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A 63-year-old female asked:

if there are facial characteristics of fetal alc synd in a 6-mo-old but she meets development milestones & growth is good are there concerns?

4 doctor answers6 doctors weighed in
Dr. Reid Blackwelder
Family Medicine 37 years experience
Maybe: Obviously you have concerns because of facial features, but these do not have to be from fetal alcohol syndrome.The critical question is whether the infant was indeed exposed to alcohol during development. Any alcohol can be a problem!it is reassuring that milestones and growth are good. Keep close follow-up on these and follow healthy lifestyle choices-good diet once added, no smoking around child.
Dr. James Ferguson
Pediatrics 46 years experience
Overlapping issues: The described facial features of FAS are suggestive but not exclusive to that exposure. They also reflect more first trimester exposure than later.Early gross motor skills don't necessarily reflect the attention/focus/learning issues that can be affected by alcohol exposure later in pregnancy.These may only become evident much later in childhood.
Dr. Johanna Fricke
Developmental and Behavioral Pediatrics 50 years experience
The website that : Corroborates the 2 answers is http://www.Fascenter.Samhsa.Gov/index.Aspx. Fetal alcohol spectrum disorders can be caused by drinking any amount of alcohol at any time during pregnancy, with characteristic facia features if the pattern is 4 or > drinks at parties or 1/2 oz. Or > of absolute alcohol daily from 3 thru 9 weeks post-conception, when fetal organs form, often before pregnancy is known.
Dr. Martin Raff
Infectious Disease 56 years experience
Yes: Full evaluation for neurological damage and developmental setbacks will not be possible at this stage, and abnormalities may become evident later on in her life.

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