Breaking News
May 3, 2019 - Vaping and Smoking May Signal Greater Motivation to Quit
May 3, 2019 - Dementia looks different in brains of Hispanics
May 3, 2019 - Short-Staffed Nursing Homes See Drop In Medicare Ratings
May 3, 2019 - Study of teens with eating disorders explores how substance users differ from non-substance users
May 3, 2019 - Scientists develop new video game that may help in the study of Alzheimer’s
May 3, 2019 - Arc Bio introduces Galileo Pathogen Solution product line at ASM Clinical Virology Symposium
May 3, 2019 - Cornell University study uncovers relationship between starch digestion gene and gut bacteria
May 3, 2019 - How to Safely Use Glucose Meters and Test Strips for Diabetes
May 3, 2019 - Anti-inflammatory drugs ineffective for prevention of Alzheimer’s disease
May 3, 2019 - Study tracks Pennsylvania’s oil and gas waste-disposal practices
May 3, 2019 - Creating a better radiation diagnostic test for astronauts
May 3, 2019 - Vegans are often deficient in these four nutrients
May 3, 2019 - PPDC announces seed grants to develop medical devices for children
May 3, 2019 - Study maps out the frequency and impact of water polo head injuries
May 3, 2019 - Research on Reddit identifies risks associated with unproven treatments for opioid addiction
May 3, 2019 - Good smells may help ease tobacco cravings
May 3, 2019 - Medical financial hardship found to be very common among people in the United States
May 3, 2019 - Researchers develop multimodal system for personalized post-stroke rehabilitation
May 3, 2019 - Study shows significant mortality benefit with CABG over percutaneous coronary intervention
May 3, 2019 - Will gene-editing of human embryos ever be justifiable?
May 3, 2019 - FDA Approves Dengvaxia (dengue vaccine) for the Prevention of Dengue Disease in Endemic Regions
May 3, 2019 - Why Tonsillitis Keeps Coming Back
May 3, 2019 - Fighting the opioid epidemic with data
May 3, 2019 - Maggot sausages may soon be a reality
May 3, 2019 - Deletion of ATDC gene prevents development of pancreatic cancer in mice
May 2, 2019 - Targeted Therapy Promising for Rare Hematologic Cancer
May 2, 2019 - Alzheimer’s disease is a ‘double-prion disorder,’ study shows
May 2, 2019 - Reservoir bugs: How one bacterial menace makes its home in the human stomach
May 2, 2019 - Clinical, Admin Staff From Cardiology Get Sneak Peek at Epic
May 2, 2019 - Depression increases hospital use and mortality in children
May 2, 2019 - Vicon and NOC support CURE International to create first gait lab in Ethiopia
May 2, 2019 - Researchers use 3D printer to make paper organs
May 2, 2019 - Viral infection in utero associated with behavioral abnormalities in offspring
May 2, 2019 - U.S. Teen Opioid Deaths Soaring
May 2, 2019 - Opioid distribution data should be public
May 2, 2019 - In the Spotlight: “I’m learning every single day”
May 2, 2019 - 2019 Schaefer Scholars Announced
May 2, 2019 - Podcast: KHN’s ‘What The Health?’ Bye-Bye, ACA, And Hello ‘Medicare-For-All’?
May 2, 2019 - Study describes new viral molecular evasion mechanism used by cytomegalovirus
May 2, 2019 - SLU study suggests a more equitable way for Medicare reimbursement
May 2, 2019 - Scientists discover first gene involved in lower urinary tract obstruction
May 2, 2019 - Researchers identify 34 genes associated with increased risk of ovarian cancer
May 2, 2019 - Many low-income infants receive formula in the first few days of life, finds study
