July 13, 2026
Will My Baby Pay for My Past?
Crucial choices for an expectant couple
by
Zeno L. Charles-Marcel

Q: “I am a 32-year-old woman. Three years ago I accepted Christ, and got married to a wonderful Christian man a year later. I lived a party-girl life when I was younger and dabbled with prescription drugs, alcohol, tobacco, meth, and cannabis. I am now 12 weeks pregnant and want to do all I can to have a healthy pregnancy, child, and family. What can my husband and I do to help achieve this?”
A. The moment you began to ask these questions you took the first and perhaps most vital step toward the health of your child. It is natural to feel a sense of trepidation, or even a weight of regret, when looking toward the future, but I want to urge you, first and foremost, not to give yourself over to fear. The care you are showing right now for your baby and for your own body is a testament to your love, and that love matters more than any mistakes that lie behind you. While it is true that you cannot undo the past, you are standing at a crossroads where wise, intentional decisions can still make a profound and lasting difference. Pregnancy is a journey that is best navigated with truthfulness, stability, and steady care rather than in the shadows of panic or isolation. You do not have to manage this alone, and by choosing to move toward health and support today, you are already rewriting the story of your child’s future.
The most practical and impactful step you can take is to establish a consistent partnership with a health-care provider. This means attending every regular prenatal-care visit and, most important, being completely honest with your doctor, midwife, or nurse as soon as possible. Regular prenatal care is not just a series of appointments; it is a proven shield that reduces hospital admissions and improves outcomes for both mothers and babies. These visits allow for essential screenings, such as monitoring for preeclampsia and gestational diabetes, which often appear without obvious symptoms but can be managed effectively when caught early. I encourage you to tell your care provider the full truth about your history and any current use of alcohol, tobacco, cannabis, or other substances. This disclosure is not about blame or judgment; it is about giving your medical team the information they need to provide the safest possible care. If you are currently struggling with dependency, please do not try to stop a substance suddenly without medical advice, as supervised treatment is often much safer than trying to manage withdrawal alone.
As you look at your daily life, focus on creating a structured and steady routine. At this stage you still have an incredible opportunity to support a healthier pregnancy through consistency. Faithfulness to a clean lifestyle is far more powerful than any internet miracle cure or dramatic measure. By implementing structured dietary habits and engaging in regular physical activity—aiming for about 30 minutes of moderate exercise most days—you can significantly decrease the risk of such complications as preterm delivery or the need for intensive care after birth. This steady routine includes stopping all nonprescribed drug use, alcohol, and smoking completely. It means choosing to drink enough water, eating regular meals instead of skipping them, and prioritizing sleep. When you make your daily life stable, you are creating a calm environment in which your baby can thrive. If nausea, stress, or cravings make these choices difficult, please remember that asking for help is a sign of strength, not a failure.
You are standing at a crossroads where wise, intentional decisions can still make a profound and lasting difference.
In addition to a healthy routine, your body needs specific building blocks during this time. Taking appropriate nutritional supplements is a simple but essential way to maximize your baby’s potential. A daily prenatal supplement containing folic acid and iron is vital, as these nutrients are the foundation of healthy development and can significantly reduce the risk of stillbirth or growth restrictions. Depending on your specific nutritional needs, your doctor might also recommend calcium or protein-energy supplements. Alongside nutrition, you must ensure you are screened for and treated for any infections. Something as simple as an untreated urinary tract infection can increase the risk of preterm birth, but when caught through screening, it is easily managed. Protecting yourself also means staying up-to-date with recommended vaccines, such as those for the flu or whooping cough, which provide your baby with a layer of immunity that lasts through those first vulnerable months of life.
Beyond the physical aspects of health you must also be diligent in protecting your environment and your mind. Many women find it difficult to maintain new, healthy habits because they are trying to build a new life while still surrounded by the influences of the old one. This is a time to ask your husband to stand beside you and help create a home that is a true sanctuary, free from alcohol, tobacco, or anything else that might pull you backward. It is often necessary to distance yourself from people, places, or even media that stir up old cravings or identities. Because you have recently accepted Christ, lean into the healing of your soul as well. Even if your prayers feel weak or you can read only a small amount of Scripture at a time, these spiritual habits provide a sense of peace that transcends your circumstances. Seek the company of sober, godly people, and perhaps a mature mentor who can strengthen both your faith and your judgment.
Ultimately, your pregnancy is more than just a medical condition; it is a sacred trust. In the Adventist tradition, we understand that while health reform does not save us—as only Christ can do that—we honor God by cooperating with Him in the care of our bodies. Seeing your habits as an act of worship can transform the way you view these daily choices. You do not have to carry shame in silence, for hidden struggles only grow, while those brought into the light can be helped. Your past does not have to define your child’s future, and by telling the truth to your providers, stopping harmful substances, and staying close to your support system, you are making a strong and beautiful beginning. Trust that with each healthy choice you make, you are walking toward a future defined by health, truth, and the grace of God.
About the Author
Zeno L. Charles-Marcel, a board-certified internist, is the director of Adventist Health Ministries at the General Conference.
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