevention (CDC)
• National Organization on Fetal Alcohol Syndrome (NOFAS) YouTube Channel Exit Disclaimer: You Are Leaving www.ihs.gov – NOFAS

FASD Patient Education for Expectant Mothers and Parents

Resources include downloadable brochures and fact sheets.

• FASD Information for Women Exit Disclaimer: You Are Leaving www.ihs.gov – CDC
• Information for Families Exit Disclaimer: You Are Leaving www.ihs.gov – CDC
• FASD Center for Excellence Exit Disclaimer: You Are Leaving www.ihs.gov – Substance Abuse and Mental Health Services Administration (SAMHSA)

Other FASD Resources

• CDC Alcohol Fact Sheets Exit Disclaimer: You Are Leaving www.ihs.gov  – CDC
• Alcohol and Health Exit Disclaimer: You Are Leaving www.ihs.gov – NIAAA

FASD Resources for Providers

• The ARC FASD Conversation Guide for Healthcare Providers [PDF - 1.8 MB]
• FASD Center of Excellence Native Resource Kit Exit Disclaimer: You Are Leaving www.ihs.gov  – SAMHSA
• FASD Information for Healthcare Providers Exit Disclaimer: You Are Leaving www.ihs.gov  – CDC

Motivational Interviewing Skills and Techniques

• Motivational Interviewing Skills and Techniques Exit Disclaimer: You Are Leaving www.ihs.gov  – SAMHSA-HRSA Center for Integrated Health Solutions

Screening and Assessment Tools for Alcohol Use

• Treatment Improvement Protocol (TIP) 58: Addressing Fetal Alcohol Spectrum Disorders Exit Disclaimer: You Are Leaving www.ihs.gov 
• Screening Tools for Alcohol Use Exit Disclaimer: You Are Leaving www.ihs.gov 
• Alcohol and Women: How to Screen and Intervene Exit Disclaimer: You Are Leaving www.ihs.gov  – video featuring CDC expert Dr. Joe Sniezek

FASD Referral Sources

• FASD Resource Directory by State Exit Disclaimer: You Are Leaving www.ihs.gov 
• SAMHSA’s Behavioral Health Treatment Services Locator Exit Disclaimer: You Are Leaving www.ihs.gov 

FASD Training

• CDC Training and Education Resources Exit Disclaimer: You Are Leaving www.ihs.gov 
• SAMHSA FASD Center of Excellence Training Exit Disclaimer: You Are Leaving www.ihs.gov 
• Association of Reproductive Health Professionals (ARHP) Course Exit Disclaimer: You Are Leaving www.ihs.gov 

Additional FASD Provider Resources

• SAMHSA Fetal Alcohol Spectrum Disorders Center of Excellence Exit Disclaimer: You Are Leaving www.ihs.gov 
• American Congress of Obstetricians and Gynecologists (ACOG) Clinicians Toolkit Exit Disclaimer: You Are Leaving www.ihs.gov 
• American Academy of Pediatricians’ FASD Toolkit Exit Disclaimer: You Are Leaving www.ihs.gov 
• A Call to Action: A Report of The National Task Force on Fetal Alcohol Syndrome/Fetal Alcohol Exposure Exit Disclaimer: You Are Leaving www.ihs.gov