May 2, 2019 - Global study finds high success rate for hip and knee replacements
May 2, 2019 - Taking depression seriously: What is it?
May 2, 2019 - With Head Injuries Mounting, Will Cities Put Their Feet Down On E-Scooters?
May 2, 2019 - Scientists develop small fluorophores for tracking metabolites in living cells
May 2, 2019 - Study casts new light into how mothers’ and babies’ genes influence birth weight
May 2, 2019 - Researchers uncover new brain mechanisms regulating body weight
May 2, 2019 - Organ-on-chip systems offered to Asia-Pacific regions by Sydney’s AXT
May 2, 2019 - Adoption of new rules drops readmission penalties against safety net hospitals
May 2, 2019 - Kids and teens who consume zero-calorie sweetened beverages do not save calories
May 2, 2019 - Improved procedure for cancer-related erectile dysfunction
May 2, 2019 - Hormone may improve social behavior in autism
May 2, 2019 - Alzheimer’s disease may be caused by infectious proteins called prions
May 2, 2019 - Even Doctors Can’t Navigate Our ‘Broken Health Care System’
May 2, 2019 - Study looks at the impact on criminal persistence of head injuries
May 2, 2019 - Honey ‘as high in sugars as table sugar’
May 2, 2019 - Innovations to U.S. food system could help consumers in choosing healthy foods
May 2, 2019 - FDA Approves Mavyret (glecaprevir and pibrentasvir) as First Treatment for All Genotypes of Hepatitis C in Pediatric Patients
May 2, 2019 - Women underreport prevalence and intensity of their own snoring
May 2, 2019 - Concussion summit focuses on science behind brain injury
May 2, 2019 - Booker’s Argument For Environmental Justice Stays Within The Lines
May 2, 2019 - Cornell research explains increased metastatic cancer risk in diabetics
May 2, 2019 - Mount Sinai study provides fresh insights into cellular pathways that cause cancer
May 2, 2019 - Researchers to study link between prenatal pesticide exposures and childhood ADHD
May 2, 2019 - CoGEN Congress 2019: Speakers’ overviews
May 2, 2019 - A new strategy for managing diabetic macular edema in people with good vision
May 2, 2019 - Sagent Pharmaceuticals Issues Voluntary Nationwide Recall of Ketorolac Tromethamine Injection, USP, 60mg/2mL (30mg per mL) Due to Lack of Sterility Assurance
May 2, 2019 - Screen time associated with behavioral problems in preschoolers
May 2, 2019 - Hormone reduces social impairment in kids with autism | News Center
May 2, 2019 - Researchers synthesize peroxidase-mimicking nanozyme with low cost and superior catalytic activity
May 2, 2019 - Study results of a potential drug to treat Type 2 diabetes in children announced
May 2, 2019 - Multigene test helps doctors to make effective treatment decisions for breast cancer patients
May 2, 2019 - UNC School of Medicine initiative providing unique care to dementia patients
May 2, 2019 - Nestlé Health Science and VHP join forces to launch innovative COPES program for cancer patients
May 2, 2019 - Study examines how our brain generates consciousness and loses it during anesthesia
May 2, 2019 - Transition Support Program May Aid Young Adults With Type 1 Diabetes
May 2, 2019 - Study shows how neutrophils exacerbate atherosclerosis by inducing smooth muscle-cell death
May 2, 2019 - Research reveals complexity of how we make decisions
Earliest UK estimates of children affected in the womb by alcohol intake during pregnancy

