I have used tobacco, drugs and/or alcohol during my pregnancy. I want to give an accurate medical background, but I’m ashamed and nervous.

Ease Me In (The more guarded approach)

I want my baby to be healthy, so I feel like it’s my responsibility to tell you that I’ve been [drinking alcohol, doing drugs, smoking] during my pregnancy. I know this can be harmful to my baby’s and my health, and I am really trying to stop. Do you have any ideas or know places I could go for support or to buy products that would help me quit?

Just Give It to Me (The no-nonsense tactic)

How will [drinking alcohol, doing drugs, smoking] affect my pregnancy and my baby’s health? I know I’m not supposed to be doing it, but I have since I’ve been pregnant. What are the top things I need to do to get healthy?