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Fetal Alcohol Spectrum Disorder (FASD)


Ontario failing FASD support: NAN

posted Jan 7, 2012 4:45 AM by Canadian Coalition of Adoptive Families

Friday January 6, 2012

Nishnawbe Aski Nation (NAN) is asking the Ontario government to develop an integrated provincial strategy for prevention and support services to deal with Fetal Alcohol Spectrum Disorder (FASD).

FASD is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. These effects may include physical, behavioral, mental, and learning disabilities with possible lifelong implications. “Countless children are falling through the cracks because of Ontario’s continued failure to fully address FASD,” NAN Deputy Grand Chief Terry Waboose said.

“This puts them at high risk for developmental disorders and severely impairs their chances to grow up to lead the full, happy and productive lives they so desperately deserve.”

NAN said Ontario is falling behind other provinces when it comes to FASD prevention and support, many of which have strategies and targeted mandates for FASD.

In 2006 Ontario cut the Northwestern Ontario FASD Diagnostic Clinic that provided services to many First Nation communities.

“Without assessments and proper services, many First Nation children are at very high risk for secondary disabilities that can severely impair their development. Lives are at risk and it is crucial that the government officially recognizes the crippling health and social impacts of this disorder and begins to work with First Nations to design and implement a strategic response,” Waboose said.

Fetal Alcohol Disorders Often Mistaken for ADHD

posted Nov 14, 2011 9:52 AM by Canadian Coalition of Adoptive Families

from: http://www.promises.com/articles/alcoholabuse/fetal-alcohol-disorders-often-mistaken-for-adhd/

A new study shows that children with fetal alcohol spectrum disorders (FASD) are often initially diagnosed with attention-deficit hyperactivity disorder (ADHD) because the two problems can manifest in similar ways, Forbes reports.

The researchers found that children with FASD have more difficulty interpreting social information than children with ADHD, which results in more severe behavioral problems. The study also found that children with FASD have a high risk of psychiatric problems.

Study author Rachel Greenbaum, a clinical psychologist with the Children’s Mental Health Team at Surrey Place Centre in Toronto, Canada, said in a news release that FASD and ADHD can look quite similar behaviorally “with respect to problems with very limited attention, physical restlessness, and extreme impulsivity.”

The study of 33 children with FASD, 30 children with ADHD, and 34 children without disorders focused on their social cognition and abilities to process emotions. Social cognition is the ability to consider and differentiate between the beliefs, thoughts, feelings, and intentions of oneself and others, and emotional processing is the ability to understand and process information related to feelings.

Corresponding author Joanne Rovet, a professor at the University of Toronto and senior scientist in neurosciences and mental health at the Hospital for Sick Children, said that overall, children with FASD have more severe behavioral problems. “In terms of social cognition and emotional processing, the core deficit in FASD appears to be in understanding and interpreting another’s mental states and emotions,” she said.

She also suggested that these problems with social cognition and emotional processing “may underlie that severe conduct problems” seen in children with FASD, including behaviors such as lying, cheating, and stealing.

"It is imperative that these children receive assistance in social and emotional processing domains, specifically targeting interventions to deal with their unique deficits," Rovet said.

 

Rewiring the brains of children with fetal alcohol syndrome

posted Jun 19, 2011 6:21 PM by Canadian Coalition of Adoptive Families   [ updated Jun 19, 2011 6:23 PM ]

ANNE McILROY

From Saturday's Globe and Mail
Published Friday, May. 27, 2011 7:29PM EDT
Last updated Friday, May. 27, 2011 8:37PM EDT

Angeline Lau’s 10-year-old son can lose his temper at the smallest annoyance: his sister picking up his new toy, another student singing and humming in line at school.

His brain was damaged by the alcohol his birth mother drank when he was in the womb. But a 12-week program at Toronto’s Hospital for Sick Children has helped him learn to better understand and regulate his emotions.

“It has smoothed out some of the rough edges,” said Ms. Lau, his adoptive mother.

It also may have rewired his brain. Joanne Rovet, a researcher at Sick Kids, and her colleagues are using magnetic resonance imaging to study the brains of 40 children with fetal alcohol spectrum disorder, or FASD, before and after the 12 weeks of therapy. They are looking for changes related to impulse control, hoping to find concrete evidence that the therapy can create lasting changes in kids with FASD.

