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Consuming alcohol in amounts greater than recommended limits is associated with an increased risk for adverse health effects, such as breast cancer, hypertension stroke, spontaneous abortion, and infertility. No safe time, safe amount, or safe type of alcohol to consume during pregnancy has been identified. Contradictory beliefs about alcohol use, fear of stigmatization, and potential legal consequences can provide challenges for health care providers who communicate these risks to clients. Health care providers can help to prevent alcohol\u2010related health issues, including alcohol\u2010exposed pregnancies, by providing their clients with factual information about alcohol and health and client\u2010centered options for reducing their health risks. Clinicians can use alcohol screening and brief intervention as a framework for applying the ethical principles of autonomy, veracity, beneficence, and nonmaleficence when talking with women in ways that are nonstigmatizing and supportive to help reduce their health risks and prevent alcohol\u2010exposed pregnancies.<\/jats:p>","DOI":"10.1111\/jmwh.13159","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T17:46:09Z","timestamp":1600969569000},"page":"795-801","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Applying Ethical Principles When Discussing Alcohol Use During Pregnancy"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0048-6189","authenticated-orcid":false,"given":"Alexandra","family":"Edwards","sequence":"first","affiliation":[{"name":"Center for Behavioral Health Research and Services University of Alaska Anchorage  Anchorage Alaska"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth","family":"Kelsey","sequence":"additional","affiliation":[{"name":"National Association of Nurse Practitioners in Women's Health  Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilyn","family":"Pierce\u2010Bulger","sequence":"additional","affiliation":[{"name":"Alaska Center for Fetal Alcohol Spectrum Disorders  Anchorage Alaska"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Rawlins","sequence":"additional","affiliation":[{"name":"National Association of Nurse Practitioners in Women's Health  Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Ruhl","sequence":"additional","affiliation":[{"name":"Association of Women's Health, Obstetric, and Neonatal Nurses  Albuquerque New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Ryan","sequence":"additional","affiliation":[{"name":"American College of Nurse\u2010Midwives  Silver Springs Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane K.","family":"King","sequence":"additional","affiliation":[{"name":"Center for Behavioral Health Research and Services University of Alaska Anchorage  Anchorage Alaska"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12815"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6437a3"},{"key":"e_1_2_8_4_1","volume-title":"Dietary Guidelines for Americans, 2015\u20102020","author":"US Department of Health and Human Services"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.02.025"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1998.cr187.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2013.11.005"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h4238"},{"issue":"1","key":"e_1_2_8_9_1","first-page":"22","article-title":"Critical periods for prenatal alcohol exposure: evidence from animal and human studies","volume":"18","author":"Coles C","year":"1994","journal-title":"Alcohol Health Res World"},{"issue":"1","key":"e_1_2_8_10_1","first-page":"15","article-title":"Maternal risk factors for fetal alcohol spectrum disorders: not as simple as it might seem","volume":"34","author":"May PA","year":"2011","journal-title":"Alcohol Res Health"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13086"},{"issue":"1","key":"e_1_2_8_12_1","first-page":"86","article-title":"Prenatal alcohol exposure and miscarriage, stillbirth, preterm delivery, and sudden infant death syndrome","volume":"34","author":"Bailey BA","year":"2011","journal-title":"Alcohol Res Health"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.21896"},{"key":"e_1_2_8_14_1","unstructured":"Centers for Disease Control and Prevention.Down syndrome: Data and statistics. 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