ALCOHOL AWARENESS FOR PREGNANT WOMEN

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A SERVICE PROJECT FOR                                                          PO #15
YOUNG CHILDREN: PRIORITY ONE

 ALCOHOL AWARENESS
FOR PREGNANT WOMEN

                                       As much as 90 percent of   six beers) gives birth to a
The Need                          the public know that drinking   child with the full range of
                                  alcohol during pregnancy can    FAS effects. Some
     Drinking alcohol during      hurt unborn children,           researchers have found an
pregnancy is gambling with a      according to a study in the     association between binge
child's life. A few drinks        American Journal of Public      drinking (five or more drinks
daily can lead to decreased       Health. However, the            on any one occasion) and
birth-weight and size, growth     understanding of the problem    FAS.
abnormalities, and behavior       is very vague. A third of the        An FAS child is born at
problems. As the average          women interviewed believed      low birth weight, reduced
daily consumption of alcohol      that a pregnant woman could     length, an abnormally small
increases, even more serious      safely consume three drinks a   head and brain, central
problems can threaten the         day. Another study showed       nervous system damage, and
unborn child: stillbirth, joint   that only 55 percent of         possible malformations of
and organ malformations, and      women ages 18 to 34 had         organs and physical features.
mental retardation.               heard of fetal alcohol               “Fetal alcohol effects”
     This is a serious problem    syndrome.                       (FAE) describes the damage
today because one in six                                          to children caused by lower
women in peak childbearing                                        levels of drinking during
years (18 to 34) may drink                                        pregnancy. Children with
enough to hurt their unborn                                       fetal alcohol effects have
babies, according to the          Understanding                   some but not all of the
National Council on               the Terms                       problems listed above, in a
Alcoholism and Drug                                               milder form.
Dependence. Consumption                                                Women who drink
                                      “Fetal alcohol syndrome”
rates continue to increase. A                                     heavily throughout pregnancy
                                  (FAS) describes the most
marketing study described in                                      may have children with no
                                  extreme effects of alcohol
Advertising Age magazine                                          signs of fetal alcohol
                                  consumption on a newborn.
predicts that women's                                             syndrome. Others who drink
                                  One pregnant woman in three
expenditures on alcohol will                                      at low to moderate levels will
                                  who daily drinks three ounces
increase to $30 billion by                                        have babies with alcohol-
                                  of alcohol (six mixed drinks
1994—a 50 percent increase                                        related damage. For this
                                  or
in ten years.                                                     reason, the safest advice is
not to drink alcohol during        differently to this message.          The first step for this
pregnancy.                         Some women are casual            group may be to study the
     Studies in France,            social drinkers, and learning    frequency of FAS and FAE
Sweden, and the United             about the relationship           among infants and other age
States indicate that one child     between drinking alcohol,        groups in the community.
in 1,000 will be born with         FAS, and FAE will be             This will indicate the severity
FAS. Other studies put the         enough to stop them from         of the problem and establish
rate at 1 to 2 per 1,000 for the   drinking during pregnancy.       a basis for evaluating the
general population and higher           Others are habitual         impact of education and
for certain groups. In 1993,       drinkers or alcohol-             intervention efforts. This
the Centers for Disease            dependent. Some will want        study should result in a
Control estimated that, in the     to stop but have a hard time     sustained effort to identify
United States, 5,000 children      doing so. Others won't want      newborns with possible
with FAS and 8,000 to              to stop.                         FAS/FAE.
16,000 with FAE are born                The challenge for                With this new
each year.                         Kiwanis clubs is three-fold:     information the group should
     Because many of the           to ensure that community         be able to define the target
effects of alcohol damage          efforts to combat fetal          audience of the awareness
may not be apparent at birth       damage due to alcohol are        Campaign—the women who
(mental retardation, behavior      well coordinated, to build       are drinking during
problems, poor coordination),      general awareness, and to        pregnancy. The group may
some experts believe that          provide support to women         also want to explore the
fetal alcohol effects are          who want to stop drinking.       potential for setting up a
underdiagnosed.                                                     screening program to identify
                                                                    pregnant women with alcohol
