RESUMO
The Pregnancy Risk Assessment Monitoring System (PRAMS) utilizes a population-based survey of Oklahoma women with a recent live birth to examine the rates of alcohol consumption before and during pregnancy. Nearly one-half of Oklahoma women report using alcohol during the three months before pregnancy and one in thirteen women consume alcohol during the three months prior to delivery. Moderate to heavy alcohol use before pregnancy was associated with additional perinatal risk factors including unintended pregnancy, inadequate prenatal care, smoking, and physical abuse. Health providers play an important role in the prevention of alcohol related birth impairments such as fetal alcohol syndrome through early detection of problem drinking, patient education and appropriate referrals. However, one in four Oklahoma mothers report their health care provider did not talk to them about the harmful effects alcohol can have on their baby.