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Diagnosis of Fetal Alcohol Spectrum Disorders (FASDs): Guidelines of Interdisciplinary Group of Polish Professionals

Katarzyna Okulicz-Kozaryn, Agnieszka Maryniak, Magdalena Borkowska, Robert Śmigiel and Katarzyna Anna Dylag
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Katarzyna Okulicz-Kozaryn: Institute of Mother and Child, 01-211 Warsaw, Poland
Agnieszka Maryniak: Faculty of Psychology, University of Warsaw, 00-183 Warsaw, Poland
Magdalena Borkowska: State Agency for Prevention of Alcohol-Related Problems, 02-326 Warsaw, Poland
Robert Śmigiel: Department of Pediatrics, Division of Propaedeutic of Pediatrics and Rare Disorders, Wroclaw Medical University, 50-368 Wroclaw, Poland
Katarzyna Anna Dylag: St. Louis Children Hospital, 31-503 Krakow, Poland

IJERPH, 2021, vol. 18, issue 14, 1-18

Abstract: (1) Background: Considerable prevalence in Poland and serious health consequences of prenatal alcohol exposure indicated the need to develop national guidelines for the diagnosis of fetal alcohol spectrum disorders (FASDs). It was assumed that the guidelines must be in line with international standards but adjusted to the Polish context. (2) Methods: Work on recommendations was carried out by an interdisciplinary team of Polish specialists. Its first stage was to assess the usefulness in our country of the U.S. and Canadian guidelines. In the second stage, after several rounds of discussions, a consensus was achieved. (3) Results: The Polish guidelines for diagnosing FASD cover the following issues: 1. distinguished diagnostic categories; 2. diagnostic procedure; 3. assessment of prenatal exposure to alcohol; 4. assessment of sentinel facial dysmorphias; 5. assessment of body weight, height, and head circumference; 6. neurodevelopmental assessment. An important element of the recommendation is appendices containing practical tools that are useful in the diagnostic procedure. (4) Conclusions: National guidelines may improve the quality and standardization of FASD diagnosis in Poland, but their practical utility has to be monitored.

Keywords: fetal alcohol spectrum disorders; FASD; diagnosis; guidelines; Polish recommendation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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