                                   Coordinating Efforts             problems who should be
                                                                    encouraged to seek help to
The Challenge                           The first step in an        stop drinking.
                                   alcohol awareness campaign
    Warnings about not             is a meeting with the
drinking during pregnancy          agencies that are already
                                   involved—or would like to
                                                                    Building Public
date back as far as Aristotle
and the Bible:                     get involved—with this issue.    Awareness
                                   This may include the health      Events and Gimmicks
Behold now, you are barren         department, social service
       and have borne              providers, organizations that    Pregnant Women Pour—
 no children, but you shall        address alcoholism and           Organize an event at which
   conceive and give birth         alcohol problems, members        women who have just learned
to a son. Now therefore, be        of the medical community         they are pregnant (or who are
  careful not to drink wine        (pediatricians, obstetricians,   going to start trying to be
or strong drink, nor eat any       nurses, hospitals, health        pregnant) pour away the
       unclean thing.              educators, psychologists,        remains of any liquor they
 —The Bible, Judges 13:2-3         counselors), mental              have at home. Stage the
                                   retardation support programs,    event at the hospital where
    Organizations like the         support programs, Alcoholics     they will deliver their
March of Dimes are issuing         Anonymous, rehabilitation        children. Have a
an updated version of this         centers, the nearest March of    representative from a
message today.                     Dimes chapter, parents of        supermarket or dairy present
Unfortunately, not all the         FAS children, school             each woman with a quart of
women who need to hear it          counselors, and owners of        milk. Invite newspapers,
have. And women react              local bars and liquor stores.    radio stations, and television
reporters to cover the event.     department, drug stores, and      Radio
Take pictures so that you can     liquor stores. To print
                                                                    Public Service
submit them with your press       enough to really cover the
                                                                    Announcements (PSAs)—
release.                          community, offer to give
                                                                    Write short announcements
                                  credit on the pamphlet to a
                                                                    that explain the reason why
Free Milk for Pregnant            printer who will donate the
                                                                    pregnant women shouldn't
Women—Encourage local             printing.
                                                                    drink. Design them to be
bars and restaurants that
                                                                    read in 10, 15, 20, and 30
serve alcohol to offer free       Public Service Ads (PSAs)—
                                                                    seconds. Take copies to local
milk (or fruit juice) to women    Take prepared ads to local
                                                                    radio stations and ask that
who are pregnant. Create a        newspapers and ask them to
                                                                    they be read. Or, you can
poster or table card for bars     print them as a public service.
                                                                    purchase taped PSAs and
to use in educating their         Better yet, ask the companies
                                                                    carry these to local stations.
clientele. Put out a flyer that   that are major advertisers in
                                                                    Ask that the station commit
lists the participating           the paper to take your PSA
                                                                    to playing the tape at specific
establishments.                   in for you.
                                                                    times.
Communicate the message
that they are proud to help       Press Releases—Send out
pregnant women have               press releases to every news      Interviews—Persuade the
healthy babies.                   source in the community to        most articulate members of
                                  tell what your needs survey       the coalition (a doctor, an
Companies Care Program—           discovered—and include            expert on mental retardation
Arrange for local experts to      information on FAS and            and alcoholism, an adoptive
talk at employee meetings of      FAE.                              parent of an FAS child) to
companies about the                                                 agree to be interviewed.
importance of avoiding            Op-Ed Pieces—Opposite the         Then, contact the news
alcohol during pregnancy.         editorial page is a page where    departments or talk show
Use representatives from the      opinion pieces are printed.       hosts about doing a series of
public health                     Have one of the medical           interviews to increase
department, March of Dimes,       experts in your coalition         awareness of the dangers of
and family and child services     write an op-ed piece and          drinking while pregnant.
departments.                      hand deliver it to the person
                                  in charge of the editorial and    Call-in Shows—Urge a
