It is possible to demonstrate an neurodegeneration in rats given doses of alcohol that produce blood-alcohol above .2 g /100ml for four hours. Alcohol can effect organogenesis early in pregnancy resulting in gross structural organ abnormalities before week 8 and after week 8 of pregnancy it can effect growth and CNS development. There are a large number of possible pathways that alcohol can alter to produce abnormalities including possible chromosome abnormalities, placenta dysmorphology, reduced fetal blood flow, and direct central nervous system effects influence neurodevelopment.
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High Prenatal Doses of Ethanol Induce Neurodegeneration in Rats
The amount of neurodegeneration induced by ethanol is predicted by the time span during which the net dose is administered (not necessarily on the net dose alone) and on the duration of time during which the blood alcohol levels are elevated above the toxic threshold (defined here as 0.2 gm/100 ml). Seven-day old rats received subcutaneous injections at 2-hour intervals with varying amounts of ethanol and mean blood alcohol levels were calculated. Twenty-four hours after the first (or only) injection the rat brains were investigated for evidence of apoptosis. (Constructed from data in Ikonomidou, C. et al. Science, 287: 1056-1060, 2000) ©2008 NBEP
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There is no safe period during pregnancy to drink alcohol.
Alcohol Effects the Fetus throughout Pregnancy(Constructed from data in Agarwal, A.P. and Seitz, H.K. et al. Alcohol in Health and Disease, Ch. 15, 2001; Stratton, K. et al. Fetal Alcohol Syndrome Diagnosis, Epidemiology, Prevention, and Treatment, p. 37, 1996) ©2008 NBEP
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There are many ways alcohol can cause abnormalities during pregnancy. This can account for the wide range of signs and symptoms seen in the FAS.
.(Constructed from data in Randall, C.L. et al. Alc Clin Exp Res, 14: 807 - 812, 1990 and Agarwal, D.P. and Seitz, H.K. et al. Alcohol in Health and Disease, Ch. 15, 2001) ©2008 NBEP
CURRENT LESSON OBJECTIVES
- Overview of FAS
- What is the amount of alcohol use in women of childbearing age and pregnant women?
- What are the risk factors for giving birth to a child with FAS?
- Describe the critetia for making a diagnosis of FAS
- Name a types of problems that individuals with FAS encounter
- What are the effects of alcoholduring pregnancy on the central nervous system?
- Describe a framework for FASD diagnosis and services
- Why tell women not to drink during pregnancy and what can they do if pregnant?
RELATED RESOURCES
Related Clinical Cases
- Adolescent Drinking (Sneaky Teen is Not Squeeky Clean)
- Alcohol Withdrawal focuses on
- Binge Drinking in College (Rebel Without a Cause)
- Fetal Alcohol Syndrome (FAS) focuses on
Related Quizzes
- Alcohol and accidents focuses on
- Alcohol and adolescence focuses on
- Alcohol Genetics focuses on
- Alcohol withdrawal focuses on
- Diagnosis and treatment focuses on
- Epidemiology
- Fetal alcohol syndrome focuses on
- Medical complications
- Neurobiology focuses on
- Pharmacology and acute effects alcohol
- Regular drinking focuses on