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International Adoption Medical Consultation Services FAS Data
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| Total number of Russian medical records reviewed 1994-1997 | n=135 |
| Number of medical records which included video and/or photographs | n=131 |
| History of maternal alcohol abuse in medical records | 17/135=12.59% |
| History of maternal alcohol and drug abuse in medical records | 1/135=0.74% |
| History of maternal drug abuse in medical records | 1/135=0.74% |
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Video review data
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| Physician suspicion of FAS by facial features | 28/131=21.37% |
| Out of 28 children suspected of FAS, the number with positive history of maternal alcohol abuse on medical record | 5/28=17.86% |
| Out of 17 children with history of maternal alcohol abuse there was definitive diagnosis of FAS by facial features | 2/17=11.76% |
| Out of 131 children evaluated, there were 2 children with FAS | 2/131=1.53% |
| Out of 17 children with history of maternal alcohol abuse, there was suspicion (not classic) of FAS | 5/17=29.41% |
| Out of 17 children with history of maternal alcohol abuse, there was definitive + suspicion of FAS | 7/17=41.18% |
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Analysis of growth data for children with definitive and/or suspicion of FAS
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| 2 children with maternal history of alcohol abuse and definitive diagnosis of FAS |
Child #1 | head circumference
5-10%
height, weight
5-10% |
Child #2 | head circumference
5-10%
height,
weight < 5% |
5 children with maternal history of alcohol abuse and suspicion of FAS |
Child #1 | head circumference
< 5%
height, weight
< 10% |
Child #2 | head circumference
no data
height, weight
> 10% |
Child #3 | head circumference
< 5%
height, weight
< 5% |
Child #4 | head circumference
< 5%
height, weight
< 10% |
Child #5 | head circumference
< 5%
height, weight
< 5% |
All of the children who were suspected of FAS were developmentally delayed by their video review |
Incidence of Fetal Alcohol Syndrome in the Western World
Abel EL et al. Drug and Alcohol Dependence. 1987; 19:51-70 | 1 in 3,000=0.03% |
Incidence of Fetal Alcohol Syndrome in my adoption practice | 2/131=1.53% |
This is 51 times more than incidence in western world |
Note that the incidence is probably even greater because it is clear that the number of medical records with positive history of maternal alcohol abuse is a gross underestimation |
