characteristics of FAS, requires identifying risk levels of that prenatal alcohol exposure, there is a compelling need to determine the effectiveness of retrospective assessment of at-risk drinking in a prior pregnancy. The present results support the hypothesis that retrospective reports, even 14 years after the pregnancy, may be valid indicators fetal risk drinking and valid predictors of pregnancy and teen outcome. Antenatal report remains important, however, because the prenatal clinical contact where antenatal drinking information is solicited is a critical time for intervention and prevention of risk drinking in pregnancy (cf, ACOG, 2006).