AbstractEarly identification of fetal alcohol spectrum disor-ders (FASDs) is important for providing services and preventing secondary disabilities. Recent studies indicate that many FASDs are undiagnosed, partly because there is a need
to improve detection of prenatal alcohol exposure (PAE). The aims of this review are to characterize existing practices for assessing PAE in pediatric care, identify the most efficient, promising methods of detecting PAE, and recognize the knowledge and practice gaps. This review indicates that ma-ternal self-reports remain themost commonmethod utilized in routine clinical practice and highlights promising methods of PAE identification, including a single binge drinking question. The review yields few studies describing existing strategies to assess PAE in pediatric practice and identifies knowledge gaps that need to be addressed for improving recognition of FASDs in pediatric practice. Keywords Prenatal alcohol exposure.Fetal alcohol spectrum disorders.Fetal alcohol syndrome. Neurobehavioral disorder associatedwith prenatal alcohol exposure (ND-PAE). Women.Alcohol use.Pregnancy