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Fetal Alcohol Syndrome A literature review - Department of Health ...

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2<br />

The issue <strong>of</strong> FAS has not been the subject <strong>of</strong> extensive research or policy development in<br />

Australia to date. Initial Australian case-series reports <strong>of</strong> children diagnosed with FAS found a<br />

maternal history <strong>of</strong> heavy/binge drinking or chronic alcoholism to be present.<br />

The Western Australian Birth Registry data identify indigenous Australians as a high-risk group<br />

for FAS within that State, although under-ascertainment <strong>of</strong> cases may have clouded the true<br />

level <strong>of</strong> FAS in both the high-risk groups and the general community.<br />

Research has shown that knowledge is a necessary, although not sufficient, factor for eliciting<br />

behaviour change. The knowledge <strong>of</strong> women, both in the general community and within highrisk<br />

groups, <strong>of</strong> the risks associated with alcohol consumption during pregnancy and <strong>of</strong> FAS in<br />

particular is limited. This lack <strong>of</strong> awareness is compounded by a lack <strong>of</strong> counseling by physicians<br />

on the risks associated with maternal alcohol consumption. Studies indicate that many physicians<br />

do not feel confident making a diagnosis <strong>of</strong> FAS and have identified a need for the issue <strong>of</strong><br />

FAS to be more fully covered in medical schools and through continuing medical education<br />

programs.

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