Moise IK - The author conducted this pilot cross-sectional study to determine individual correlates and the prevalence of alcohol use in pregnant women attending prenatal care at two health clinics in Lusaka, Zambia. The sample consisted of 188 pregnant women after seeking their informed consent from July 19 to 31, 2017. Candidates aged 18 or over completed the T-ACE (Tolerance, Annoyance, Cut Down and Eye Opener) screening tool and verified alcohol-screening questionnaires on self-reported alcohol use periconceptional and during conception period while at their regular prenatal visit. Approximately 40 pregnant women were identified by the T-ACE as at-risk for problem drinking during pregnancy. No significant associations were noted between alcohol use and demographic factors excluding employed women. In pregnant women attending prenatal care in Zambia, consumption of alcohol is prevalent during the periconceptional period and during pregnancy. Findings underline the need for targeted use of alcohol for pregnant women through screening and intervention.