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Discovery of fetal alcohol syndrome
Discovery of fetal alcohol syndrome
Discovery of fetal alcohol syndrome
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Ever since classical times, incidences of babies, born from drunken women, have been recorded. The first to search for these statements in historical documents were Jones and Smith in 1973. They note that in Carthage there was a law against drinking on one’s wedding night, as well as a quotes credited to Aristotle who lived from 384 to 322 B.C., ‘foolish, drunken, or haire-brain women [for the] most part bring forth children like unto themselves, morose and feeble’. In both Canada and Australia the number of babies born with Fetal Alcohol Spectrum Disorders has been increasing drastically. The term Fetal Alcohol Spectrum Disorder, also known as FASD, is an umbrella term used to describe a range of adverse effects caused by maternal intake of alcohol while the fetus is in utero. Under the Canadian diagnostic guidelines FASD includes the diagnostic terms ‘fetal alcohol syndrome’ (FAS), ‘partial fetal alcohol syndrome’ (pFAS), ‘alcohol-related Neurodevelopmental disorders’ (ARND), ‘fetal alcohol effects’ (FAE), and ‘alcohol-related birth defects’ (ARBD). These conditions manifest themselves in the form of developmental disorders, weight and height deficiencies and a specific set of facial characteristics to varying degrees. While many characteristics of FASD are well understood, the vast majority are still being researched. This leads to vast information gaps especially when concerned with Aboriginal populations globally notably in Canada and Australia. Internationally it is estimated that the number of individuals born with FASD ranges from 1-3 per 1000 live births in the general population to as many as 9.1 per 1000 live births among high-risk populations, making FASD a substantial global concern. Currently, medic... ... middle of paper ... ...ed. This suggests that all efforts should be made to address substance abuse by women at risk, rather than maintaining a limited focus on these women only when they are pregnant. A variety of reasons result in the lack of service Aboriginal women experience. From long waiting lists to these women fearing that they will loose custody of their children, if they admit to needing help with substance abuse during pregnancy, to the geographical location of communities, are all barriers that must be overcome. As it can be seen the best way to combat FASD is from a social standpoint. Involving the community, empowering women, and providing proper care for both mother and child alike will lead to a situation in which the prevalence of FASD in both Aboriginal/Indigenous and all other populations alike will be decreased, and maybe even eventually irradiated altogether.
Alcohol has always been a part of feminine culture, but it took a dramatic shift in the early 20th century. In the book, Domesticating Drink, Catherine Murdock argues that during this period, women transformed how society drank and eradicated the masculine culture that preceded this shift. Murdock draws from a few different sources to prove her argument, such as: etiquette manuals published after the turn of the century and anecdotes from the time period. She provides many interesting and unique perspectives on how drinking culture evolved, but she shows a clear bias towards “wet” culture and also makes very exaggerated claims that turn her argument into something that is nearly impossible to completely prove.
The human immunodeficiency virus (HIV) and its deriving acquired immunodeficiency syndrome (AIDS) are devastating conditions that currently affect approximately 35.3 million individuals globally (WHO, 2012). In the Canadian context, the prevalence of HIV/AIDS ascended to 71,300 cases in 2011, with 8.9% of the affected individuals being aboriginal peoples (PHAC, 2011). This number not only indicates an overrepresentation of the aboriginal population among the totality of HIV/AIDS cases in the country, but it also illustrates an elevated incidence of 17.3% from the numbers reported in 2008 (PHAC, 2011). The aforementioned statistics were here exposed with the intent of recognizing the incidence and prevalence of HIV/AIDS, as alarming public health issues superimposed on the already vulnerable segment of the Canadian population that is the aboriginal community. Accordingly, the purpose of this paper is to gradually examine the multiple determinants and factors contributing to such problem as well as some of the possible actions that can ameliorate it.
In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved
... be low educated, likely to experience previous marriage or common-law union, and also more likely to be unemployed or have unemployed partner (Brownridge, 2008). Those aboriginal men who live on reserve are highly engaged in substance abuse such as alcohol. Most of the domestic violence tends to occur due to the consequence of high intake of alcohol. In aboriginal family violence offences, “69% were committed while the accused was under the influence of drugs or alcohol …just over half (54%) of the victims of a family violence assault were under the influence of drugs or alcohol at the time of the assault” (Paletta, 2008). There are various reasons why aboriginal people are highly involved with substance abuse and are more likely to commit suicide than non-aboriginal people (i.e. socioeconomic conditions, unemployment, traumatic history, residential school, etc.).
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
A mother who drinks while she is pregnant stands a high risk of harming their unborn child because the alcohol passes through her blood to her baby, and that can harm the development of the baby’s cells. This is most likely to harm the baby’s brain and spinal cord. Many of the common effects of a child suffering from fetal alcohol spectrum disorder (FASD) is: distinctive facial features, growth problems making them smaller than the average child, and learning and behavior problems.
