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Alcohol Use Disorders

  • Laura Orsolini
  • Cesario Bellantuono
  • Domenico De Berardis
  • Fabrizio Schifano
Chapter

Abstract

Alcohol use disorder (AUD) during pregnancy and postpartum period may determine congenital malformations or later intellectual disability as well as determine an increased risk of foetal alcohol syndrome (FAS) or foetal alcohol spectrum disorders (FASDs). Unfortunately, there is little research information and clinical studies to date available regarding clinical decision-making and therapeutic flow chart able to give practical and ready clinical guidelines to clinicians working within mental health and drug addiction’s services in the management and treatment of pregnant and/or nursing women affected with AUD. Little evidence is available in the treatment and management of alcohol withdrawal during pregnancy and in the administration of acamprosate, naltrexone and disulfiram as well. Overall, clinicians working in the field of mental health and addictions should advise women who are pregnant or planning a pregnancy at risk of AUD that not drinking is the safest option to limit/reduce the risk of foetal malformations, perinatal and/or obstetrician complications and limit the risks on newborns.

Keywords

Alcohol Alcohol use disorders Pregnancy Perinatal period Foetal alcohol spectrum disorders (FASDs) Foetal alcohol syndrome (FAS) 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Laura Orsolini
    • 1
    • 2
    • 3
  • Cesario Bellantuono
    • 4
  • Domenico De Berardis
    • 3
    • 5
    • 6
  • Fabrizio Schifano
    • 2
  1. 1.KOS Care S.r.L., Neomesia Mental HealthVilla Jolanda HospitalSciscianoItaly
  2. 2.Psychopharmacological, Drug Misuse and Novel Psychoactive Substances Research UnitSchool of Life and Medical Sciences, University of HertfordshireHatfieldUK
  3. 3.Polyedra ResearchTeramoItaly
  4. 4.DeGra Clinic for Perinatal Mental DisordersVeronaItaly
  5. 5.NHS, Department of Mental Health, Psychiatric Service of Diagnosis and TreatmentHospital “G. Mazzini”TeramoItaly
  6. 6.Department of Neurosciences and ImagingUniversity “G. D’Annunzio”ChietiItaly

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