If you drank in the weeks before you knew you were pregnant, try not to worry, but stop now. Many women also decide to give up alcohol while they’re trying to conceive to optimize fertility. Heroin and cocaine are damaging both to a pregnant woman and her unborn baby. These drugs stunt fetal growth, affect the placenta, and can cause miscarriage or premature birth, as well as health problems in the newborn. Babies born to women who use heroin often show drug withdrawal symptoms. A report on ecstasy linked the use of this in pregnancy to a rise in birth defects, such as limb abnormalities. The specific effects on the fetus of amphetamines and LSD are unclear, but it’s safest to avoid them. The direct effects on the fetus of the active chemicals in marijuana are not clear, but smoking the drug involves the same risks as tobacco smoking.