Strategies for Prevention of Fetal Alcohol Effects
Strategies for Prevention of Fetal Alcohol Effects
复制标题
预防胎儿酒精影响的策略
作者：
H. Rosett;L. Weiner;K. Edelin
酒精对胎儿的影响包括广泛的问题；完全性胎儿酒精综合症是光谱的极端。在临界剂量下，酒精可能会对母体-胎盘-胎儿系统产生多种不利影响。结果的可变性可能与饮酒模式和生物易感性的个体差异有关。在波士顿城市医院产前诊所，为报告酗酒的孕妇提供治疗。孕晚期前母亲酒精摄入量的减少与新生儿结局的改善有关。产科医生的办公室是一个潜在的预防计划的地点。10个问题的饮酒史使医生能够识别有风险的孕妇。以减少酒精使用为重点的支持性咨询可以与常规的产前护理相结合。没有及时反应的孕妇应该被转介到专门的治疗方案中。这一战略有可能改善母亲和婴儿的健康。
The effects of alcohol on the fetus include a wide range of problems; the complete fetal alcohol syndrome is the extreme end of the spectrum. At critical doses alcohol has the potential for multiple adverse effects on the maternal-placental- fetal system. Variability of outcome probably is related to individual differences in drinking patterns as well as in biologic susceptibility. At Boston City Hospital Prenatal Clinic, therapy was provided for pregnant women who reported drinking heavily. Reduction in maternal alcohol consumption before the third trimester was associated with improved neonatal outcome. The obstetrician's office is a potential site for prevention programs. A 10-question drinking history enables physicians to identify pregnant women at risk. Supportive counseling focused on reduction of alcohol use can be integrated with regular prenatal care. Pregnant women who do not respond promptly should be referred to specialized treatment programs. This strategy has the potential to improve the health of both mother and infant.