“We believe we may have the key to helping these children function in daily life,” said Dr. Rovet.

FASD is an umbrella term to describe a number of conditions caused by exposure to alcohol in the womb, the most severe being fetal alcohol syndrome. Each child has a different constellation of symptoms that can include learning disabilities, such as problems with attention and memory, and behavioural difficulties. One in 100 children is born with FASD and many of them develop a mental illness in adolescence or adulthood, says Dr. Rovet.

The Alert program involves using games and props to get children to think of their brains and bodies as engines that at times can get too revved up. Each child finds “tools” to help their engines gear down when they feel angry or hyperactive, like putting in ear plugs, closing the blinds or sitting on a “wiggle seat,” a half-inflated camping pillow. Tools include strategies for dealing with situations that upset them. The children also learn how to fire up their engines – perhaps with physical exercise – if they are feeling tired or sad.

The principles of that program are used in three special classrooms for children with FASD at David Livingstone public school in Winnipeg. There is a steady stream of visitors from across North America and Europe who come to see how the school helps kids with FASD learn, says principal Debbie Lenhardt Mair.

Teacher Sharen McDermit’s classroom has been configured to be as soothing as possible, with the lights low and blue sheets covering the bookshelves and bulletin boards when Ms. McDermit isn’t using them. When she talks, each of the eight children holds a listening tool, like a textured ball, to remind them to focus on what she is saying. When they go to their individual “offices,” a cardboard screen makes it easier to concentrate on their work rather than on what a neighbour is doing.

The children, in Grades 2 and 3, have learned how their brains were damaged by the alcohol their mothers drank during pregnancy, says Ms. McDermit, who has been teaching children with FASD for 13 years. Two teaching assistants also work with the children.

The youngsters know their individual strengths, in art or language or music, and about the kinds of things that are more challenging for them, like paying attention, math, or keeping their tempers under control. As in the Toronto program, the children try different tools to calm themselves down, like rocking in a chair to do their work. Those who need physical activity can pull themselves around on a coaster board.

Ms. Lau, whose son was taught the Alert approach at Sick Kids in Toronto, has noticed a difference at home since he finished the program in the fall. “He is using his strategies, to walk away, ignore it, talk it out,” she said. “Sometimes he can step on the brakes.”

Her son – she requested his name not be published – was diagnosed when he was six years old. He is volatile and sensitive to things most children don’t react to, which makes it hard for him to manage in the classroom. He learned to read early, but struggles with math. Ms. Lau says he was thrilled to be part of the research project at Sick Kids. “He thinks it will help other kids,” she said.

Exposure to alcohol in the womb can affect areas and structures critical for memory, learning and abstract thinking. It also damages white matter, the connections that allow parts of the brain to communicate and work together.

Scientists are also starting to assess if there are ways to improve brain function in these children, to capitalize on neuroplasticity, or how experience changes the brain.

In Toronto, the focus is on self-regulation, emotional processing, impulse control and social understanding. In addition to the 40 children between the ages of eight and 12 with FASD who are enrolled in the study, the researchers are assessing 20 other children in a control group. They hope to present their preliminary results in September, at conference in Charlottetown.

Dr. Rovet is collaborating with Margot Taylor, Jason Lerch and Gideon Koren, and the work is funded by the Canadian Institutes of Health Research and Canadian Foundation on Fetal Alcohol Research. The children get one-on-one therapy with graduate student Kelly Nash, who asks parents to fill out a daily form to keep track of their child’s behaviour at home.

To see if the therapy changes their brains, she gets them to play an impulse control game inside a functional magnetic resonance imager. It is similar to the popular game whack a mole. Either a mole or a garden vegetable appears on the computer screen. The kids are asked to press a button when they see the mole, but not when they see a carrot or a head of lettuce.

Brain circuitry that is involved in impulse control usually gets activated when children without FASD play the game and stop themselves from whacking the lettuce. But the same network doesn’t fire up in children with FASD, although researchers suspect this will change after the therapy.

That’s what happened with Ms. Lau’s son, one of the first to go through the program and the before-and-after brain imaging.

“After therapy, we saw this network come on line,” said Ms. Nash. “It was interesting to see these neuroplastic changes, along with the improvements reported by the parent.”

