Tobacco, alcohol, and substance use in the perinatal period

Abstract

This chapter summarizes evidence on (i) the prevalence and effects on the unborn and newborn infant of exposure to teratogenic substances such as tobacco, alcohol, or substances during pregnancy, and (ii) what works during the perinatal period in terms of universal and targeted interventions for smoking cessation, and preventing and treating alcohol and drug misuse. It concludes with recommendations for practice, drawing on the evidence presented and best practice guidance, and focusing on strategies for identification and intervention.