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This study examines drinking patterns among pregnant and non\u2010pregnant women of childbearing age in Russia, a country with one of the highest levels of alcohol consumption in the world.<\/jats:p><jats:p><jats:bold>Design\u2003<\/jats:bold> Cross\u2010sectional survey.<\/jats:p><jats:p><jats:bold>Setting\u2003<\/jats:bold> Seven public women's clinics in two locations: St Petersburg (SPB) and the Nizhny Novgorod region (NNR).<\/jats:p><jats:p><jats:bold>Participants\u2003<\/jats:bold> A total of 648 pregnant and non\u2010pregnant childbearing\u2010age women.<\/jats:p><jats:p><jats:bold>Measurements\u2003<\/jats:bold> A face\u2010to\u2010face structured interview assessed alcohol consumption, pregnancy status\/possibility of becoming pregnant and consumption before and after pregnancy recognition.<\/jats:p><jats:p><jats:bold>Findings\u2003<\/jats:bold> Eighty\u2010nine per cent of non\u2010pregnant women reported consuming alcohol and 65% reported binge drinking in the past 3 months; 47% in NNR and 28% in SPB reported binges at least monthly. Women who might become pregnant consumed alcohol similarly to women who were not likely to become pregnant, and 32% of women in SPB and 54% in NNR were categorized as at risk for AEP. There was a significant decline in drinking after pregnancy identification. Twenty per cent of pregnant women reported consuming alcohol and 6% in SBP (none in NNR) reported binge drinking; however, a high prevalence of binge drinking was found among women who might become pregnant or who were trying to conceive.<\/jats:p><jats:p><jats:bold>Conclusions\u2003<\/jats:bold> Russian women substantially reduce drinking after pregnancy recognition compared to pre\u2010pregnancy levels. No reductions were found prior to pregnancy recognition, either when a woman might become pregnant or when she was trying to conceive. The pre\u2010conception period presents a risk window and, therefore, a prevention opportunity.<\/jats:p>","DOI":"10.1111\/j.1360-0443.2011.03569.x","type":"journal-article","created":{"date-parts":[[2011,7,13]],"date-time":"2011-07-13T18:56:41Z","timestamp":1310583401000},"page":"109-117","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Women's alcohol consumption and risk for alcohol\u2010exposed pregnancies in Russia"],"prefix":"10.1111","volume":"107","author":[{"given":"Tatiana","family":"Balachova","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Bonner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Chaffin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Bard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Galina","family":"Isurina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larissa","family":"Tsvetkova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Volkova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,10,12]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/scnp.2000.6729"},{"key":"e_1_2_7_3_2","first-page":"282","article-title":"Effects of prenatal alcohol exposure on child development","volume":"26","author":"Jacobson J.","year":"2002","journal-title":"Alcohol Res Health"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2001.tb02210.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2006.00119.x"},{"key":"e_1_2_7_6_2","first-page":"529","article-title":"Alcohol use among pregnant and non\u2010pregnant women of childbearing age\u2014United States, 1991\u20132005","volume":"58","author":"Denny C. 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