The Wisconsin Fetal Alcohol Syndrome Screening Project.

作者: Marianne E. Weiss , Christine E. Cronk , Sara Zirbel , Sandra Mahkorn , Randall Glysch

DOI:

关键词:

摘要: Problem: Fetal Alcohol Syndrome (FAS) is preventable, under-diagnosed, and under-reported. Wisconsin rates for alcohol use binge drinking in childbearing-age women exceed the national average. FAS prevalence has not previously been systematically evaluated. Methods: The Screening Project (WFASSP) used a multi-stage, multisource prospective population-based screening methodology to identify children born 1998-1999 Southeast who met surveillance case definition FAS. 4-stage of electronic birth files, abstraction neonatal medical records, direct assessment facial features, growth, development at age 2 3 years. Results: rate was 0.23 per 1000 births. Children directly evaluated had fewer demographic, pregnancy, maternal substance risk factors than lost-to-follow-up children. Thirty-two percent with weight head circumference below 10th percentile were developmentally delayed 47% least one physical growth delay. Conclusions: WFASSP identified diagnosed Using combination useful identifying substantial developmental delays from or other unspecified etiologies.

参考文章(20)
M. Louise Martin, Karen Hymbaugh, Margarett Davis, Joseph F. Cordero, R. Louise Floyd, Tracking the Prevalence of FAS. Alcohol health and research world. ,vol. 18, pp. 82- 85 ,(1994)
Kathleen R. Stratton, Frederick C. Battaglia, Cynthia J. Howe, Fetal Alcohol Syndrome: Diagnosis, Epidemiology, Prevention, and Treatment ,(2013)
Judith E. Allanson, Judith G. Hall, Ursula G. Froster-Iskenius, Handbook of Normal Physical Measurements ,(1989)
J. Phillip Gossage, Philip A. May, Estimating the prevalence of fetal alcohol syndrome. A summary. Alcohol Research & Health. ,vol. 25, pp. 159- 167 ,(2001)
Lula O. Lubchenco, Charlotte Hansman, Edith Boyd, Intrauterine growth in length and head circumference as estimated from live births at gestational ages from 26 to 42 weeks. Pediatrics. ,vol. 37, pp. 403- 408 ,(1966)
Ernest L. Abel, An update on incidence of FAS: FAS is not an equal opportunity birth defect. Neurotoxicology and Teratology. ,vol. 17, pp. 437- 443 ,(1995) , 10.1016/0892-0362(95)00005-C
Karen Hymbaugh, Lisa A. Miller, Charlotte M. Druschel, Danise W. Podvin, F. John Meaney, Coleen A. Boyle, , A multiple source methodology for the surveillance of fetal alcohol syndrome?The Fetal Alcohol Syndrome Surveillance Network (FASSNet) Teratology. ,vol. 66, pp. S41- S49 ,(2002) , 10.1002/TERA.90010
Robert J Sokol, Virginia Delaney-Black, Beth Nordstrom, None, Fetal Alcohol Spectrum Disorder JAMA. ,vol. 290, pp. 2996- 2999 ,(2003) , 10.1001/JAMA.290.22.2996
Susan J. Astley, Sterling K. Clarren, A case definition and photographic screening tool for the facial phenotype of fetal alcohol syndrome The Journal of Pediatrics. ,vol. 129, pp. 33- 41 ,(1996) , 10.1016/S0022-3476(96)70187-7
Alexander, Kogan, Himes, Mor, Goldenberg, Racial differences in birthweight for gestational age and infant mortality in extremely‐low‐risk US populations Paediatric and Perinatal Epidemiology. ,vol. 13, pp. 205- 217 ,(1999) , 10.1046/J.1365-3016.1999.00174.X