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Fetal Alcohol Spectrum Disorders
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Substance Use Disorders

Fetal Alcohol Spectrum Disorders

Drinking alcohol during pregnancy can cause a group of conditions known as fetal alcohol spectrum disorders (FASDs), which can result in lifelong medical, behavioral, and educational challenges.

Alcohol can harm your baby at any stage during a pregnancy, including the earliest stages before you even know you are pregnant. Children born with FASDs can have a mix of problems, the severity of which depends on the specific type of disorder. These problems may include:

  • Abnormal facial features, such as a smooth ridge between the nose and upper lip
  • Small head size
  • Shorter-than-average height
  • Low body weight
  • Poor coordination
  • Hyperactive behavior
  • Difficulty with attention and memory
  • Learning disabilities and difficulty in school
  • Speech and language delays
  • Intellectual disability or low IQ
  • Poor reasoning and judgment skills
  • Sleep and sucking problems as a baby
  • Vision or hearing problems
  • Problems with the heart, kidneys, or bones

Fetal Alcohol Syndrome

Fetal alcohol syndrome (FAS) is the most serious type of FASD. People with FAS have facial abnormalities, including wide-set and narrow eyes, growth problems, and nervous system abnormalities.

Diagnosis and Treatment

Diagnosing FASD can be hard because there is no medical test, like a blood test, for it. The health care provider will make a diagnosis by looking at the child's signs and symptoms and asking whether the mother drank alcohol during pregnancy.

FASDs last a lifetime. There is no cure, but treatments can help. These include medicines to help with some symptoms, medical care for health problems, behavior and education therapy, and parent training. A good treatment plan is specific to the child's problems and should include close monitoring, follow-ups, and changes when needed.

Protective Factors

Certain "protective factors" can help reduce the effects of FASDs and help people reach their full potential, including:

  • Diagnosis before 6 years of age
  • Loving, nurturing, and stable home environment during the school years
  • Absence of violence around them
  • Involvement in special education and social services

There is no known safe amount of alcohol during pregnancy. To prevent FASDs, you should not drink alcohol while you are pregnant, or when you might get pregnant.

Frequently Asked Questions

The main goals of treatment are to manage symptoms, maximize the child's potential, and improve their quality of life. This often involves a multidisciplinary approach including medications for specific symptoms, medical care for physical problems, behavioral and educational therapies, and parent training to help manage challenges at home and school.
No, there is no known safe amount of alcohol to drink at any stage of pregnancy. Alcohol can harm the developing baby at any point, including before a woman even knows she is pregnant. The safest choice for pregnant individuals is to avoid alcohol entirely.
Families can benefit from ongoing support groups, educational resources, and advocacy organizations specializing in FASDs. Early intervention services, special education programs, and access to therapists (occupational, speech, behavioral) are crucial. A coordinated care team involving medical professionals, educators, and social workers can help navigate lifelong challenges.
Key signs can include distinct facial features like a smooth ridge between the nose and upper lip, a thin upper lip, and small, wide-set eyes. Other signs may involve a small head size, shorter-than-average height, low body weight, poor coordination, hyperactivity, and significant difficulties with attention, memory, learning, and judgment.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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