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No Alcohol in Pregnancy, Experts Warn, as Mexico Data Spur Push for Routine Screening

A new INPer review found most patients were never asked about alcohol use, highlighting missed chances to prevent fetal harm.

Overview

  • An INPer analysis of 894 cases found 98 women reported drinking during pregnancy, yet 81% were never asked about alcohol use and no formal screening was performed.
  • Among those who disclosed drinking, only 23 were referred to mental health services, 2% continued after diagnosis, 19% received no follow-up, and most reported use around week 8.5 when many first learn they are pregnant.
  • At the First International Congress on TEAF, specialists reiterated that no amount of alcohol is safe during pregnancy or lactation and detailed brain, placental, genetic and epigenetic damage from exposure.
  • New Mexico data presented at the congress included a 12.3% prenatal exposure rate detected by biomarkers in Guadalajara and reported consumption in 71.5% of a Monterrey sample of pregnant adolescents.
  • Experts urged routine use of AUDIT/ASSIST screening, wider biomarker surveillance across care settings, provider training and coordinated programs, citing global exposure estimates near 10% and substantial lifelong social and health burdens.