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Despite warnings that drinking during pregnancy is unsafe, many women are still at risk for an alcohol-exposed pregnancy (AEP). This article describes the outcomes of a web-based, self-guided change intervention designed to lower the risk for AEPs in a community. A sample of 458 women, between the ages of 18 and 44 years and at risk for an AEP (i.e., any drinking in the past 30 days and not using reliable contraception), participated in the study. A total of 58% of the women enrolled in the self-guided change intervention were no longer at risk for an AEP at the 4-month follow-up. Sublevel analysis revealed that mail and online versions of the intervention were equally successful at reducing risk for an AEP. This study represents a successful implementation of a web-based, self-guided change intervention to reduce risk for an AEP, an intervention with community-wide reach due to the Internet platform.

Significant racial differences in pregnancy-related drinking reduction are evident, and may help explain racial disparities in FAS. Results suggest that more targeted efforts are needed to meet the national goals of preventing alcohol-exposed pregnancies.

Research Question-Prevalence of both unintended pregnancy and psychiatric disorder in pregnancy is high and each is associated with compromised birth outcomes and challenges in childrearing. This study examines the relationship between mental illness and unintended pregnancy in seeking to improve the care provided to women and our ability to minimize the number of children born unwanted and ill-cared for.Methods-The sample consisted of 744 pregnant WIC participants with a stratified enrollment design by residence and representative by race for each WIC county. Analysis consisted of poststratification by developmental age group with logistic regression models estimating odds of unintended pregnancy among women with and without a psychiatric disorder. Covariates included race, education and marital status.Findings-Almost one-third (30.9%) had at least one psychiatric disorder with over two-thirds (67.3%) reporting their pregnancy as unintended. No grouped psychiatric disorder was associated with unintended pregnancy with all ages combined. However, adolescent women (age 15-19) with a substance disorder were less likely to have an unintended pregnancy (aOR 0.3, CI 0.1-0.7) than women without a substance disorder and emerging adult women (age 20-23) with an anxiety disorder were less likely to have an unintended pregnancy (aOR 0.4, CI 0.2-1.0) compared to those without the targeted disorder.Conclusions-Prevalence of unintended pregnancy is not associated with having a psychiatric disorder, although substance use disorders and anxiety disorders were associated with a decreased

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