Gill I, Sharif F
Children's University Hospital, Temple Street, Dublin 1.
National Perinatal Epidemiology Centre, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland.
Ir Med J. 2017 Mar 10;110(3):528.
Fetal Alcohol Spectrum Disorders (FASDs) are one of the major causes of preventable developmental delay. There is no register of children with FASDs in Ireland. Up to 81% of Irish women report drinking alcohol during the periconceptual period or pregnancy. We aimed to evaluate self-reported knowledge and practice of doctors working in paediatrics in Ireland with regards to FASDs and alcohol consumption during pregnancy. We circulated a survey to all paediatric doctors in Ireland, either enrolled in specialist training or registered as trainers. Fifty-six respondents (31.3%) were unaware of the existence of FASDs. Sixty-two (34.6%) believed most patients with FASDs have dysmorphic features. Seventy-three respondents (40.8%) routinely ask about maternal alcohol consumption during pregnancy in the context of developmental delay. Thirty-one respondents (17.3%) stated that mild alcohol intake in the third trimester of pregnancy is safe. Our survey suggests prenatal alcohol exposure may not be routinely considered in the evaluation of children with developmental delay by paediatric doctors in Ireland.
胎儿酒精谱系障碍（FASDs）是可预防的发育迟缓的主要原因之一。爱尔兰没有FASDs患儿的登记册。高达81%的爱尔兰女性报告在受孕前后或怀孕期间饮酒。我们旨在评估爱尔兰从事儿科工作的医生关于FASDs以及孕期饮酒的自我报告知识和做法。我们向爱尔兰所有参加专科培训或注册为培训师的儿科医生发放了一份调查问卷。56名受访者（31.3%）不知道FASDs的存在。62人（34.6%）认为大多数FASDs患者有畸形特征。73名受访者（40.8%）在发育迟缓的情况下会常规询问孕期母亲的饮酒情况。31名受访者（17.3%）表示孕期第三个月少量饮酒是安全的。我们的调查表明，爱尔兰的儿科医生在评估发育迟缓儿童时可能不会常规考虑产前酒精暴露情况。