New research into fetal alcohol spectrum disorder offers hope

posted Jun 19, 2011 6:18 PM by Canadian Coalition of Adoptive Families   [ updated Jun 19, 2011 6:20 PM ]

By Natalie North - Saanich News
Published: May 25, 2011 5:00 PM
Updated: May 25, 2011 5:16 PM

Regular exercise can help repair brain damage caused by drinking – including in children exposed to alcohol before they were born.

“If you exercise, even in adulthood ... that tends to lead to the production of more new cells in the brain and you tend to have an increase in cognitive capacity,” said Brian Christie, senior scholar and associate professor in the division of medical sciences at the University of Victoria.

Since he began research into the disorder in 2002, Christie has found that increasing cardiovascular systems supports the development of new neurons, the functional cells in the brain. In one of his studies, children with FASD play computer games while wired to recumbent bicycles. As the children pedal their bikes and play the games, which are designed to test cognitive abilities, the kids’ heart rates and brain function are tracked.

“Basically, they’re computer-like games, except they’re designed specifically to improve underlying cognitive abilities, including attention and working memory and inhibitory control,” said Kimberly Kerns, associate professor in the department of psychology at UVic.

She’s collaborating with Christie on the cycling project, now funded by NeuroDevNet through the Network of Centres of Excellence, which are aimed at helping children with neurodevelopmental disorders.

Christie and his colleagues in the medical sciences are also continuing research into repairing damage caused by exposure to alcohol in the unborn, through the prenatal supplementation of omega-3 fatty acids and choline, an essential nutrient.

“The baby’s brain is unusual in that it’s really highly active in generating new neurons, and that’s something that the adult brain doesn’t do,” Christie said.

Kerns has also collaborated with the computer science department at UVic to create a new set of electronic programs, not related to the exercise study, meant to boost brain function in kids with FASD.

The games are already being administered through Kerns’ colleagues in Edmonton schools. In 2007/08, Kerns used similar electronic learning tools on children with FASD in Sooke schools. The project is one she’d like to bring to Victoria.

This month, Kerns also begins a pilot project focused on using meditation to improve brain function in adults diagnosed with FASD. The six subjects of the study will use a “mindfulness-based approach to self-regulation and behavioural regulation,” she explained.

Additionally, one of Kerns’ students is conducting an experiment into suggestibility in FASD patients, through the Complex Developmental Behavioural Conditions network at the Queen Alexandra Foundation for Children.

“It may be that an individual with FASD, in an interrogative session, might all of a sudden believe they have done something, even if they haven’t, if they’re highly suggestible,” Kerns said of the need for the research.

nnorth@saanichnews.com

Vitamin A may help curb fetal alcohol syndrome: study

posted Mar 13, 2011 6:53 PM by Canadian Coalition of Adoptive Families

But research performed on frogs is no licence to drink while pregnant, scientists warn

By Mary Agnes Welch, Winnipeg Free Press March 2, 2011

It's too early to call it a cure, but plain old vitamin A could curb the devastating effects of fetal alcohol spectrum disorder.

Research by an Israeli scientist suggests vitamin A could act almost like an antidote to the effects of alcohol on very early embryos during the critical development of the head and central nervous system. That's when the worst effects of FASD start.

"Scientifically, this is a very interesting story," said Abraham Fainsod, a professor of genetics and biochemistry at the Hebrew University of Jerusalem.

"If we can continue our research, we could do some good."

O n M o n d a y , M a n i t o b a pledged $750,000 to help set up a joint FASD research consortium between the Hebrew University and the University of Manitoba. Sorting through the vitamin A issue will be among the projects earmarked for funding.

"This has the possibility of being a relatively simple solution," said Geoff Hicks, Fainsod's counterpart at the University of Manitoba.

"That's why everyone is so excited."

Fainsod's research was done on frogs; Hicks will now try to reproduce it using mice, which are the model for mammals.

They'll be looking at retinoic acid, one of the main biological forms of vitamin A and a critical element in cell development and revitalization.

That's why so many wrinkle creams tout vitamin A as a key ingredient.

Alcohol prevents the conversion of vitamin A to retinoic acid because both compete for one particular enzyme and the alcohol usually wins. While the body is processing alcohol, it's not making any new retinoic acid. When this happens because a pregnant mother is drinking, it interrupts the normal development of the head and brain cells in the embryo.

