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A study examined the conversations happening between 29 health care providers and their pregnant patients.  The study found that providers were less attentive to alcohol and drugs than smoking, where they had pre established patterns of response.

Link to study http://www.mofas.org/portals/0/pdfs/When%20pregnant%20patients%20disclose%20substance%20use_missed%20opportunity%20for%20counseling.pdf