Print                             opinion pages. Explain who        station with a call-in show
The sample materials in the       wrote the piece and that you      aimed at women to use one of
back of this bulletin and the     personally brought it in to       the medical experts from
list of materials available       explain your campaign.            your coalition or the
from various                                                        caregiver of an FAS child as
organizations provide a range     Posters—Sponsor a local           a featured guest.
of print, audio, and video        poster contest (or get the
aterials that your club or        local newspaper or printer to     Video
coalition can use. Listed         sponsor the contest) for the      Donate Videotapes—
below are suggestions on          best poster on not drinking       Purchase educational videos
integrating these materials       while pregnant. Put up the        and donate them to clinics
into your campaign.               winning posters at clinics,       (where they can be played in
                                  doctors' offices, and every       the waiting room), child birth
Pamphlets—Produce or              place liquor is sold.             educators, schools, and
purchase in quantity. Leave                                         libraries.
at clinics, doctors' offices,
high schools, college
campuses, the health
Cable Broadcasts—Urge the        cannot afford this must have      stop drinking. This listing
local cable television           access to free prenatal care.     should include programs that
franchise to run a video about       If a free clinic for          can help a family assist a
fetal alcohol syndrome and       prenatal care does not exist in   woman who denies her
fetal alcohol effects on the     the community, the coalition      problem.
local access channel.            can develop one, using
                                 resources contributed by the      Home Visitation Program—
Public Service                   members. Several doctors          Women are most likely to
Announcements (PSAs)—            will need to volunteer a few      learn from and follow the
Visit local stations with a      hours each week. A hospital       advice of someone like
PSA on avoiding alcohol          or social service agency can      themselves. That is why the
while pregnant. Urge them to     contribute materials and          home visitation and resource
dub their own copy from          space. Record keeping can         mother programs are so
your master and play the PSA     be done by volunteers, and        successful. These
regularly.                       your Kiwanis club could           programs train volunteers
                                 provide lights, waiting room      from the neighborhood to
Interviews—Urge the local        furniture, and educational        visit pregnant women and
news stations' medical           materials.                        make sure they're doing the
reporter or the host of the          If a free clinic already is   right things to ensure a
local video magazine show to     in operation, the club may        healthy pregnancy. As trust
interview one of the             need to publicize its location    develops, the home visitor
spokespersons for your           and hours or offer                can help the expectant
coalition.                       transportation to it.             mother negotiate the
                                                                   complexities of the health
                                 Telephone Help Line—A             care system or secure
Services to Pregnant             telephone help line for           financial assistance. The
Women                            pregnant women can answer         Cooperative Extension
                                 all kinds of questions,           Service has “Mentor Mother”
    Awareness is not enough.     meanwhile promoting healthy       programs in some states, and
Women need support. Every        pregnancies. Besides giving       some public health
pregnant woman needs to          advice on proper nutrition        departments have outreach
have prenatal care. Those        and the dangers of alcohol,       mothers programs. For more
who are alcohol dependent        cigarettes, and drugs, the help   information on these
need support to avoid            line can provide moral            programs, request service
drinking, and the families of    support to women who have         bulletin PO #17, “Home
pregnant women who won't         a difficult time avoiding         Visitation Programs” from
face their drinking problem      alcohol. Volunteers will          the Kiwanis International
may need assistance to           need to be trained to give        Office and contact the
intervene.                       standard advice, and a            National Commission to
                                 counselor (who can                Prevent Infant Mortality for
Free Prenatal Care—The           help in a crisis) should          additional materials.
first step to a healthy          always be on call. The help
pregnancy is to get prenatal     line can also connect women
care—regular visits to a         to the free clinic or to
doctor. Doctors give advice      counseling resources.
on how to have healthy
pregnancies (no alcohol is       Resource Sheet—Create a
one piece of advice) and         resource sheet of counseling
address any health problems      and therapy programs
that develop. Women who          available to women who need
                                 assistance to
Instructions
         For each of these samples, retype the text double-spaced and with appropriate margins (2” for the radio scripts;
    1” for the others). Make copies of the radio PSA and distribute them to local radio stations. Develop and distribute
    your own press release using a format similar to the sample. Submit the op-ed piece to your local newspaper editor
    and ask that it appear as an op-ed piece or letter to the editor.