Adding more vitamin A to the equation -rebalancing the amount of alcohol and retinoic acid -can reverse or curb brain defects caused by alcohol.

Fainsod is quick to say taking vitamin A can never be seen as a licence to drink while pregnant. And too much vitamin A can cause birth defects as well. So far, scientists haven't figured out what the correct balance might be.

But vitamin A could one day be added to food as folic acid was added to white flour to reduce birth defects such as spina bifida.

Or it could be given to at-risk populations or chronic alcoholics who are unable to quit drinking while pregnant.

© Copyright (c) The Vancouver Sun

Gulf Operation toxins could increase Fetal Alcohol Syndrome

posted Feb 11, 2011 5:42 PM by Canadian Coalition of Adoptive Families

February 10th, 2011 11:25 pm ET

Gulf Coast pregnant women abstaining from alcohol to prevent Fetal Alcohol Syndrome might find their unborn babies are at risk of the disability due to Corexit that has been sprayed along with crude according to public health experts this week.

FASD is the leading cause of mental retardation in the United States.

Dr. James Diaz., of LSU School of Public Health has stated he is concerned about the various forms of alcohol in the dispersant and its chemical reactions according to Fox 8 News.

“The glycols that the dispersants contained….some could be potentially deleterious because they are converted to alcohol compounds, so that we should be concerned about exposures and things like fetal alcohol syndrome in pregnant patients,” stated Diaz. 

The FAS video below concurs with Dr. Soto in that there is no safe level of toxins in the human body.

The FAS video below describes the syndrome that can occur when only small amounts of chemicals enter the woman's body.

By Deborah Dupre

Deborah Dupre' holds American and Australian science and education graduate degrees plus thirty years human rights, environmental and peace.

When drink destroys: Fetal alcohol leaves nobody untouched

posted Dec 15, 2010 10:58 AM by Canadian Coalition of Adoptive Families

Winnipeg Free Press - PRINT EDITION

By: Carol Sanders. Mary Agnes Welch and Mia Rabson 

Posted: 02/26/2011 1:00 AM 

Maybe you sat next to someone with it at the doctor's office.

Your daughter or son might have a classmate with it.

If you're a foster parent, odds are any child who walks through your door will have it.

It is fetal alcohol spectrum disorder, the umbrella term for the deluge of physical, cognitive and behavioural problems inflicted on a baby when a woman drinks when she is pregnant.

FASD is the leading cause of developmental disabilities in the developed world. It affects more people than Down syndrome and autism combined. In Manitoba alone, an estimated 11,000 people live with it, including 2,000 kids.

And those numbers are painfully conservative estimates.

Dr. Ab Chudley, Manitoba's top FASD doctor, calls the kids and adults who have been diagnosed with FASD just the "tip of the iceberg."

Chudley says for every child diagnosed, there are likely two or three more who were exposed to alcohol in utero and have symptoms of central nervous system damage.

The Manitoba government spends $11 million a year preventing and treating FASD.

That's peanuts compared to the millions spent coping with the mess FASD creates.

As much as 10 per cent of the $10.7-billion provincial budget goes to combating the spin-off effects of FASD -- the crime, the child-welfare cases, the schools struggling with learning disabilities and behaviour problems, the related health-care costs.

"It's an issue, and it's a long-term issue," acknowledged Healthy Living Minister Jim Rondeau. "It affects family services, justice, health, education. It affects everything."

The truth is, compared to most other provinces, Manitoba leads the pack when it comes to spending on FASD. The province has one of the best diagnostic centres in North America and a menu of new and innovative programs, such as a court project for young offenders with FASD and a new province-wide mentoring program for women at risk of drinking while pregnant.

But everyone agrees those programs catch only a tiny sliver of people with FASD.

Meanwhile, the human and financial costs of FASD are enormous.

FASD is virtually invisible and mired in stigma. If left untreated, FASD condemns people to a profoundly unhappy life of failure.

They struggle in school because most classrooms are perfectly set up to thwart kids who can't focus, process information or learn verbally. They get fired from jobs because they can't show up on time, keep tasks straight or get along with colleagues. Mental illness, such as depression, is common, and people with FASD are more likely to be addicts. A marginal life, or a life of crime, await many people with FASD.

"At one time I said we should be declaring war on FASD," said Chudley, a doctor, researcher and Manitoba's go-to FASD expert.

