Retrospective report was related to significantly more birth and teen outcomes than antenatal report. The current study compared maternal antenatal self reports of alcohol consumption obtained during pregnancy and with retrospective self reports obtained 14 years after the same pregnancy to evaluate how well each report predicted birth and behavior outcomes in a sample of 14-year-old inner-city African American adolescents. In addition, post-partum measures of current maternal drinking were also correlated to important outcomes associated with the FASDs. Confirming our a priori hypotheses, retrospective maternal report of gestational alcohol consumption was higher, and relative to the antenatal report, was a more sensitive measure.