title: [Pregnancy and substance use in France: a literature review].
abstract: OBJECTIVE
  Substance use during pregnancy is an important public health issue. It requires identifying at-risk populations and risk perception among women.
  
  
  METHODS
  A literature review was conducted. It included French studies conducted since 2000 on substance use during pregnancy (tobacco, alcohol, marijuana, psychotropic drugs) and risk perception.
  
  
  RESULTS
  In France, in 2010, 24% of pregnant women smoke--17% in the 3rd trimester. Depending on studies, the prevalence of alcohol use ranged from 12 to 63% and binge drinking ranged from 1 to 7%; daily drinking was below 0.5%. Marijuana use ranged from 1 to 3%, and psychotropic drugs ranged from 2 to 4%. Little research has been dedicated to risk perception. Studies show a lack of awareness about the equivalence of risks between fermented and distilled beverages and about the risks of moderate smoking during pregnancy.
  
  
  CONCLUSIONS
  Data is lacking to characterize at-risk populations and mechanisms underlying risky behaviors.
authors.affiliation: EHESS, CNRS UMR 8211, Inserm U 988, université Paris Descartes, Cermes 3, 45, rue des Saints-Pères, 75270 Paris cedex 06, France. Electronic address: agnesdumas@free.fr.
authors.forename: A
authors.initials: A
authors.lastname: Dumas
authors.affiliation: EHESS, CNRS UMR 8211, Inserm U 988, université Paris Descartes, Cermes 3, 45, rue des Saints-Pères, 75270 Paris cedex 06, France.
authors.forename: L
authors.initials: L
authors.lastname: Simmat-Durand
authors.affiliation: Université Paris Diderot, France.
authors.forename: C
authors.initials: C
authors.lastname: Lejeune
mesh_terms: D000428:Alcohol Drinking / Q000009:adverse effects* / Q000453:epidemiology; D063425:Binge Drinking / Q000453:epidemiology; D002188:Cannabis / Q000009:adverse effects*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008385:Marijuana Smoking / Q000009:adverse effects / Q000453:epidemiology; D010465:Perception; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011619:Psychotropic Drugs / Q000008:administration & dosage / Q000009:adverse effects*; D012307:Risk Factors; D012309:Risk-Taking; D012907:Smoking / Q000009:adverse effects* / Q000453:epidemiology
chemical_list: D011619:Psychotropic Drugs
keywords: Conduites à risque; Femmes enceintes; France; Pregnant women; Prevention; Prévention; Risk-taking; Substance; Substances psychoactives