Domestic violence and substance abuse is on the increase all over the world. The poor and the rich are also involved in this dangerous habit has impact not only on reproductive health but also has impact on family, society, increase in health care expense and increased criminal activity. Health care providers are more concerned with treating the victims and less concerned on its prevention. Pregnant women bear a greater brunt and there is adverse pregnancy outcome. Low birth weight, preterm labor, increased in miscarriage and raised perinatal mortality are some of the adverse effects. Children of such parents are more likely to inherit this bad trait. Children living in abusive homes where drugs and alcohol abuse occur simultaneously are often deprived of more than just the basics of food and shelter