    Sample Press Release                                                             Radio Public Service Announcement

For Immediate Release                                                                   Radio Public Service Announcements
For more information, contact:              Kiwanis Club of Milkwood
                                            Dylan Thomas                         10 seconds
                                            555-4356                       Drinking while pregnant can damage your unborn baby. Play it safe. Don't
                                                                           drink while you're pregnant.
      “Alcohol is killing and maiming our babies,” says pediatrician
Shirley Handel, spokesperson for the Priority One Committee of             A message from this station and the Milkwood Kiwanis club.
Milkwood. Six children born in Milkwood County over the past 12
months have birth defects that were caused by their mothers'                     10 seconds
consumption of alcohol during pregnancy, according to Dr. Handel. And      If you're pregnant and you drink alcohol, you're gambling with the life and
alcohol consumption was linked to three pregnancies that did not come to   health of your unborn child. So, drink for your baby. Have milk or juice.
term.
                                                                           A message from this station and the Milkwood Healthy Baby Committee.
      All of these problems were preventable, according to a report
written by the Priority One Committee and presented by Dr. Handel.               15 seconds
“Alcohol cannot cause birth defects if pregnant women don't drink it,”     You wouldn't give your newborn baby a beer. But while you're pregnant,
says Dr. Handel.                                                           any alcohol you drink reaches your baby a minute after you swallow. So
                                                                           don't swallow any at all.
      Women in Milkwood County need to be better educated about
drinking alcohol during pregnancy, notes the report. That is why it        A message from this station and the Kiwanis Club of Milkwood.
recommends development of an education and outreach campaign to alert
all women of childbearing age that alcohol should be avoided during             20 seconds
pregnancy.                                                                 Imagine a ten-year-old child the size of a six-year-old. Imagine that she has
     “Anyone who wants to help in this campaign should come to the         an IQ of 65. Imagine that she's your child. Now, imagine someone asking,
Committee's next meeting,” urges Dr. Handel. It will meet at Wales         “Why did you drink before she was born?”
Memorial Hospital on Tuesday, November 8, at 7:00 pm. The committee
includes representatives from the Milkwood Kiwanis club; March of          If you're pregnant, don't drink alcohol.
Dimes; Alcoholics Anonymous; Healthy Mothers, Healthy Babies;
Obstetrics and Pediatrics Depts. of Milkwood Hospital; and Milkwood        A message from this station and the Alcohol-Free Babies Committee.
Counseling.
                                                                                 30 seconds
      Nationally, one child in 750 is born with Fetal Alcohol Syndrome     If you're pregnant and you drink alcohol, so does your unborn child. But
(FAS) and more are born with Fetal Alcohol Effects (FAE). FAS is a set     your baby's body isn't old enough to cope. A drink or two each day could
of birth defects that includes growth deficiency, facial malformations,    mean lower birthweight or growth problems for your baby. And enough
central nervous system damage, and other defects. Children with FAE are    alcohol to give you a hangover could leave him mentally retarded. So,
also born with some of these problems. All of these defects are caused     remember, every drink is for both of you. And your baby's way too young
by women drinking alcohol during pregnancy.                                to start.
The Kiwanis Club of Milkwood developed this project as part of its         A message from this station and the Kiwanis Club of Milkwood.
Young Children: Priority One efforts that address the needs of young
children, prenatal through age five.
Op-Ed Piece

                  The Importance of Alcohol Awareness for Pregnant Women
  Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Effects (FAE) are the terms used to describe a combination of physical
  and mental birth defects that may develop when expectant mothers drink excessive amounts of
  alcohol during pregnancy. Alcohol is one of the few known causes of birth defects that produce
  mental retardation. It is certainly the most preventable.

  Babies born with FAS or FAE are abnormally small at birth and usually do not catch up as they
  get older. In most cases they have small, widely spaced eyes, a short, upturned nose, and small,
  flat cheeks. They may suffer from a variety of organ malformations, particularly of the heart.
  Most babies with FAS/FAE have small brains and some degree of mental retardation. Many are
  poorly coordinated, have short attention spans, and exhibit behavioral problems.