Earliest UK estimates of children affected in the womb by alcohol intake during pregnancy

A report published on 30 November 2018 in Preventive Medicine reveals that a stunning 17 percent of children could possibly be affected by alcohol exposure during their intrauterine life. This refers to a group of lifelong conditions caused by prenatal drinking, called fetal alcohol spectrum disorder (FASD).

HTeam | Shutterstock

Drinking during pregnancy is extremely common in the UK, which ranks fourth in the world in this respect. However, there are no population-based studies to provide an approximation of the number of people with FASD.

FASD is often classified as a relatively invisible and underdiagnosed disability, due to the lack of overt physical symptoms and signs. There is only one clinic that deals with this specialty directly in England.

To address this need, a team from the University of Bristol and Cardiff University used a screening tool to gather a wide range of information on maternal alcohol intake during pregnancy. In collaboration with medical professionals, the research covered 13,495 children whose development had been followed in the Bristol’s Children of the 90s study.

The results were astonishing, showing alcohol exposure in up to 79 percent of children in the study, while a positive screen was obtained for FASD symptoms in up to 17 percent. The screen was defined to be positive if the child had problems with learning or behavior in at least three different areas, either with or without physical features such as growth deficiency and a distinctive facies marked by a smooth philtrum, a thin upper lip and small eye openings.

While the positive screening results for FASD were rightly distinguished from a diagnosis of the condition, the study outcome was disturbing in terms of the very high rate of drinking in pregnancy and the high prevalence of symptoms suggestive of FASD that it showed. This may indicate that FASD is probably a significant public health burden in the UK.

The ability to arrive at an approximate FASD prevalence is important since without such information, few people are likely to be aware of the condition. This would result in the condition going undiagnosed or being diagnosed late in children, adolescents and adults. As a result, they would be deprived of necessary support.

The researchers point out that the information they used is several years old. Meanwhile, the current medical opinion on the safety of drinking during pregnancy has officially changed. However, the rates of fetal alcohol exposure within the UK are still high, with recent information suggesting that 75 percent of women do drink while they are pregnant. A third of these women binge on alcohol. This could indicate that many people are currently experiencing FASD symptoms.

The most up-to-date guidance states that the safest approach is not to drink alcohol at all if you are pregnant, or if you think you may become pregnant. It is important that people are aware of the risks so that they can make an informed decision about drinking in pregnancy.”

Dr Cheryl McQuire, the leader of the study, who is a researcher in epidemiology and alcohol-related outcomes at the University of Bristol.

Moreover, she says, the study points to the need for future research to clearly identify how many people in the UK have FASD today.

Countries such as Canada, the US and Italy have made use of in-school screening measures to arrive at a prevalence of up to 10 percent among children, going up to a disturbing 30 percent when it comes to children who are being given care.

Another researcher, Dr Raja Mukherjee, who heads an FASD diagnostic clinic at Surrey and Boarders Partnership NHS Foundation Trust, pointed out that the current study shows an apparent mismatch between the findings and the rarity of the condition as reported by most clinicians. The research reveals that many people suffering with this condition are probably going undiagnosed in the general population.

It shows that it is a disorder that is seemingly hidden in plain sight that we need to pay attention to. Unless we start looking for it we will continue to miss it. If we fail to diagnose it then those affected individuals will continue to be affected by a lack of support… These results can be the first step in helping us in the UK to realise it is no longer a condition we can ignore.”

Dr Mukherjee

Sandra Butcher, Chief Executive of the NO-FAS UK, underlined the wide scope of the screening, saying that it “shines light on a staggeringly widespread and largely avoidable public health crisis.”

She states that the only way to go from here, for anyone in a position to influence or make public health policy and who cares about protecting those in society who are at most risk, both mentally and physically, is to put in place a complete training and action program which covers the prevention, diagnosis and support of FASD. Such support will be required lifelong, because FASD is an incurable condition, and requires increasing levels of support as affected children grow into adulthood and beyond.

The most current medical advice on drinking in pregnancy, from the Chief Medical Officer, in January 2016, states that for women who are pregnant or think they could become pregnant, it is safest to abstain from all alcohol to minimize the risk of fetal alcohol exposure. However, if small amounts of alcohol were ingested before pregnancy was detected or even during pregnancy, the risk of any toxicity is low, according to the guideline.

According to this advice, if a pregnant woman has drunk alcohol before knowing that she was pregnant, further drinking is to be avoided. It is safe to say that the baby will not be affected in the majority of these cases. The guideline goes on to suggest talking to a healthcare provider if a woman is concerned about using alcohol in pregnancy.

Source:

https://www.eurekalert.org/emb_releases/2018-11/uob-fue112718.php

Tagged with:

About author

Related Articles