Clinical Conversations: Fetal Alcohol Syndrome – A Practical Approach for GPs | Part one

A/Prof Carmela Pestell

writer

A/Prof Carmela Pestell

Clinical Psychologist/Neuropsychologist; Co-Director, Robin Winkler Clinic, UWA

 

Fetal alcohol spectrum disorder (FASD) is an underdiagnosed condition that should be suspected in patients with neurodevelopmental delay, learning difficulties and in some cases, specific facial features.

Those who have been in the justice system are also at high risk, based on research by A/Prof. Carmela Pestell and her colleagues. She has been involved with FASD for decades and wants to increase awareness of this condition. Early diagnosis and intervention gives the best chance of a productive life for the person with FASD.

This is part one of this series. Read Part 2 >>

Practice points

• Epidemiological data from similar countries to Australia suggest that FASD likely to affect between 2% and 5% of the population.
• It occurs in all socioeconomic backgrounds but the prevalence is ten to forty times higher in certain high risk groups, such as children that are involved in the justice system or in child protection.
• It is not known if there is a safe level of alcohol use in pregnancy but certainly there’s a dose dependent relationship.
• FASD has three sentinel facial features, a short palpebral fissure length, a smooth philtrum and a thin upper lip. However, facial features only occur in a small proportion of cases, which contributes to the under-diagnosis of this condition. There also needs to be significant impairment in at least three neurodevelopmental domains, according to Australian Diagnostic Guidelines.
• We should not shaming mothers, because people obviously drink for a lot of reasons and often, it’s because they’ve been misinformed.

PASSWORD RESET

Forgot your password or password not working? Please enter your email address. You will receive an email with the link to set a new password.

Icon 2

NEXT LIVE Webcast

:
Days
:
Hours
:
Minutes
Seconds
Dr Nomvuyo Mothobi

Dr Nomvuyo Mothobi

Cervical Cancer Screening Update

Prof Andrew Sindone

Prof Andrew Sindone

Heart Failure – Non-Pharmacological Management

Prof Finlay Macrae AO

Prof Finlay Macrae AO

Gluten-Free Diet – A Practical Guide

Prof Andrew Sindone

Prof Andrew Sindone

Heart Failure – Multi-Disciplinary Cardiac Rehabilitation

Join us for the next free webcast for GPs and healthcare professionals

High quality lectures delivered by leading independent experts

Share this

Share this

A/Prof Carmela Pestell

writer

A/Prof Carmela Pestell

Clinical Psychologist/Neuropsychologist; Co-Director, Robin Winkler Clinic, UWA

Recent Posts

Latest GP poll

We asked GPs "To what extent do you support or oppose legislation to allow nurse practitioners and endorsed midwives to prescribe PBS medicines and provide Medicare services without an arrangement with a doctor?"

Strongly support

0%

Somewhat support

0%

Neither support nor oppose

0%

Somewhat oppose

0%

Strongly oppose

0%

Recent podcasts

Listen to expert interviews.
Click to open in a new tab

You have completed the Educational Activities component of this resource. 

Select ‘Confirm & claim CPD‘ to confirm you have engaged with this resource in its entirety and claim your CPD.

You will be taken to explore further CPD learning available to you.