SMAD How to cite this article Possa GC, Gonçalves MAS, Zerbetto SR, Silva SMC, Moura AAM, Silva Junior FG. Risk classifcation of alcohol consumption in pregnant women in the last 12 months and during pregnancy. SMAD, Rev Eletrônica Saúde Mental Álcool Drog. 2021 Oct.-Dec.;17(4):44-53. doi: https://dx.doi.org/10.11606/issn.1806-6976.smad.2021.171923 SMAD, Rev Eletrônica Saúde Mental Álcool Drog. 2021 Oct.-Dec.;17(4):44-53 DOI: 10.11606/issn.1806-6976.smad.2021.171923 www.revistas.usp.br/smad/ * Supported by Programa Institucional de Bolsas de Iniciação Científca, grant #ProPq 001/2018. 1 Universidade Federal de São Carlos, Centro de Ciências Biológicas e da Saúde, São Carlos, SP, Brazil. 2 Scholarship holder at the Programa Institucional de Bolsas de Iniciação Científica (PIBIC)/Conselho Nacional de Desenvolvimento Científco e Tecnológico. 3 Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil. 4 Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil. 5 Universidade Federal do Piauí, Centro de Ciências da Saúde, Teresína, PI, Brazil. Geovana Carisani Possa 1,2 https://orcid.org/0000-0002-0709-8739 Angelica Martins de Souza Gonçalves 1 https://orcid.org/0000-0002-7265-5837 Sonia Regina Zerbetto 1 https://orcid.org/0000-0002-2522-1948 Silvia Mara Carvalho Silva 1,3 https://orcid.org/0000-0003-2847-8383 Adaene Alves Machado de Moura 3,4 https://orcid.org/0000-0001-7607-9841 Fernando José Guedes da Silva Júnior 5 https://orcid.org/0000-0001-5731-632X Objective: to classify the risk of alcohol consumption in pregnant women in the last 12 months (low risk, harmful and likely addiction) and during pregnancy (negative or positive). Method: this is an observational, cross-sectional and descriptive study developed with 118 pregnant UHS users from two municipalities. For data collection, the AUDIT and TACE tests were applied by means of interview. Results: it was observed that 94.9% of the women interviewed made frequent use of alcohol before pregnancy and 34.7% made use without being aware of the current pregnancy. Regarding the pattern of use during pregnancy, most pregnant women (86.4%) reported not to use or use within “low risk” limits, however, associations were verifed between the previous consumption of alcohol by women and the consumption during the pregnancy, as well as associations between the consumption of alcohol in the last 12 months before pregnancy and the scores that represent the consumption during the pregnancy. Conclusion: understanding the consumption of alcohol by pregnant women allows contributing to early diagnosis of vulnerability and planning of interventions to establish a safe and healthy pregnancy. Descriptors: Gestation; Consumption of Alcoholic Beverages; Social Characteristics; Risk Factors. Risk classifcation of alcohol consumption in pregnant women in the last 12 months and during pregnancy* Original Article