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The four most common teratogens are  tobacco, alcohol, medications and illegal drugs. Teratogens are substances that could harm a developing fetus by affecting growth and causing birth defects or death.
Alcohol is one of the most concerning teratogens. It quickly passes from your blood to your baby's blood through the placenta and umbilical cord. Your fetus has the same blood alcohol level that you do if you drink, but it doesn't have the same ability to break down the alcohol.