Introduction 1 Burden of alcohol exposure in pregnancy 1 2 1 3 1 Fig. 1 Weighted percentage of alcohol consumption for non-pregnant women aged 18 to 44 years during the previous 30 days, BRFSS, United States. Data were not collected in 1994, 1996, 1998, and 2000. Frequent refers to = 7 drinks/week or binge. Binge drinking refers to = 5 drinks on one occasion  Adverse fetal outcomes in utero in utero 4 5 6 4 www.cdc.gov/ncbddd/fas/documents/fas_guidelines_accessible.pdf Approaches to reducing alcohol-exposed pregnancies 7 8 www.preventiveservices.ahrq.gov 9 www.nih.gov/publications/Assessing/Alcohol/Index.htm Primary healthcare providers can play a pivotal role in identifying women of reproductive age (during pregnancy and before pregnancy occurs) who are at high risk for an alcohol-exposed pregnancy and providing them with advice, counseling, and referral as appropriate. This strategy has widespread support among professional organizations including the American College of Obstetricians and Gynecologist (ACOG), and the American Academy of Pediatrics (AAP), as well the U.S. Office of the Surgeon General, and the U.S. Department of Health and Human Services. 10 http://www.hhs.gov/surgeongeneral/pressrelease/sg0222205.html Summary 4 11