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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