A Missouri bill that would criminalize drug use by pregnant woman got a hearing Tuesday, but the reception was not very friendly.

People working in the field of family law and child-welfare often have cases that involve issues of drug use.

A major and underappreciated problem with drug testing is that the stupid tests don’t even work. They say people took drugs when they didn’t. The problem is particularly apparent in the case of pregnant women who are frequently targeted for drug screening, but whose changing body chemistry throws off the results:

Hospitals' initial urine- screening drug tests on pregnant women can produce a high rate of false positives - particularly for methamphetamine and opiates - because they are technically complex and interpretation of the results can be difficult, some experts say.

Tests for methamphetamine are wrong an average of 26 percent - and possibly up to 70 percent - of the time, according to studies by the University of Kansas Medical Center, U.S. Substance Abuse and Mental Health Services Administration and the American Association for Clinical Chemistry. [DailyNews]

Of course, drug policy and science cannot coexist harmoniously, thus babies are taken from mothers who test positive, even though the tests are constantly wrong. In one tragic case, a child died in foster care after being wrongly separated from her mother:

Growing up in Los Angeles County's foster care system, Elizabeth Espinoza is sure of one thing: A baby needs its mother.

Espinoza, who was separated from her own mother when she was young because of neglect, also had her newborn baby taken by the foster-care system when she tested positive for marijuana and cocaine at the hospital after giving birth.

Just three months later, the baby, Gerardo, died when his foster mother strapped him into a car seat, took him to a neighbor's home and left him in the car seat on a bed, according to a lawsuit filed against the county's Department of Children and Family Services seeking unspecified damages. [DailyNews]

I hope I'm not being generous, but I really think almost anyone would agree that this is just sickening and horrible. The press coverage will hopefully initiate progress towards cleaning up the procedures that contributed to this travesty. I will hold out hope that common sense can prevail over the mindlessness of taking children from their parents based on evidence that is proven to be wrong up to 70% of the time, particularly now that the alternatives we have available for those children have been demonstrated to be fatally inadequate.

But there is also a larger lesson here that must not escape our attention. Think for a moment about how many women have already been falsely accused under this wildly unjust policy. Think about the social consequences of tearing families apart based on deeply flawed science in a criminal justice system that strikes without hesitation but drags its heels when it comes to righting such ubiquitous wrongs. Ask yourself, also, how such a policy was ever implemented in the first place, doomed as it was to destroy innocent families so capriciously.

Once again, we are faced with a monumental travesty, grand in scope, yet remarkably simple in origin; we should protect unborn children from drug-using mothers. We've wreaked unimaginable and undue suffering upon innocent parents and children in pursuit of the noblest of ideals. That, unfortunately, is the story of most aspects of our drug policy when they receive appropriate scrutiny. The totality of such repeated travesties forms a terrifying mosaic, the true, yet largely untold story of how our drug policies destroy innocent lives each and every day in ways we might never expect.

It is precisely because the idea to protect babies from drugs is such a no-brainer that a plan was drafted with no brains.

The South Carolina Supreme Court Monday threw out the homicide by child abuse conviction of Regina McKnight, the first woman in South Carolina to be convicted on that charge for suffering an uninte

[Courtesy of National Advocates for Pregnant Woman & Drug Policy Alliance]

For Immediate Release: May 12, 2008
For More Info: Lynn Paltrow 917-921-7421 or Tony Newman 646-335-5384

South Carolina Supreme Court Reverses 20-Year Homicide Conviction of Regina McKnight

Decision Recognizes Research Linking Cocaine to Stillbirths Based on "Outdated" and Inaccurate Medical Information

COLUMBIA, SC – Today, the South Carolina Supreme Court ruled that Regina McKnight did not have a fair trial when she was convicted in 2001, becoming the first woman in South Carolina to be convicted of homicide by child abuse as a result of suffering an unintentional stillbirth.

