Objectives: Substance use during pregnancy is an important public health issue. It requires identifying at-risk populations and risk perception among women.
Materials and methods: A literature review was conducted. It included French studies conducted since 2000 on substance use during pregnancy (tobacco, alcohol, marijuana, psychotropic drugs) and risk perception.
Results: In France, in 2010, 24% of pregnant women smoke--17% in the 3rd trimester. Depending on studies, the prevalence of alcohol use ranged from 12 to 63% and binge drinking ranged from 1 to 7%; daily drinking was below 0.5%. Marijuana use ranged from 1 to 3%, and psychotropic drugs ranged from 2 to 4%. Little research has been dedicated to risk perception. Studies show a lack of awareness about the equivalence of risks between fermented and distilled beverages and about the risks of moderate smoking during pregnancy.
Conclusion: Data is lacking to characterize at-risk populations and mechanisms underlying risky behaviors.
Keywords: Conduites à risque; Femmes enceintes; France; Pregnant women; Prevention; Prévention; Risk-taking; Substance; Substances psychoactives.
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