Key Message:
In Canada, research on the prevalence of and risk factors associated with alcohol use during
pregnancy is scarce. Current evidence suggests that the prevalence of alcohol use during
pregnancy is rising globally, with an estimated 10 – 15% of pregnancies in Canada being alcohol
exposed. In this issue paper we describe what is known about the prevalence of alcohol use in
pregnancy, influences and factors associated with alcohol use during pregnancy, and the role of
stigma in perpetuating fear, shame, and blame around substance use during pregnancy. We
conclude with policy, practice, and research implications.