ASSESSMENT OF ALCOHOL EXPOSURE PRIOR TO 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 did you have 5 or more drinks in the last month?
4) What is the most you had to drink on any one day in the last month?
EXPOSURE PARAMETERS
Pregnancy Drinking Days
(Estimates number of drinking days during a pregnancy)
Percent of Days Exposed During Pregnancy
(Estimates days exposed during a 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 a pregnancy)
Ounces of absolute alcohol
(Estimates cumulative absolute alcohol exposure during a pregnancy)
Questions? Send them to
Laburd@medicine.nodak.edu
.