McKnight was arrested in 1999, several months after she experienced a stillbirth at Conway Hospital. McKnight’s conviction was based on the jury’s acceptance of the scientifically unsupported claim that her cocaine use caused the stillbirth. McKnight had no prior arrest history and even prosecutors agreed that she had no intention of harming the fetus or losing the pregnancy. Nevertheless, upon conviction she was given a twenty-year sentence, suspended to twelve years in prison with no chance for parole. She was projected to be released in 2010.

The medical community has strongly opposed McKnight’s prosecution and conviction. From the beginning, leading South Carolina and national medical, public health, and child welfare organizations and experts have opposed the prosecution and conviction. These organizations—represented by National Advocates for Pregnant Women and the Drug Policy Alliance, with South Carolina counsel Susan Dunn included the South Carolina Medical Association, the South Carolina Nurses Association, the South Carolina Association of Alcoholism and Drug Abuse Counselors, and the South Carolina Coalition for Healthy Families—argued in an amicus (friend of the court) brief that women do not lose their rights to a fair trial upon becoming pregnant and challenged the state’s evidence that cocaine use or anything else that McKnight did or did not do caused the stillbirth.

In 2002 counsel for Ms. McKnight challenged the constitutionality of using homicide statutes to prosecute women who experience stillbirths. On appeal, a bare majority of the State Supreme Court upheld the conviction and the new interpretation of the state's homicide law. The Court held that a pregnant woman who unintentionally heightens the risk of a stillbirth could be found guilty of “extreme indifference to human life” homicide. Under this decision a conviction for homicide is permitted on any evidence that a pregnant woman engaged in activity “public[ly] know[n]” to be “potentially fatal” to a fetus. The U.S. Supreme Court refused to review the decision.

Today’s ruling focused on the question of whether Ms. McKnight received a fair trial and concluded that Ms. McKnight's counsel was "ineffective in her preparation of McKnight's defense through expert testimony and cross-examination." The decision also indicated that the medical and scientific basis for her prosecution and that of other women in the state is based on outdated and inaccurate medical information.

“Significantly, the opinion acknowledges that current research simply does not support the assumption that prenatal exposure to cocaine results in harm to the fetus, and the opinion makes clear that it is certainly 'no more harmful to a fetus than nicotine use, poor nutrition, lack of prenatal care, or other conditions commonly associated with the urban poor.'” said Susan K. Dunn, counsel for amicus. “This decision puts prosecutors across the state on notice that they must actually prove that an illegal drug has risked or caused harm—not simply rely on prejudice and medical misinformation.”

This ruling addressed a petition filed on behalf of McKnight seeking a judicial review to determine whether the person is imprisoned lawfully or should be released from custody. The petition must show that the court ordered the imprisonment based on a legal or factual error. In McKnight, the factual error was accepting a causal link between McKnight’s cocaine use and her stillbirth. The legal errors were not calling medical expert as witnesses who could refute that link, failing to investigate the medical evidence the state's witnesses relied on and that was based on outdated scientific studies, and failing to challenge the court's confusing and contradictory explanations to the jury of what "intent" Ms. McKnight had to have.

“Ms. McKnight is one of more than 500 women in South Carolina who experience stillbirths each year, and in many of those cases, medicine just can’t determine the cause,” said Brandi Parrish, coordinator of the South Carolina Coalition for Healthy Families. “It is a tragedy that Ms. McKnight has been in prison for nearly eight years for a crime she did not commit. Families in South Carolina are not helped by treating stillbirths as crimes and wasting hundreds of thousands of tax dollars to imprison innocent mothers.”

The medical and public health groups also raised concerns about the consequences of South Carolina’s policy of arresting pregnant women who experience drug problems. In their brief, they cited the fact that threatening pregnant women with jail time deters them from seeking prenatal care and other vital services, as has been the case in South Carolina since the Whitner ruling in 1997 that originally permitted prosecution of pregnant women under state child endangerment charges.

