Alcohol and Pregnancy
Why is alcohol categorized as a teratogen?
Causes malformations to cells responsible for fetal development
During what time during fetal development will alcohol not have an affect?
No time, as CNS is developing throughout the whole pregnancy
There are different definitions to binge and social drinking among men and women partially because men have greater enzyme activity?
True
What is the percentage of women who use alcohol after pregnancy recognition?
11% (but suggested to be higher due to shame, blame and stigma)
What are the four levels of prevention?
1. Universal awareness campaigns
2. Brief Interventions
3 and 4. Intensive Interventions
What is the definition of binge drinking among women and men?
W: 4 drinks within 2 hours
M: 5 drinks within 2 hours
What connects the left and right hemispheres of the brain together?
Corpus collasum- bundle of axons
FASD is 100% preventable?
Yes and no: due to the many other reasons alcohol is used among women (addiction, coping and etc)
What is the leading risk factor among women who use alcohol before pregnancy recognition?
Unplanned- 60% of pregnancies are unplanned while 80% of women use alcohol in Alberta
What is the best practice of the Prevention Conversation?
Motivational Interviewing
What are the byproducts of ethanol (alcohol)?
Acetaldehyde and acetate
Why won't two individuals who drink the same during pregnancy have the same affect on fetal development?
Too many factors that have a role to metabolize alcohol, therefore it depends on the individual
Women of low socioeconomic status and educational level are at higher risk of alcohol use during pregnancy compared to other women?
False- all women of the childbearing years
What are some risk factors among women who use alcohol after pregnancy recognition?
Addiction
Coping mechanism
Partners want them to
Culture
What is the goal of Motivational Interviewing?
Strengthen own motivation and commitment to change
What are the enzymes that break down alcohol?
Alcohol dehydrogenase and aldehyde dehydrogenase
What roles do glial cells have?
Support
Nutrition
Insulation
Housekeeping
Accutane is the worst drug a women can take when pregnant?
True- causes major brain and limb malformations
Alcohol is the second most dangerous substance
Why would women who are pregnant feel more comfortable searching online about risks of alcohol use during pregnancy rather than asking their healthcare professionals?
Due to the shame, blame and stigma but unfortunately there is a lot of misinformed information that is opinion based
What other techniques would you include when having the prevention conversation?
Relational theory
Trauma-informed
Harm reduction
What are some factors that have a role in alcohol metabolism?
Nutrition
Physical activity
Enzymes
Body mass
What is the difference between drug use and alcohol use during pregnancy, as seen in an MRI?
Drug: localized, subtle and may disappear over time
Alcohol: Widespread, persistent and permanent (as cell death has occurred)
Facial features commonly seen among those with FASD arise when alcohol is consumed during 18-25 days of implantation?
False- 15-22 days after implantation
Why do healthcare professionals not use consistent screening methods for all women who are pregnant?
Women that are educated should know the risks/ or might already know it
The way questions are asked: "you don't drink or smoke right"
To learn more about supports and services in Calgary and Alberta, who would you contact?
CFAN