Alcohol Use Disorder in Pregnant women

Key things to know What the evidence shows
How common is it? Not established diagnostic AUD
Is it more common among pregnant women? AUD prevalence not well established; any alcohol use during pregnancy is clinically important
Are pregnant women at higher risk? Pregnancy doesn't cause AUD
How much higher is the risk? NE
How often can it be missed? Very High due fear/stigma
Does it show up differently among pregnant women? Strong Yes contextually
How might it look different? Continued drinking, inability to reduce despite pregnancy, concealment and shame; fetal risk changes urgency
What commonly occurs alongside it? Depression/anxiety; other SUD
What can it be confused with? Any alcohol consumption vs AUD; depression/anxiety
Common screening tool AUDIT / AUDIT-C
Separate screening tool for pregnant women T-ACE / TWEAK used specifically in pregnancy
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