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The Prenatal Promise: The Challenges and Hope of an Alcohol Free Pregnancy By the: T exas O ffice for P revention of D evelopmental D isabilities

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Presentation on theme: "The Prenatal Promise: The Challenges and Hope of an Alcohol Free Pregnancy By the: T exas O ffice for P revention of D evelopmental D isabilities"— Presentation transcript:

1 The Prenatal Promise: The Challenges and Hope of an Alcohol Free Pregnancy By the: T exas O ffice for P revention of D evelopmental D isabilities Staff: Janet Sharkis, Patricia Bailey, June Villarreal

2 True or false –fun quiz! Alcohol exposure can be more damaging to a baby than drug exposure. With the right support, children with FASD catch up to their peers. Prenatal alcohol exposure is the leading cause of mental retardation in the United States. FASD is as prevalent as Autism Spectrum Disorder. FASD was identified 30 years ago. FASD is more common among wealthier families. Children with physical signs of FASD, such as their facial appearance, demonstrate the most behavioral issues. Fewer than 10% of the people born with an FASD can live independently. Most children with an FASD have an IQ within the normal range. Children with an FASD are often misdiagnosed with Oppositional Defiant Disorder (ODD). Alcohol passed through breastfeeding is not dangerous to the baby. Approximately 1 out of 100 children have an FASD.

3 Some more data (just felt like I needed to give you more stats, sorry ) There is a lot of drinking going on among women of childbearing age* in Texas! 10.9% binge drink (more than 7 drinks on any occasion) 3.9% chronically drink At risk for binge/heavy drinking: large metro areas: 19.8 % Rural areas: 6.2% Some of them may be pregnant and dont know it. * Childbearing age defined as years.

4 We know that lots of pregnant women in TX are drinking One month before delivery, pregnant women admitted: 9.3% alcohol use 2.2% binge alcohol use 1.1% admitted heavy use In TX the number one reason women are admitted to treatment… Alcohol!

5 Another factor…unplanned pregnancies Although specific data on unplanned pregnancies is hard to come by, we can draw some conclusions: Texas has the 5 th highest teen pregnancy rate in the country. (mostly unplanned) 70% of the pregnancies of college students in Texas are unplanned. Texas ranks 38 th in the nation on prenatal care (may partially be because so many dont know they are pregnant.) If many women didnt plan to be pregnant and didnt know They were pregnant, they wouldnt have felt the need to take any special precautions related to their health or diet. There is no reason to believe that they arent drinking as usual.

6 A perfect storm in Texas Social messages and norms: Reproductive health, an uncomfortable topic Lots of drinking and acceptance of alcohol Many Women Dont plan pregnancy or Dont know they are pregnant

7 Option 1: The Conversation I often start these conversations with 1)An affirmation about the client and then: 2)An I was surprised to learn statement. With the affirmation statement, I try to find something specific about the client… or about the hopes and dreams the individual has about her family and her life. Then the I was surprised to learn statement is a way of leveling the playing field with the client and sharing a piece of information about alcohol and child development.

8 Practice Break up into small groups and just work on the first 2 pieces, an affirmation and the bridge statement, which for me is the surprise statement. If you have other ways of beginning the Conversation, you can use them and share!

9 Option 2: The 4 Ps: Parents, Partners, Past and Present Developed by Dr. Ira Chasnoff Did either of your parents have any problems with alcohol or drugs? Does your partner have any problems with drugs or alcohol? Have you ever drunk beer, wine, liquor? (past) In the month before you knew you were pregnant, did you smoke cigarettes? (present) In the month before you had any idea you were pregnant, did you drink? ( pregnancy)

10 Option 3: Comparison of Drinking Low risk= No more than 7 drinks per week and no more than 3 drinks in a day. High risk= More than 7 drinks per week or more than 3 drinks in a day. Note that this chart is for the general population, not pregnant women. Drinking Comparison

11 Discussion: health of your child Not ImportantVery Important

12 More discussion Your health in relation to your child, baby, unborn child… Not Important Very important

13 How its going… Not taking care of my health Taking care of my health Define together all of what taking care of health means: mental health, positive relationships, eating, sleeping habits, reproductive health, substance use-alcohol, tobacco, other drugs, exercise.

14 The Peacock Challenge: Taking stock I take pride that I am doing ___ for my health. I take pride in avoiding these things _____ that can hurt my health. I can make my health and my baby healthier by _________________.

15 Are you ready? To improve your health (and the health of your baby) ? Not now Okay, I am thinking about it I am planning on it. I am committed to it. I am working on it.

16 The look and feel of FASD behavior What you see Throws fits Breaks rules Learning problems Doesnt sit still Lying Why its happening Constantly frustrated Cant remember rules, cant generalize from one situation to another, cant understand underlying concept Unable to interpret instructions, retain information, understand cause and effect, deal with abstract concepts. Experiencing sensory overload, neurologically based need to move while learning. Doesnt recall, cant sequence, trying to figure out what others want to hear.

17 What they need Consistent environment-minor changes can impact child. Repetition Visual, kinesthetic, along with verbal Rephrasing Rhyming Small chunks of information

18 On Line training April 29 th Drinking before Birth: The Truth and the Consequence By Janet Sharkis and Natalie Furdek, Lead Program Specialist Women's Substance Abuse Services Coordinator This training will focus more on the specifics around FASD and the brain and include more specific information about referral resources.

19 Resources If you or someone you know would like information about substance abuse treatment or prevention, please visit:

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