Fetal alcohol spectrum disorders in Australia: prevention, diagnosis and intervention

Abstract

Alcohol consumption in pregnancy is common in Australia. It is one of the few potentially modifiable causes of poor pregnancy and child outcomes including the Fetal Alcohol Spectrum Disorders (FASD). Children with FASD have lifelong physical and neurodevelopmental problems. They are at risk of developing a range of secondary disabilities such as disrupted schooling, mental health issues, drug and alcohol problems, and experiencing trouble with the law. This thesis comprises four studies relating to the prevention, diagnosis and intervention of FASD in Australia. The work is discussed in a series of publications and a submitted manuscript. The first study is a literature review presented as a published monograph. The second study is a national survey of Australian women’s knowledge and attitudes regarding alcohol consumption in pregnancy, and their preferred information sources about alcohol use in pregnancy. The third study is an international survey of FASD diagnostic clinics which was conducted to investigate specialist dedicated clinical service provision for the diagnosis and assessment of children with FASD. The final study is a systematic review to evaluate the evidence base for interventions for children with FASD. These studies have informed national prevention strategies and planning for clinical services.