A survey of physicians knowledge regarding awareness of maternal alcohol use and the diagnosis of FAS.
BACKGROUND
Alcohol is the most widely used drug in the world that is a human teratogen whose use among women of childbearing age has been steadily increasing. It is also probable that Fetal Alcohol Syndrome is under diagnosed by physicians. The objectives of this study were twofold: 1) to evaluate the experience, knowledge and confidence of family physicians with respect to the diagnosis of FAS and 2) to evaluate physicians awareness of maternal drinking patterns.


METHODS
A multiple choice anonymous questionnaire was sent to a randomly selected group of family physicians in the Metropolitan Toronto area.


RESULTS
There was a 73% (75/103) total response rate; Overall, 6/75 (8%) of family physicians reported that they had actually diagnosed a child with FAS. 17.9% had suspicions but did not make a diagnosis and 12.7% reported making a referral to confirm the diagnosis. Physician rated confidence in the ability to diagnosis FAS was low, with 49% feeling they had very little confidence. 75% reported counselling pregnant women and 60.8% reported counselling childbearing women in general on the use of alcohol. When asked what screening test they used to detect the use of alcohol, 75% described frequency/quantity. Not a single respondent identified using the current accepted screening method for alcohol use (TWEAK) which is recommended by The Centre for Addiction and Mental Health.


CONCLUSIONS
Family physicians do not feel confident about diagnosing FAS. None of the physicians were aware of the current screening methods to accurately gage alcohol use in pregnant and childbearing women.
Nevin
Alexandra C
AC
The University of Toronto Medical School. Nevin@utoronto.ca
Parshuram
Christopher
C
Nulman
Irena
I
Koren
Gideon
G
Einarson
Adrienne
A
D000428:Alcohol Drinking; D001291:Attitude of Health Personnel; D002170:Canada; D002983:Clinical Competence; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000175:diagnosis*; D006801:Humans; D008425:Maternal Behavior; D010821:Physicians, Family; D011247:Pregnancy; D011795:Surveys and Questionnaires