  Fetal Alcohol Syndrome was first identified in 1973. Cases of FAS have now been reported in
  most countries and among all socio-economic groups. In the United States, one out of every 750
  newborns—about 5,000 babies per year—have FAS. The Centers for Disease Control estimates
  that, in the United States, 10,000 newborns each year may be affected by FAE.

  Researchers don't know how alcohol causes damage to the fetus. They do know that alcohol
  passes directly through the placenta to a fetus soon after being consumed by the mother. A baby
  gets as much alcohol as a mother drinks. However, because an unborn baby's liver is immature, it
  cannot break down the alcohol. It remains in the child's system until it can move back into the
  mother's bloodstream to be oxidized. As a result, the alcohol level in the fetus's blood actually
  can be higher than in the mother's blood.

  How much is too much? Women who drink the equivalent of three ounces of pure alcohol each
  day (six mixed drinks or six cans of beer) frequently give birth to babies who have the full range
  of FAS. Moderate amounts of alcohol during pregnancy (two to five drinks daily) also can cause
  FAE.. Because some women who drink heavily throughout pregnancy have children with no
  signs of FAS but others
  who drink sparingly have babies with FAE, the safest advice is not to drink any alcohol during
  pregnancy.

  Drinking alcohol can also increase the risk of other problems. Heavy drinkers are two to four
  times more likely to have a miscarriage between the fourth and sixth months of pregnancy.
  Heavy drinkers are also two to three times more likely to lose their babies during the perinatal
  period.

  Fetal Alcohol Syndrome is completely preventable if a pregnant woman does not drink. Women
  planning a pregnancy should stop consuming alcohol before attempting to conceive and should
  abstain throughout pregnancy and nursing. Women who drink and have unplanned pregnancies
  should abstain as soon as they suspect they are pregnant. Heavy drinkers should avoid
  pregnancy until they are certain that they can abstain from alcohol for the entire term from
  conception to birth.
SOURCES OF INFORMATION AND SUPPORT MATERIALS
The following organizations have educational materials on Fetal Alcohol Syndrome and/or Fetal Alcohol
Effects. Please contact one or all of these organizations for additional information

AIMS MultiMedia                     Milner-Fenwick, Inc.
9710 DeSoto Avenue                  2125 Greenspring Drive               National Organization on
Chatsworth, CA 91311-4409           Timonium, MD 21093                   Fetal Alcohol Syndrome
(800) 367-2467                      (301) 252-1700                       (NOFAS)
www.aimsmultimedia.com              (800) 638-8652                       900 17th Street NW
                                    Fax: 410/252-6316                    Ste. 910
Videos                                                                   Washington, DC 20006
                                    Videos                               202/785-4585
                                                                         1-800-66NOFAS
The Association for                                                      Fax: 202/466-6456
Retarded Citizens                   National Clearinghouse for           www.nofas.org
The ARC of the U.S.                 Alcohol and Drug
1010 Wayne Avenue                   Information (NCADI)                  Books, brochures, videos
Ste. 650                            11426 Rockville Pike
Silver Spring, MD 20910             P.O. Box 2345
301/565-3842                        Rockville, MD 20852                  Wisconsin Clearinghouse
Fax: 301/565-3843                   (301) 468-2600                       for Prevention Resources
www.thearc.org/                     (800) 729-6686                       1552 University Avenue
                pubtemp.htm         www.health.org                       Madison, WI 53726-4085
                                    www.ncadi.samhsa.gov                             -or-
Brochures, printed materials,                                            P.O. Box 1468
FAS kits, videos                    Pamphlets, fact sheets,              Madison, WI 53701-1468
                                    videos, posters                      608/262-9157
                                                                         800/248-9244
March of Dimes Birth                                                     Fax: 608/262-6346
Defects Foundation                  National Health                      www.wch.uhs.wis.edu
Materials and Supply                Information Center                   www.dhfs.state.wi.us
Division                            Referral Speicalist                  www.wisc.edu
1275 Mamaroneck Ave.                PO Box 1133
White Plains, NY 10605              Washington, DC 20013                 Brochures, pamphlets, fact
(914) 428-7100                      Phone: 301/565-4167                  sheets.
www.marchofdimes.com                        800/336-4797
                                    Fax: 301/984-4256
Pamphlets, fact sheet, videos
                                    Videos, posters, t-shirts,
                                    books, bumper stickers,
                                    brochures
Service Programs Department
    Kiwanis International
   3636 Woodview Trace
Indianapolis, IN 46268-3196

