{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:06:32Z","timestamp":1790931992832,"version":"4.1.0"},"reference-count":48,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2006,9,1]]},"abstract":"<jats:p>OBJECTIVES. Prenatal exposure to alcohol interferes with fetal development and is the leading preventable cause of birth defects and developmental disabilities. The purpose of this study was to identify current knowledge, diagnosis, prevention, and intervention practices related to fetal alcohol syndrome and related conditions by members of the American Academy of Pediatrics.<\/jats:p>\n               <jats:p>METHODS. This study was developed collaboratively by the American Academy of Pediatrics and the Centers for Disease Control and Prevention. Questionnaires were mailed to a 3% random sample (n = 1600) of American Academy of Pediatrics members in the United States. General pediatricians, pediatric subspecialists, and pediatric residents were included.<\/jats:p>\n               <jats:p>RESULTS. Participation rate was 55% (n = 879). Respondents almost universally knew the teratology and clinical presentation of fetal alcohol spectrum disorders. However, they were less likely to report comfort with routine pediatric care of these children. Whereas 62% felt prepared to identify and 50% felt prepared to diagnose, only 34% felt prepared to manage and coordinate the treatment of children with fetal alcohol spectrum disorders. Even fewer (n = 114 [13%]) reported that they routinely counsel adolescent patients about the risks of drinking and pregnancy.<\/jats:p>\n               <jats:p>CONCLUSIONS. The survey confirms that pediatricians are knowledgeable about fetal alcohol syndrome but do not feel adequately trained to integrate the management of this diagnosis or prevention efforts into everyday practice. Furthermore, the respondents were not active in routine anticipatory guidance with adolescents for prevention of alcohol-affected pregnancies. The development, dissemination, and implementation of best practice tools for prevention, diagnosis, and referral of fetal alcohol syndrome that are specific for general and subspecialist pediatricians are recommended.<\/jats:p>","DOI":"10.1542\/peds.2005-0516","type":"journal-article","created":{"date-parts":[[2006,9,1]],"date-time":"2006-09-01T21:17:38Z","timestamp":1157145458000},"page":"e657-e668","source":"Crossref","is-referenced-by-count":67,"title":["Pediatricians' Knowledge, Training, and Experience in the Care of Children With Fetal Alcohol Syndrome"],"prefix":"10.1542","volume":"118","author":[{"given":"Sheila","family":"Gahagan","sequence":"first","affiliation":[{"name":"Center for Human Growth and Development, University of Michigan, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya Telfair","family":"Sharpe","sequence":"additional","affiliation":[{"name":"Fetal Alcohol Syndrome Prevention Team, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Brimacombe","sequence":"additional","affiliation":[{"name":"Departments of Preventive Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Fry-Johnson","sequence":"additional","affiliation":[{"name":"Pediatrics, University of Medicine and Dentistry of New Jersey, Newark, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Levine","sequence":"additional","affiliation":[{"name":"National Center for Primary Care, Morehouse School of Medicine, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Mengel","sequence":"additional","affiliation":[{"name":"Meharry Medical College, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, St Louis University School of Medicine, St Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blair","family":"Paley","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, St Louis University School of Medicine, St Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Adubato","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Brenneman","sequence":"additional","affiliation":[{"name":"US Public Health Service (Retired), Rockville, Maryland, and Committee on Native American Child Health, American Academy of Pediatrics, Elk Grove Village, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2006,9,1]]},"reference":[{"key":"2021120822532079300_R1","unstructured":"Centers for Disease Control and Prevention. 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Diagnostic Guide for Fetal Alcohol Spectrum Disorders: The 4-Digit Diagnostic Code. 3rd ed. Seattle, WA: University of Washington Press; 2004"},{"key":"2021120822532079300_R9","doi-asserted-by":"crossref","unstructured":"Clarren KJ, Smith DW. The fetal alcohol syndrome. N Engl J Med.\u20081978;298:1063\u20131067","DOI":"10.1056\/NEJM197805112981906"},{"key":"2021120822532079300_R10","doi-asserted-by":"crossref","unstructured":"Mattson SN, Riley EP. A review of the neurobehavioral deficits in children with fetal alcohol syndrome or prenatal exposure to alcohol. Alcohol Clin Exp Res.\u20081998;22:279\u2013294","DOI":"10.1111\/j.1530-0277.1998.tb03651.x"},{"key":"2021120822532079300_R11","unstructured":"Jones KL. Fetal alcohol syndrome. In: Smith's Recognizable Patterns of Human Malformations. 5th ed. Philadelphia, PA: WB Saunders; 1997:555\u2013558"},{"key":"2021120822532079300_R12","doi-asserted-by":"crossref","unstructured":"Sokol RJ, Delaney-Black V, Nordstrom B. 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MMWR Morb Mortal Wkly Rep.\u20081993;42:339\u2013341"},{"key":"2021120822532079300_R20","unstructured":"Centers for Disease Control and Prevention. Update: trends in fetal alcohol syndrome\u2014United States, 1979\u20131993. MMWR Morb Mortal Wkly Rep.\u20081995;44:249\u2013251"},{"key":"2021120822532079300_R21","unstructured":"Jones KL, ed. Smith's Recognizable Patterns of Human Malformation. 5th ed. Philadelphia, PA: WB Saunders; 1997:8\u201313"},{"key":"2021120822532079300_R22","doi-asserted-by":"crossref","unstructured":"Wald N, Leck I, eds. Antenatal and Neonatal Screening. 2nd ed. Oxford, England: Oxford University Press; 2000","DOI":"10.1093\/acprof:oso\/9780192628268.001.0001"},{"key":"2021120822532079300_R23","doi-asserted-by":"crossref","unstructured":"Sharpe TT, Alexander M, Hutcherson J, et al. Report from the CDC. Physician and allied health professionals' training and fetal alcohol syndrome. 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