"It's really been half-hearted. People don't want to get into the trenches because it could get messy. There's risk of offending people, of stigmatizing people, there's risk of 'why are you putting money into that, what about these other diseases?'"

Sometimes, there's a sense that because FASD is entirely preventable, it's less worthy of investment of resources, that if women just took responsibility for themselves, the problem would solve itself.

But women -- young professional women out for martinis on a Friday night, for example -- may binge drink before they know they are pregnant, during the critical first trimester when the damage can be the worst. Or, chronic alcoholics drink to escape abuse, poverty and violence, making preventing FASD a particularly daunting task for policy experts.

FASD is not a uniquely aboriginal problem, although there is research suggesting a genetic predisposition to alcohol abuse and binge drinking. Rates of FASD are higher among aboriginal people, but some researchers say Caucasian women in their 30s may in fact be the most at-risk. There is also a suggestion that the risk of FASD increases with maternal age.

FASD is treatable, especially if children are assessed and diagnosed early in life. With the right help, most children born with alcohol-related birth defects can learn, hold jobs and, depending on their level of disability, live independently.

But there's a long line-up for diagnosis and services for people with FASD are spotty.

Services on First Nations, where the need is greater, are even spottier.

Health Canada would not provide any data about FASD rates or allow the Free Press to interview any staff knowledgeable about FASD, but First Nation chiefs say many reserves lack the basic tools to treat or combat FASD.

For the last several months, with the help of a $20,000 grant from the Canadian Institutes of Health Research, a team of Free Press reporters has combed research data, talked to experts at home and abroad and, most importantly, talked to people with FASD and their families.

Over the coming weeks, we'll look at how FASD reaches into to the criminal justice system, the school system and the child welfare system. We'll also look at the challenges of diagnosis, especially for adults, and lay out promising responses to the epidemic.

maryagnes.welch@freepress.mb.ca

carol.sanders@freepress.mb.ca

mia.rabson@@freepress.mb.ca

Republished from the Winnipeg Free Press print edition February 26, 2011 H1

Province launches program to help educate teachers about FASD

posted Dec 15, 2010 10:56 AM by Canadian Coalition of Adoptive Families

By Kim Pemberton, Vancouver Sun December 7, 2010
 

Students with fetal alcohol spectrum disorder who act out in classrooms and struggle academically are often mistakenly identified as having behavioural problems.

Many quit high school, frustrated by their inability to fit in.

The Ministry of Education is trying to change attitudes and help students with FASD succeed in school through the Provincial Outreach Program for FASD, which has operated out of the Prince George school district since 1996.

Program executive director Kathi Hughes said it provides support and training for teachers by providing them with online resources (at www.fasdoutreach.ca)or workshops in their home school district.

The program is also trying to have a designated teacher in every district to liaise with the provincial program. So far over 1,000 of B.C.'s 40,000 teachers have taken the full-day FASD training program.

She said the program can't reach all 40,000 teachers directly, but they can all take their 12-hour online training program or simply go to the website to learn more about this mostly invisible disorder.

"The hardest thing is getting people to understand FASD is a brain-based disability. In the past teachers would look at the kids as refusing to do something when in fact the kids couldn't do something without accommodations," she said.

For example, Hughes cited a student in Terrace who constantly threw his pencil on the ground and the teacher assumed it was "wilful misconduct." In reality, the student was frustrated, and had trouble with fine motor skills. The solution was simply a bigger pencil.

She said another easy accommodation for a student with FASD who is pushing and unable to wait quietly in a lineup is using footprint markers on the floor so he can see where he needs to stand and wait. "This approach shifts from blame to understanding by trying different teaching strategies. We're trying to get teachers to look at behaviours differently and putting in supports, so that the learning is positive and acting out doesn't happen," said Hughes.

She said since the Ministry of Health Services increased its ability to diagnose children with FASD their office has seen a five-time increase in the numbers of students identified with the disorder.

kpemberton@vancouversun.com

© Copyright (c) The Vancouver Sun

Territories lead Canada in struggle with FASD

posted Dec 2, 2010 12:22 PM by Canadian Coalition of Adoptive Families

Slave River Journal
By ALEX DENONVILLE, SRJ Reporter
• Tue, Nov 23, 2010

The three Canadian territories are leading the way in bringing fetal alcohol syndrome and its effects to the forefront of justice issues across Canada.
At their annual meeting held August 14-15, the Canadian Bar Association (CBA) passed a resolution calling for changes to the country's justice system addressing the unique challenges posed by individuals with FASD.


