Estimation of Alcohol, Substance and Cigarettes Exposure Among Pregnant Women in the Israeli Periphery and Center, and the Contribution of Brief Intervention

• nicotine, alcohol and drug abstinence [ Time Frame: during pregnancy until labor ] [ Designated as safety issue: No ]
  nicotine alcohol and drug abstinence will be evaluate during pregnancy until labor
  
  

• newborn weight of birth [ Time Frame: at labor ] [ Designated as safety issue: No ]
  data about newborn at labor and it relation to brief intervention of mother will be deternined
  
  

Behavioral: brief intervention
limit time giving information, motivation, empathy, responsibility, self control

All pregnant women who will arrive to Poria (and third of pregnant who will arrive to Ichilov) ER, high risk, and follow-up clinic will be asked for alcohol exposure, smoking and psychoactive substance usage. Relevant women will be asked to participate in a brief intervention treatment for about 30 min by expert personal, and a follow-up by phone every 3 months during pregnancy and post deliver. In addition, through all the year, questionnaires about exposure will be given to all women who will have labor (about 3000 labors), and third of 10,000 expecting in Ichilov. We expect in the second half of the year, to have those who enrolled to the BI. New-born outcome of the BI group as compared to the non-BI group will be compared, as well as rate of alcohol/substance/nicotine abstinence and reduction.