Maternal retrospective self-report was related significantly to more negative pregnancy outcomes (i.e., low birth weight and length) and to more teacher-reported behavior problems than the maternal antenatal report given 14 years earlier. The significant behavioral outcomes related to the retrospective report – attention problems, hyperactivity/impulsivity, oppositional defiant disorder, rule breaking and aggressive behavior problems – are well documented problems associated with the FASDs (e.g., Burden, et al., 2005; Jacobson, 1998; Kodituwakku, 2007; Nash, et al., 2006; Riley, et al., 2003; Spadoni, et al., 2007; Streissguth et al., 1998; Vaurio, et al., 2008). Consistent with previous studies, 13.2% of women reported more drinking retrospectively than antenatally; 7.2% of the women who while pregnant had reported only light drinking or less, retrospectively reported “very heavy drinking” during the index pregnancy. While antenatal and retrospective reports were moderately correlated with each other, retrospective report was a more sensitive measure of risk drinking. Antenatal report identified only 1.1% of the women as “risk drinkers” (i.e., ≥ one drink/day during pregnancy, or ≥ 0.5 AAD), and the 14-year retrospective report identified 10.8 times more “risk
