Alcohol, smoking, and other substance use in the perinatal period

### What you need to know ### Case scenario A 30 year old primiparous woman is delighted to find herself pregnant and comes to your surgery for confirmation of the pregnancy. You discover that she is smoking 20 cigarettes a day, and she is worried that she went to a friend’s wedding around the time of conception and drank so much that she couldn’t remember what had happened until the next day. She also reports occasional recreational use of...