Drug and Alcohol Policies and Pregnancy
Drug and Alcohol Policies and Pregnancy
Most U.S. states have policies targeting alcohol, cannabis, or drug use during pregnancy. But ANSIRH research shows that at best, most policies do not affect use during pregnancy or birth outcomes. At worst, some alcohol, cannabis, and drug policies lead to increases in low birthweight and preterm birth, costing millions of dollars each year. They can also lead to decreases in prenatal care use. We’ve found that policies targeting alcohol, cannabis, and drug use during pregnancy can undermine access to health care and other supports for pregnant people.
Research & tools
See allFebruary 16, 2026
Alcohol Sales Taxes Are Associated With Reduced Preterm Birth and Low Birthweight in the United States
Subbaraman MS, Thomas S, Treffers R, Roberts SCM. Alcohol Sales Taxes Are Associated With Reduced Preterm Birth and Low Birthweight in the United States. Journal of Studies on Alcohol and Drugs. February 2026; https://doi.org/10.15288/jsad.25-00305.
November 29, 2025
Mandatory warning signs for alcohol use during pregnancy and birth and infant outcomes in southern United States: a quasi-experimental study
Roberts SCM, Alex Schulte, Raifman S, Liu G, Claudia Zaugg, MPH, Subbaraman MS. Mandatory warning signs for alcohol use during pregnancy and birth and infant outcomes in southern United States: a quasi-experimental study. Alcohol and Alcoholism. November 2025; https://doi.org/10.1093/alcalc/agaf076.
October 10, 2025
Mistrust Limits Possibilities for Patient-Provider Discussions Regarding Cannabis Use During Pregnancy
Gould H, Claudia Zaugg, MPH, Scott KA, Roberts SCM. Mistrust Limits Possibilities for Patient-Provider Discussions Regarding Cannabis Use During Pregnancy. Women's Health Issues. October 2025; https://doi.org/10.1016/j.whi.2025.09.002.