Ms. McKnight is represented on the petition by C. Rauch Wise of the American Civil Liberties Union of South Carolina Foundation, Inc., and Matthew Hersh and Julie Carpenter of the law firm Jenner & Block for the DKT Liberty Project.

The Arizona Senate Judiciary Committee Monday approved a bill that would allow the state to detain pregnant women who use methamphetamine and hold them involuntarily in drug treatment programs.

Phillip S. Smith, Writer/Editor

The image of the pregnant and parenting drug-using woman has been used for many purposes in our society. Those images actually serve to hurt the women and families that many of us work to support. This can also cause us to carry our own prejudices that can hinder our own best practices and bring about personal stress in our places of employment. This workshop will examine those images, our own prejudices, and we will begin to look at some solutions to avoid buying into common myths and personal beliefs (sometimes from our own histories). By doing this examination, we can better assist women who are struggling with drug use while being pregnant and/or parenting. This workshop will also look at the broader policy implications that focus on supporting pregnant drug-using women instead of criminalizing or shaming their behavior.

Two women victims of the drug war on our minds this week, one who went all the way to the Supreme Court and won, only to be murdered a few days ago, and one who suffered long years in prison under

In a case that pitted hard-nosed legislators and prosecutors against an array of women's rights, public health, medical, and drug reform groups, the New Mexico Supreme Court ruled May 11 that a sta

For Immediate Release: May 11, 2007
CONTACT: Reena Szczepanski (DPA): 505-983-3277 or Nancy Goldstein (NAPW): 347-563-1647

Supreme Court of New Mexico Strikes Down State’s Attempt to Convict Woman Struggling with Addiction During Pregnancy

Leading Physicians, Scientific Researchers, and Medical, Public Health, and Child Welfare Organizations Applaud Court’s Order

On May 11, the Supreme Court of the State of New Mexico turned back the state's attempt to expand the criminal child abuse laws to apply to pregnant women and fetuses. In 2003, Ms. Cynthia Martinez was charged with felony child abuse “for permitting a child under 18 years of age to be placed in a situation that may endanger the child's life or health. . .” In bringing this prosecution, the state argued that a pregnant woman who cannot overcome a drug addiction before she gives birth should be sent to jail as a felony child abuser.

Today the Supreme Court summarily affirmed the Court of Appeals decision, which overturned Ms. Martinez’s conviction. New Mexico joins more than 20 other states that have ruled on this issue and that have refused to judicially expand state criminal child abuse and related laws to reach the issues of pregnancy and addiction.

The Drug Policy Alliance (“DPA”) and the National Advocates for Pregnant Women (“NAPW”) filed a friend-of-the-court brief http://www.drugpolicy.org/docUploads/NMvMartinezAmicusBrief.pdf on behalf of the New Mexico Public Health Association, the New Mexico Nurses Association, and nearly three dozen other leading medical and public health organizations, physicians, and scientific researchers. During oral argument, the Justices referenced the amicus brief filed by these organizations and expressed grave concerns about the deterrent effect such prosecutions would have on women seeking prenatal care.

Tiloma Jayasinghe, NAPW staff attorney, explained, “Making child abuse laws applicable to pregnant women and fetuses would, by definition, make every woman who is low-income, uninsured, has health problems, and/or is battered who becomes pregnant a felony child abuser. In oral argument, the state’s attorney conceded that the law could potentially be applied to pregnant women who smoked.”

Reena Szczepanski, Director of Drug Policy Alliance New Mexico, said, “I hope that this case serves as a reminder that pregnant women who are struggling with drug use should be offered prenatal care and drug treatment, not prosecution. There are better ways to protect our children in New Mexico, and ensure that future generations will be safe and healthy.”

As legislators at statehouses across the country ponder laws that criminalize or civilly punish drug use by pregnant women, researchers in Arkansas have evaluated the working of a similar law there

commentary on pregnancy and drug use, from Women's Enews