  (317) 875-8755 Worldwide
(800) 879-4769 North America
     (317) 879-0204 Fax

 Email: service@kiwanis.org
Remember, it doesn't matter if it's beer,
wine, or a mixed drink. It's still alcohol, and
alcohol hurts sometimes kills children.
Please don't drink if you're pregnant.

                                                                                                          Avoid
                                                                                                          Alcohol
                                                                                                          While you’re
                                                                                                          Pregnant!

For more information,
contact:
                                                  Distributed by your local Kiwanis club as part of the
                                                  Kiwanis International service program                        DON’T
                                                                                                              GAMBLE
                                                  Young Children: Priority One.
National Organization
on Fetal Alcohol Syndrome
900 17th Street NW
Ste. 910                                                                                                     WITH YOUR
                                                                                                              CHILD’S
Washington, DC 20006
(202) 785-4585
1-800-66NOFAS
www.nofas.org

March of Dimes Birth Defects Foundation
                                                             Service Programs Department
                                                                 Kiwanis International
                                                                                                              FUTURE
1275 Mamaroneck Ave.                                            3636 Woodview Trace
                                                             Indianapolis, IN 46268-3196
White Plains, NY 10605
                                                                    (317) 875-8755
(914) 428-7100
www.marchofdimes.com
consume alcohol there are children born
You Share Your                                                                                damaged by alcohol.
Drinks                                                                                        Studies in three countries indicate that as
                                                                                              many as 1 in 1,000 infants is born with Fetal
If you're pregnant, you share all the alcohol                                                 Alcohol Syndrome. Up to 10 times that
you drink with your unborn baby. And your                                                     number are born with Fetal Alcohol Effects.
baby's body isn't old enough to cope.
                                                                                              In the United States alone, the annual
Just a few drinks a week have caused                                                          treatment costs for everyone with FAS
miscarriages and stillbirths.                                                                 infants, children, and adults was estimated to
                                                                                              be more than $1.4 billion in 1980.
Other developing babies cope with one or                                                      Estimated productivity losses were another
two drinks on a regular basis. But they may
be born underweight, undersize, with            Stop Now!                                     half billion dollars.

behavior problems. These are Fetal                                                            The institutional and medical costs for one
Alcohol Effects.                                If you even think you might be pregnant,      child with Fetal Alcohol Syndrome are
                                                don't drink!                                  estimated to be $1.4 million over a lifetime.
And some unborn babies regularly have to
face four or five drinks at a time. They may    If you have been drinking, please stop!       More shocking than all of these statistics is
be born with additional problems:               You can still help your baby.                 one encounter with a child who is half the
    small heads                                                                              size he should be and has a small head,
    facial malformations                       Doctors don't know why the effects of a       flattened face, and only one ear. An IQ of
    nervous system problems                    mother's drinking vary from baby to baby.     65.
    heart, kidney, and joint defects           They do know that the more you drink, the
                                                more you're gambling with your baby's life.   Imagine that boy. Then, remember that he
These problems are called Fetal Alcohol                                                       would be normal if his mother had avoided
Syndrome.                                                                                     alcohol.

 Mental retardation, growth deficiency, poor    Stay Dry with the
coordination, and behavior                      Baby
problems will be their legacy as they
get older.                                      As long as you nurse your baby, stay away
                                                from drinking. Because the alcohol you
                                                drink will end up in your milk.

                                                In countries around the world, among the
                                                rich and the poor anywhere humans
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