Kvigne Valborg L, Leonardson Gary R, Borzelleca Joseph, Brock Ellen, Neff-Smith Martha, Welty Thomas K
Aberdeen Area Indian Health Service, Public Health Service Indian Hospital, Rapid City, SD, USA.
J Am Board Fam Pract. 2003 Jul-Aug;16(4):296-303. doi: 10.3122/jabfm.16.4.296.
Health care providers can more effectively prevent fetal alcohol syndrome and prenatal alcohol exposure if they know more about mothers who have children with fetal alcohol syndrome (FAS) or some characteristics of FAS.
We conducted two retrospective case-control studies of Northern Plains Indian children with FAS and some characteristics of FAS diagnosed from 1981 to 1993 by using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), code 760.71. We compared mothers who had children with FAS or some characteristics of FAS with mothers who had children that did not have FAS.
Compared with control mothers, 43 mothers who had children with FAS and 35 mothers who had children with some characteristics of FAS were older, had fewer prenatal visits, more pregnancies, more mental health problems, and more injuries (both total and alcohol-related). Although the prevalence of drinking was high in both case and control mothers, case mothers had more alcohol-related medical problems, drank heavily, in binges, and daily more often than control mothers.
Women with injuries and mental health problems should be screened for substance use. Mothers of children with FAS or of some characteristics of FAS have numerous needs that must be addressed to prevent future prenatal alcohol exposure.
如果医疗保健提供者对患有胎儿酒精综合征（FAS）孩子的母亲或FAS的某些特征有更多了解，他们就能更有效地预防胎儿酒精综合征和产前酒精暴露。
我们对1981年至1993年期间根据国际疾病分类第九版临床修订本（ICD - 9 - CM）编码760.71诊断出患有FAS及FAS某些特征的北部平原印第安儿童进行了两项回顾性病例对照研究。我们将患有FAS或FAS某些特征孩子的母亲与未患有FAS孩子的母亲进行了比较。
与对照母亲相比，43名患有FAS孩子的母亲和35名患有FAS某些特征孩子的母亲年龄更大，产前检查次数更少，怀孕次数更多，有更多心理健康问题以及更多损伤（包括总体损伤和与酒精相关的损伤）。尽管病例组和对照组母亲的饮酒率都很高，但病例组母亲有更多与酒精相关的医疗问题，饮酒量更大，有暴饮情况，且比对照母亲更常每日饮酒。
应对有损伤和心理健康问题的女性进行物质使用筛查。患有FAS或FAS某些特征孩子的母亲有许多需求必须得到满足，以防止未来发生产前酒精暴露。
