Baden-Württemberg: Wenn die Mutter in der Schwangerschaft Alkohol trinkt: Über 100.000 Menschen im Land leiden unter den gesundheitlichen Folgen
Approximately 800,000 people in Germany live with Fetal Alcohol Spectrum Disorder (FASD), a condition caused by alcohol consumption during pregnancy. In Baden-Württemberg alone, roughly 110,000 people are affected by the disorder, which often presents as an “invisible disability” involving cognitive, behavioral, and organic impairments, according to regional data.
Christa and Manfred Doll of Lautenbach experienced these challenges after adopting their son at age two. While the child was initially energetic and witty, his behavior changed upon entering school, where he struggled to concentrate for more than two hours and exhibited aggression.
Why is FASD often misdiagnosed?
The disorder is frequently mistaken for other conditions or behavioral issues. The Dolls’ son was initially diagnosed with ADHD and treated with medication to manage concentration difficulties.

Despite the ADHD diagnosis, the child continued to struggle with impulsivity, running away for hours, and taking items from friends without understanding why the action was wrong. He also faced significant difficulties in mathematics and failed various therapy attempts.
Christa Doll stated that the signs were visible upon close inspection. Physical markers for FASD include an unusually slender build, a very small head, protruding ears, and the absence of the philtrum, the groove above the upper lip.
How does alcohol affect fetal development?
FASD occurs when a pregnant woman consumes alcohol, a practice the source states occurs in every third woman in Germany. The fetus quickly reaches the same alcohol level as the mother but lacks the ability to break it down efficiently.
The resulting damage can be severe. According to the provided text, affected individuals may suffer from speech or perception disorders, behavioral abnormalities, and organic damage to organs such as the heart or kidneys.
What are the social consequences for families?
The Dolls report that FASD remains unknown to many, including friends, teachers, and some physicians. This lack of awareness often leads others to blame the parents’ lack of consistency or the fact that the child is adopted.
To combat this isolation, the Dolls founded a self-help group in the Ortenaukreis. The group currently consists of five families, most of whom are foster or adoptive parents.
Christa Doll suggested that biological parents may find it too taboo to admit their child has FASD. She intends for the self-help group to help break this silence.
What happens next for those with FASD?
Management of the disorder often involves medication to help patients navigate daily life. The Dolls’ son uses medication that helps him function, though it can dampen his appetite and motivation.
The son has since completed school and is currently in the second year of his vocational training. He may attempt to obtain a driver’s license after completing his apprenticeship.
The continued growth of self-help groups could potentially increase public awareness and reduce the stigma facing both the affected individuals and their caregivers.
Frequently Asked Questions
What causes Fetal Alcohol Spectrum Disorder (FASD)?
FASD is caused by the consumption of alcohol by a mother during pregnancy, which leads to the fetus having alcohol levels similar to the mother without the ability to break them down.
What are the physical characteristics of FASD?
Physical signs can include a very small head, protruding ears, a slender build, and the absence of the philtrum (the groove above the upper lip).
How many people in Germany are affected by FASD?
There are approximately 800,000 affected people in Germany, with about 110,000 of those living in Baden-Württemberg.
Do you believe increased public awareness could reduce the stigma surrounding invisible disabilities like FASD?