Walter, M. (2007). Aboriginality, poverty and health-exploring the connections. Beyond bandaids: exploring the underlying social determinants of aboriginal health. [online] Retrieved from: http://www.lowitja.org.au/sites/default/files/docs/Beyond-Bandaids-CH5.pdf/ [Accessed 10 Apr 2014]
The Centers for Disease Control and Prevention suggestion that a pregnant woman should not drink alcohol during pregnancy (Advisory on alcohol use in pregnancy 2005) has been widely criticized as being unnecessarily paternalistic, but the CDC goes further into explaining that, “Alcohol consumed during pregnancy increases the risk of alcohol related birth defects, including growth deficiencies, facial abnormalities, central nervous system impairment, behavioral disorders, and impaired intellectual development” (Advisory on alcohol use in pregnancy
lip, skin folds at the corners of the eyes, indistinct groove on the upper lip, and an
The results of the study by Dale, Bakketeig, and Per Magnus (2016) regarding alcohol consumption among first-time mothers and its effects on preterm birth do not indicate a clear risk reduction for drinking during pregnancy. The surveys issued at gestational week 15 received a 94.9% response rate, with a sample size of 101,769 for the questionnaire and 108,327 from the Medical Birth Registry of Norway (MBRM). Collected data was narrowed to a total of 46,252 participants who met the criteria of primiparous women with singleton pregnancies who delivered between week 22 and 43 of gestation. In this study, the incidence of preterm birth was 5.9%, or 2,729 out of 46,252 births, with a median length of gestation of 40 weeks and mean of 39.47 weeks for both drinkers and nondrinkers during pregnancy (SD = 2.03). For prepregnacy drinkers, the mean pregnancy length was 39.48 weeks (SD = 2.02) (Dale et al., 2016).
There is no known safe amount of alcohol a woman can drink while pregnant. Alcohol can cause life-long physical and behavioral problems in children, including fetal alcohol syndrome. FAS is a serious condition where babies can be born with mentally ill condition and may have deformation mainly in there face. When you consume alcohol during pregnancy, so does your baby, because alcohol passes freely through the placenta to your baby. If you choose to drink alcohol while you are pregnant, you will increase the risk that your baby will be born with a Fetal Alcohol Spectrum Disorder (FASD). Fetal alcohol syndrome is a condition in a child that results from alcohol exposure during the mother 's pregnancy. Fetal alcohol syndrome causes brain damage and growth problems. The problems caused by fetal alcohol syndrome vary from child to child, but defects caused by fetal alcohol syndrome are
There are some social determinants factors contribute to Australian indigenous people’s mental health disorders. The addiction incidence of mental health disorders and substance misuse problems is terribly high. Aboriginal Australians suffer from unemployment and that can give rise to substance misuse, anxiety, depression, and sometimes severe mental health conditions. The social isolation risks rose up with development of social exclusion and hardship, such as addiction, divorce, disability, s...
Burd, L. and Martsolf, J. Fetal Alcohol Syndrome: Diagnosis and Syndromal Variability. Physiology and Behavior, 46:39-43 (1989).
“I brought you into this world, and I can take you out!” A child has most likely heard that phrase at some point in their life. Although, it is not ethical or legal for a mother to “take her kid out of this world”, it does bring up a good point that it was through her body, that the child was born. One of the most important responsibilities in this world is a mother carrying a child in the womb. There are many divine processes that take place during gestation, but there are also many contributing factors from the mother that can affect the developing human. These factors may include what a woman ingests and exposes her embryo or fetus to. Sadly, alcohol use during pregnancy is an ongoing problem that can have detrimental affects on the fetus, including Fetal Alcohol Syndrome (FAS). Choosing to drink alcoholic beverages during pregnancy is a choice, a risky choice. Unfortunately some women don’t even know they are making a risky choice by consuming alcohol because it is in the early stages of pregnancy. It is common for a female to not find out they are pregnant until at least the fifth or sixth week after fertilization. In 2006, 49% of all pregnancies in the United States were reported unintended on a national survey.1 The highest rate of preventable birth defects and mental retardation is due to alcohol use.2 In this paper, I will further discuss FAS, the potential effects of binge drinking during the embryonic stage of gestation, and what actions need to be taken in order to reduce the incidences of alcohol related birth defects.
Sarah* (name changed) is a four-year-old child who was removed from her home in Chicago, Illinois, by Child Protective Services at the age of three after neighbors called the police for hearing screaming from the house. Sarah’s mother used drugs and alcohol throughout her pregnancy, so she was born with Fetal Alcohol Syndrome (FAS). Once Sarah was born, her mother continued her drug use instead of treating her addiction. Because of her FAS, Sarah developed differently than other children her age. She is much smaller than the average four-year-old child, and has typical facial features of a child with FAS, including a thin upper lip, flat philtrum, and small eyes. Because of the circumstances under which Child Protective Services found Sarah, they suspect she was neglected for the majority of her life.