We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Contempo Updates | Clinician's Corner

Fetal Alcohol Spectrum Disorder

Robert J. Sokol, MD; Virginia Delaney-Black, MD, MPH; Beth Nordstrom, PhD
JAMA. 2003;290(22):2996-2999. doi:10.1001/jama.290.22.2996.
Text Size: A A A
Published online


Fetal alcohol syndrome (FAS), currently considered part of fetal alcohol spectrum disorder (FASD), was first described in 1973.1 Although much has been learned in 30 years, substantial challenges remain in diagnosing and preventing this disorder. Our goal is to summarize what has recently been reported with respect to fetal alcohol terminology, identification, effects, prevalence, and prevention of exposure. We will emphasize how fetal alcohol exposure is routinely underidentified and what is known about who is at risk. With this knowledge, physicians should be better able to identify at-risk pregnancies and alcohol-affected individuals and address fetal alcohol exposure in the clinical setting.

Figures in this Article


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Figure. Child With Facial Characteristics of Fetal Alcohol Syndrome
Graphic Jump Location
The 3 features used to diagnose the fetal alcohol syndrome (FAS) facial phenotype are short palpebral fissures, a smooth philtrum, and a thin upper lip, as exhibited by this child. Other minor facial anomalies may be also present in children with FAS. Reproduced with permission from Susan Astley, PhD, Director of the Washington State Fetal Alcohol Syndrome Diagnostic and Prevention Network.




You need to register in order to view this quiz.


Some tools below are only available to our subscribers or users with an online account.

299 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.