Table 6.

Strength of Evidence: Preventing Alcohol-exposed Pregnancies Summary Statement of Evidence

1. Fetal alcohol syndrome (FAS) occurs in 0.3 to 1.5/1000 live births in the United StatesB
2. Fetal alcohol effects occur in at least 1/100 live births in the United StatesB
3. Approximately one-half of all childbearing-aged women in the United States drink alcoholC
4. Approximately 10% of all women drink alcohol while pregnantC
5. Although binge drinking (more than 3 drinks on one occasion) demonstrates the strongest adverse effect on the developing fetus, there is no safe level of alcohol consumption during pregnancyC
6. With prenatal patients, the T-ACE and TWEAK are more effective screening measures than the CAGE.C
7. Screening for alcohol use in routine office visits will decrease patients’ alcohol consumption.B
8. Brief physician education and intervention about alcohol use in childbearing-aged women will reduce alcohol use, increase effective contraception or both.B