"Our ultimate goal is deterrence and rehabilitation that is effective for individuals with FASD," said Malinda Kellett, vice-president of the NWT branch of the Canadian Bar Association, the professional organization representing more than 36,000 law-related professionals across Canada.

The justice system is unable to accomplish those fundamental goals with the tools at hand, she explained.

The CBA's resolution laid out a bare bones argument as to why changes are required.
FASD affects the brain and central nervous system of individuals, impairing mental functioning, judgment and impulse control. The justice system works on the assumption that all individuals act in a voluntary manner, making informed choices to commit crimes. Impaired by their disability, FASD individuals aren't rationally able to make those decisions, and punishment for their acts does little to deter them from committing further crimes.

The resolution concluded with the CBA supporting a cross-jurisdictional initiative to address FASD individuals within the justice system.

The challenges of keeping communities safe and FASD individuals out of jail run across the justice system, explained Rod Snow, a Whitehorse corporate lawyer and the CBA's current president.

"Judges in particular are frustrated. They don't have a whole lot of options," he said. "What the system has to offer isn't very effective."

Snow emphasized that the CBA's resolution doesn't offer measures to change the system, adding that the conversation about FASD and the justice system must be extended to engage frontline workers on "how we can do this better."

"We still have a lot of work to do. We don't want this to be a flavour of the month," he said.

In a recent meeting with the CBA, Canadian Justice Minister Rob Nicholson admitted that FASD was a "huge problem in the system," something that Snow feels is a good sign.

There hasn't been widespread acknowledgment and acceptance of the problem for a couple of reasons, Snow explained. Inconsistent data, difficulty in diagnosing and relatively new science around the disability make it hard for a consistent application of law across the country.

With the highest rates of FASD in the country, the three territories are taking the topic to a national audience, working together with federal and provincial justice ministers on a solution to the problem.

Jeannette Savoie, secretary-treasurer of the CBA's NWT branch, offered her thoughts on changes she'd like to see.

The current system offers little support for those with FASD coming out of the justice system and into probation, she explained.

"What happens next? At this stage it's almost non-existent," she said. In a perfect world it would be about prevention and education, she noted.

Snow added his thoughts on the future of FASD-justice issues.
"In the long term we need a system where individuals are not repeatedly sent off to jail because of choices resulting from their disability," he said. "We need the will of the community to search out these alternatives."

Blokes have role in booze message

posted Dec 2, 2010 12:19 PM by Canadian Coalition of Adoptive Families

DANIEL LYNCH - Taranaki Daily News 
Last updated 05:00 29/11/2010

Relevant offers

Parents are not getting the message that drinking alcohol while pregnant can severely damage an unborn baby's development, a Canadian expert said.

Dr Albert Chudley, a specialist in foetal alcohol syndrome disorder, is urging dads-to-be to give up the booze as well.

Dr Chudley joined health professionals from around the world at the Paediatric Society of New Zealand's annual conference, which concluded on Friday in New Plymouth.

The three-day conference focused on the challenges facing those working in child health in New Zealand.

In his keynote address, Dr Chudley discussed the issues around alcohol and pregnancy.

"Alcohol is a poison, why would you risk that on your baby," he said.

An estimated five million people in North America had permanent learning, behavioural or social problems as a result of their mothers drinking alcohol during pregnancy. Dr Chudley said as many as 90 per cent of them went undiagnosed because of a lack of dedicated specialists trained to identify the disorder.

He said language impediments, short-term memory issues and depression could all be linked to foetal alcohol syndrome. In New Zealand the problem could be much worse.

Over a quarter of women reported drinking while pregnant in a 2008 survey.

Alcohol Healthwatch spokesperson Christine Rogan said New Zealand needed to follow Canada's lead and invest in upskilling health professionals.

"We need to develop diagnostic teams so we can find these kids," she said.

Without accurate statistics that paint a true picture of the numbers affected by alcohol use during pregnancy obtaining funding is difficult.

Dr Chudley said staying away from alcohol altogether was the safest option for unborn babies.

"When my wife was pregnant that meant I also stopped drinking. It's a team effort and the health of my children is more important."

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