ASSESSMENT OF ALCOHOL EXPOSURE DURING PREGNANCY
Please complete the fields below to determine exposure parameters during pregnancy.
1) On average how many days per week do you drink?
2) On an average drinking day how many drinks do you have?
3) How many days in the last month did you have 5 or more drinks?
4) What is the most you had to drink on any one day during this pregnancy?
EXPOSURE PARAMETERS
Pregnancy Drinking Days
(Estimates number of drinking days during pregnancy)
Percent of Days Exposed During Pregnancy
(Estimates days exposed during pregnancy)
Number of Binge Days (Five or more drinks in one day)
(Estimates number of binge days)
Number of Drinks during Pregnancy
(Estimates cumulative number of drinks during pregnancy)
Ounces of absolute alcohol
(Estimates cumulative absolute alcohol exposure during pregnancy)
Questions? Send them to
Laburd@medicine.nodak.edu
.