Main Article Content
Background: The importance of the problem of drinking alcohol and further, negative consequences in the prenatal period and before planning the pregnancy is not understood sufficiently by the women as well as by the doctors. The goal of our research was to determine Russian specialists’ current awareness p regarding the problem of teratogenic effects of alcohol on the fetus and to illustrate the importance of introducing this knowledge into their educational process to the specialist.
Materials and Methods: To achieve this goal, an anonymous survey was conducted with 146 obstetrician-gynecologists (OG), 70 neonatologists (N), 56 pediatric psychiatrists (PP), 53 pediatricians (P), 46 pediatric neurologists (based at medical and prophylactic institutions in Eastern Siberia Irkutsk in Russia. The questionnaire consisted of 28 questions (htt://netfas.net/pro/).
Results: The result of the study showed that most doctors were not sufficiently informed about the teratogenic effects of alcohol on the developing fetus, and in particular, its relation to FAS / FASD. It was established that neurologists were more aware in these matters with significant p <0.05 However, obstetrician-gynecologists, who are the primary preventive link to prevent alcohol consumption in the prenatal period and in the period of planning pregnancy showed lesser knowledge than the neurologists in this regard .
Conclusions: Thus, this study concluded that it is necessary to the specialist and other researchers to pay attention in different medical and social spheres that the problem has really become quite urgent for the future generations also, these topics related to the problem of the effects of alcohol on the fetus should be introduced In the physicians ‘education curriculum. Physicians should pay special attention to pregnant women who were taking alcohol even in small doses, as there is no safe amount of alcohol during pregnancy.
Balachova T, Bonner B, Chaffin M, Bard D, Isurina G, Tsvetkova L, Volkova E. Women's alcohol consumption and risk for alcohol-exposed pregnancies in Russia. Addiction. 2012;107(1):109–11. Available:https://doi.org/10.1111/j.1360-0443.2011.03569.x
GoodlettCh R, Horn KH, Zhou FC. Alcohol teratogenesis: Mechanisms of damage and strategies for intervention. Exp. Biol. Med. 2005;230(6):394-406.
World Health Organization. Global status report on alcohol and health 2018. Geneva: World Health Organization. 2018; 19:450.
Yaltonskaya AV, Yaltonsky VM, Kolpakov YV, et al. Alcohol consumption during pregnancy and the fetal alcohol spectrum of disorders in Russia: A systematic review of the literature. Narcology. 2014; 6:81–90.
Kolesnikov SI, Ivanov VV, Semenyuk AV. and etc. Pregnancy and toxicants. Novosibirsk, Nauka Publishing House. 1986;159.
Kolesnikov SI, Semenyuk AV, Grachev SV. Imprinting of the toxicants effects in embryogenesis. Moscow. Medical Information Agency. 1999;263.
Olson HC. Development and psychopathology: Of fetal alcoholic syndrome and relatrd condition. Olson HC, Morse DA, C Huffine. Semin. Clin. Neuropsychiatre. 1998;3:262-284.
Popova S, Lange S, Probst C, Gmel G, Rehm J. Estimation of national, regional, and global prevalence of alcohol use during pregnancy and fetal alcohol syndrome: A systematic review and meta-analysis. The Lancet Global Health. 2017; 5(3):290-299. DOI: 10.1016/S2214-109X(17)30021-9
Robert M, Carceller A, Domken V, et al. Physical and neuro developmenlai evaluationol children adopted from Eastern Europe. Can. J. Clin. Pharrnacol. 2009;16: 432-440.
Palchik AB. Fetal alcohol syndrome: Manifestation and dynamics. Palchik AB, Legonkova SV. Review of Psychiatry and Medical Psychology Named after V.M. Bekhterev. 2011;3:17-20.
Marianian A, Atalyan A, Bohora S, Darenskaya M, Grebenkina L, Kolesnikova L, Kolesnikov S, Mikhaylevich I, Protopopova N, Stockett M, Yamaoka Y, Balachova T. The effect of low alcohol consumption during pregnancy on the lipid peroxidation-antioxidant defense system of women, their alcohol-exposed infants, and growth, health, and developmental outcomes. Journal of Birth Defects Research. 2019;13. ISSN: 2472-1727; Q2; IF-1.69; SJR:0.71. DOI: 10.1002/bdr2.1582
Marianian AY, Kolesnikova LI, Protopopova NV, Burina EA, Kalinkina ОB. Awareness of doctors about the problem of fetal alcohol syndrome and fetal alcohol spectrum of disorders in Irkutsk. Alcoholism: Clinical and Experimental Research. 2018;42(6):74.
Web of science, Q2; IF 2.829 DOI: org/10.1111/acer.13747
Marianian A. Yu, Kuzmin M. Yu, Atalyan AV, Markova DP, Suturina LV. Alcoholic behaviour and assessment of the quality of life of reproductive age women in eastern siberia. Advances in Health Sciences research. 2019;179-182. Available:https://doi.org/10.2991/ichw-19.2019.42 ISSN: 2468-5739 Available:https://www.atlantispress.com/proceedings/ichw-19/125920970 Copyright © 2019, the Authors. Published by Atlantis Press. This is an open access article under the CC BY-NC license Available:http://creativecommons.org/licenses/by-nc/4.0/
Dicke GB. It is necessary to change the paradigm of healthcare in the direction of widespread disease prevention. Dicke GB. Effective Pharmacotherapy in Obstetrics and Gynecology. 2011;3:4-8.
Chang G. Alcohol-screening instruments for pregnant women. Chang G. Alcohol. Res. Health. 2001;25(3):204-209.
Women who abuse the alcohol: Identifying risk groups and interventions. A guide for primary care providers. Russian Edition of Identification of at-Risk Drinking and Intervention with Women of Childbearing Age: Guide for Primary Care Providers). – Oklahoma, USA. 2008;30. Available:http://openlibrary.org
Fetal alcohol syndrome: Curriculum structure and study guide for the educational and practical activities of medical workers and specialists in related health care sectors. Oklahoma. 2008;292.
Streissguth AP, Bookstein FL, Barr HM, et al. Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects. J. Dev BehavPediatr 2004;25(4): 228-38.