The document proposes replacing current diagnoses related to prenatal alcohol exposure like FAS and FASD with a new overarching diagnosis of "Alcohol Related Developmental Disabilities" or ARDD. This new term would embrace developments in understanding the effects of prenatal and pre-conceptual alcohol on physical and neurological development in offspring and future generations. It would include diagnostic guidelines from multiple sources and avoid confusion, while also incorporating new understanding from areas like epigenetics, neuroimaging, and genetic correlations.