Fetal alcohol syndrome, a disease very little known in Sub-Saharan Africa. A real threat to the survival of children. Malformations, abortions, weak children, premature births, low birth weight newborns, stillbirths are often encountered in our maternities. Did we take care to look for the causes? The alcoholism of the pregnant woman is certainly not the only cause, but it contributes to swell the ranks of these pathologies.