Assessment of benefits of a universal screen for maternal alcohol use during pregnancy

✍ Scribed by Anne E. Gifford; Kathleen J. Farkas; Leila W. Jackson; Christopher D. Molteno; Joseph L. Jacobson; Sandra W. Jacobson; Cynthia F. Bearer

• Book ID: 101709400
• Publisher: John Wiley and Sons
• Year: 2010
• Tongue: English
• Weight: 109 KB
• Volume: 88
• Category: Article
• ISSN: 1542-0752
• DOI: 10.1002/bdra.20731

✦ Synopsis

The objective of this report is to estimate the benefits of universal meconium screening for maternal drinking during pregnancy. Fetal alcohol spectrum disorder (FASD), including its most severe manifestation fetal alcohol syndrome (FAS), is preventable and remains a public health tragedy. The incidences of FAS and FASD have been conservatively estimated to be 0.97 and 10 per 1000 births, respectively. Meconium testing has been demonstrated to be a promising at-birth method for detection of drinking during pregnancy. METHODS: The current costs of FAS and FASD, alcohol treatment programs, and meconium screening were estimated by literature review. Monetary values were converted roughly to equal dollars in 2006. RESULTS: Costs of adding meconium analysis to the current newborn screening program and of treatment for the identified mothers were estimated and compared to potential averted costs that may result from identification and intervention for mothers and affected infants. Three potential maternal treatment strategies are analyzed.