Effects of alcohol on pregnancy and the fetus. the role of preventive measures in daily practice of an obstetrician

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Abstract

Alcohol consumption during pregnancy can cause serious birth defects and developmental disorders. The article reviews scientific literature describing modern conceptions of alcohol-associated teratogenicity. Problems of public awareness of alcohol negative impact on pregnancy and the fetus (particularly by informing women of reproductive age and pregnant women) are raised. Literature review revealed that there is a lack of information on fetal disorders associated with alcohol consumption by the mother. Nowadays, alcohol consumption in Russia is one of the highest in the world (15.8 liters per capita per year, including newborns, 2011), which is significantly higher than the absolute level of alcohol consumption associated with serious health risk for an individual and for the population as a whole. Awareness among women of reproductive age and pregnant women is very low. Therefore, it is necessary to inform and teach physicians screening methods of medical problems associated with alcohol intake and brief intervention strategies that will help to identify and inform women at risk for having children with fetal alcohol syndrome and fetal alcohol spectrum disorders and prevent the birth of mentally retarded children. The problem of fetal alcohol syndrome and the whole spectrum of fetal alcohol disorders is of great theoretical and practical significance in Russia.

About the authors

A Yu Marianian

Irkutsk State Medical University, Irkutsk, Russia

Email: anait_24@mail.ru

References

  1. Балашова Т.Н., Волкова Е.Н., Инсурина Г.Л. и др. Фетальный алкогольный синдром. - СПб., 2012. - С. 3-51.
  2. Балашова Т.Н., Волкова Е.Н., Косых Е.А., Скитневская Л.В. Особенности употребления алкоголя женщинами детородного возраста в современной России // Вестн. Тамбов. ун-та. Серия: Гуманитарные науки. - 2012. - Т. 105, №1. - С. 4-7.
  3. Балашова Т.Н., Дикке Г.Б., Инсурина Г.Л. и др. Профилактика фетального алкогольного синдрома в работе акушера-гинеколога. - М., 2012. - 36 с.
  4. Балашова Т.Н., Собелл Л. Применение техник мотивационного интервью в работе с пациентами, имеющими алкогольные проблемы // Обозр. психиатр. и мед. психол. им. В.М. Бехтерева. - 2007. - №1. - С. 4-7.
  5. Бюллетень Всемирной организации здравоохранения. - 2011. - №89. - С. 398-399.
  6. Дикке Г.Б. Необходимо менять парадигму здравоохранения в сторону широкой профилактики заболеваний. Актуальное интервью // Эффективн. фармакотерап. в акушер. и гинекол. - 2011. - №3. - С. 4-8.
  7. Женщины, злоупотребляющие алкоголем: выявление группы риска и вмешательства. Руководство для медицинских работников первичного звена (русская редакция Identification of at-Risk Drinking and Intervention with Women of Childbearing Age: Guide for Primary Care Providers). - Оклахома, США, 2008. - 30 с.
  8. Малахова Ж.Л., Шилко В.И., Бубнов А.А. Фетальный алкогольный синдром у детей раннего возраста. - М., 2012. - 164 с.
  9. Пальчик А.Б., Фёдорова Л.А., Легонькова С.В. Фетальный алкогольный синдром. Методические рекомендации. - СПб., 2006. - 24 с.
  10. Фетальный алкогольный синдром: структура учебного плана и учебное руководство для образовательной и практической деятельности медиков и специалистов смежных отраслей Здравоохранения. - Оклахома, 2008. - 292 с.
  11. Balachova T., Bonner B., Chaffin M. et al. Women’s alcohol consumption and risk for alcoholexposed pregnancies in Russia // Addiction. - 2012. - Vol. 107, N 1. - P. 109-117.
  12. Chang G. Alcohol-Screening instruments for pregnant women // Alcohol. Res. Health. - 2001. - Vol. 25, N 3. - P. 204-209.
  13. Goodlett Ch.R., Horn K.H., Zhou F.C. Alcohol teratogenesis: mechanisms of damage and strategies for intervention // Exp. Biol. Med. - 2005. - Vol. 230, N 6. - P. 394-406.
  14. Olson H.C., Morse D.A., Huffine C. Development and psychopathology: of fetal alcoholic syndrome and relatrd condition // Semin. Clin. Neuropsychiatre. - 1998. - Vol. 3. - P. 262-284.
  15. Streissguth A.P., Bookstein F.L., Barr H.M. et al. Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects // J. Dev. Behav. Pediatr. - 2004. - Vol. 25, N 4. - P. 228-238.
  16. WHO. Global status report on alcohol and health, 2011. - www.who.int/substance abuse/publications.

© 2014 Marianian A.Y.

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