a U-shaped relationship to < 1 drink per week and 4 or more drinks per week. This result was similar to previous findings from the NCATS wherein the Child Scale score was significantly lower at 1–3 drinks per week. Adapts to change in material showed a successive lowered mean but no significant difference as reported alcohol usage increased. For sensory regulation on the ISS, the results of our analyses depicted a pattern of detrimental infant outcomes that corresponded to successively higher levels of alcohol.