Of the 1205 who reported their age at first intoxication, 54 % of women reported this occurring before 18 years of age (n = 651). This group of women was more likely to drink alcohol while pregnant (PAE tier 1: (74.8 % compared with 61.9 %)) and if drinking, more likely to drink alcohol throughout pregnancy (PAE tier 2: 44.7 % compared with 28.3 %, p < 0.001). Being underage at first intoxication also predicted early pregnancy binge drinking, especially in those who drank throughout pregnancy (PAE tier 3: 19.5 % compared with 6.5 %, p < 0.001).