About fetal alcohol spectrum disorder (FASD)

Drinking alcohol during pregnancy can lead to a range of health and development problems. These problems are grouped under a condition called fetal alcohol spectrum disorder (FASD).

Our illustrated guide has everything you need to know about alcohol and pregnancy, plus suggestions for cutting down on alcohol or quitting alcohol while pregnant.

Causes of fetal alcohol spectrum disorder (FASD)

Fetal alcohol spectrum disorder (FASD) is caused by drinking alcohol during pregnancy.

Alcohol passes through the placenta and enters the bloodstream of unborn babies. This can affect brain development in unborn babies and can have serious, life-long consequences for children’s health and development.

There is no ‘safe’ level of drinking while pregnant. Heavy binge-drinking puts unborn babies at most risk of FASD.

Women who are pregnant, or who could get pregnant, should not drink alcohol. Mothers who are breastfeeding should also not drink alcohol.

Not every pregnancy is planned, and many women drink alcohol before they realise they’re pregnant. If you find out you’re pregnant and know you’ve drunk alcohol – especially if you drank a lot in the early stages of pregnancy – you might like talk to your GP.

Signs and symptoms of fetal alcohol spectrum disorder (FASD)

Physical signs
The physical signs of fetal alcohol spectrum disorder (FASD) vary, but many children with FASD have:

Cognitive signs
Children with FASD might have:

  • learning difficulties
  • intellectual disability
  • poor memory
  • difficulty communicating.

Behaviour signs
Children with FASD might:

  • be impulsive
  • have anxiety and depression
  • find it hard to organise themselves
  • seem to have the behaviour and emotions of younger children.

Diagnosis of fetal alcohol spectrum disorder (FASD)

A GP, paediatrician or other child health professional can diagnose fetal alcohol spectrum disorder (FASD) by looking for the signs above and using a special set of criteria. This is called the Australian FASD Diagnostic Instrument.

The earlier a child gets a diagnosis of FASD, the earlier the child can get intervention to help him reach his potential. If you have any concerns about your child and FASD, it’s a good idea to speak with your GP.

Support and treatment for fetal alcohol spectrum disorder (FASD)

Fetal alcohol spectrum disorder (FASD) can’t be cured. But children with FASD can get treatment to improve their outcomes and quality of life.

Treatment depends on the difficulties a child with FASD has. For example, if a child has difficulties with speech and communication, speech therapy might help. If a child has learning and behaviour difficulties at school, there might be options for school disability support. Occupational therapy can help children with movement and daily care difficulties.

When children have FASD, a large team of health professionals usually helps to support the whole family. This team might include the following:

If you live in a National Disability Insurance Scheme (NDIS) trial area and your child has a confirmed diagnosis of FASD, your child can get support under the NDIS. The NDIS helps you get services and support in your community, and gives you funding for things like early intervention therapies.