What is Foetal Alcohol Spectrum Disorder (FASD)?
FASD stands for Foetal Alcohol Spectrum Disorder. It is caused by alcohol exposure in pregnancy. It can affect the developing brain and body of an individual before they were born.
It is now known that alcohol is a toxic substance that easily crosses from the mother to the foetus throughout the pregnancy. This disrupts a baby’s development. A developing foetus does not have a fully developed liver. It cannot filter out the toxins from the alcohol and this causes harm. It is now known that there is no safe time, no safe type, no safe amount of alcohol to drink when pregnant.

FASD is a life-long neurodevelopmental condition. It causes cognitive, emotional and behavioural challenges. It is often referred to as a hidden disability. FASD affects each person in different ways. There are over 400 disorders associated with FASD. It has both strengths and difficulties. Those with FASD and their families need support to learn FASD-informed strategies. These can help support them in their daily lives.
There is no cure for FASD. Adults with FASD have the same problems they had when they were younger. Many need on-going support and help throughout their life. With the right support from a young age, children can learn to work with and to understand FASD. It can help them to have more positive life outcomes.
How to get a diagnosis
There is not currently a clear pathway for an FASD diagnosis in Sheffield.
Speak to your GP or Health Visitor if you have any concerns about your child's development. You can talk to them about the NICE guidelines.
For any FASD diagnosis your GP/Health visitor will ask about the following:
- any proof you have about alcohol use during pregnancy (in writing where possible)
- any proof from school or other professionals about developmental challenges.
Your GP will be able to refer you to a paediatrician for multidisciplinary team assessment. There are also cases where a diagnosis has been given through Community Paediatrics and CAMHS.
The 10 Brain Domains
There are potentially 10 brain domains (or functions) that can be affected by alcohol use in pregnancy. No two people with FASD will be affected in the same way. Each face different challenges and have different strengths.