Fetal alcohol spectrum disorder (FASD) is the leading nongenetic cause of mental retardation. There are no treatments for FASD to date. Preclinical invivo and invitro studies could help in identifying novel drug targets as for other diseases. Here, we describe an exvivo model that combines the physiological advantages of prenatal ethanol (EtOH) exposure invivo with the uniformity of primary fetal hippocampal culture to characterize the effects of prenatal EtOH. The insulin signaling pathways are known to be involved in hippocampal functions. Therefore, we compared the expression of insulin signaling pathway genes between fetal hippocampi (invivo) and primary hippocampal culture (exvivo). The similarity of prenatal EtOH effects in these 2 paradigms would deem the exvivo culture acceptable to screen possible treatments for FASD. Pregnant Sprague-Dawley rats received 1 of 3 diets: adlibitum standard laboratory chow (control-C), isocaloric pair-fed (nutritional control), and EtOH containing liquid diets from gestational day (GD) 8. Fetal male and female hippocampi were collected either on GD21 (invivo) or on GD18 for primary culture (exvivo). Transcript levels of Igf2, Igf2r, Insr, Grb10, Rasgrf1, and Zac1 were measured by reverse transcription quantitative polymerase chain reaction. Hippocampal transcript levels differed by prenatal treatment in both males and females with sex differences observed in the expression of Igf2 and Insr. The effect of prenatal EtOH on the hippocampal expression of the insulin pathway genes was parallel in the invivo and the exvivo conditions. The similarity of gene expression changes in response to prenatal EtOH between the invivo and the exvivo conditions ascertains that these effects are already set in the fetal hippocampus at GD18. This strengthens the feasibility of the exvivo primary hippocampal culture as a tool to test and screen candidate drug targets for FASD.