The prosecution of women who are pregnant and use drugs lies at the intersection between the war on drugs and the war on reproductive rights. Women who are pregnant have been wrongly and disproportionately penalized for their conduct in several ways, including the permanent removal of children absent any evidence of harm to the fetus or child. Drug use during pregnancy also has resulted in prosecutions for child abuse, delivery of drugs to a minor, and other charges that endow fetuses with legal rights that effectively create a false dichotomy between fetal interests and maternal autonomy, health and well-being.
Although most states, legislatures, and courts that have considered the issue have rejected criminal prosecutions for pregnant women who suffer from drug problems, a few jurisdictions, most prominently Texas and South Carolina, have pursued such prosecutions. A 2004 law makes it a felony in Texas to smoke marijuana while pregnant, with a prison sentence of 2 to 20 years. In 1996, the South Carolina Supreme Court legitimized these prosecutions with its decision in the case Whitner v. South Carolina, which ruled that a fetus was considered a person under the state child abuse laws. Since then, several dozen women have been arrested and convicted under this unique and dangerously misguided law.
Drug use during pregnancy is a health issue that should be addressed by health professionals, not law enforcement and criminal justice agents. Every major medical and public health organization in the country opposes the arrest and jailing of pregnant women for drug and alcohol use - a response that endangers rather than promotes fetal and maternal health.
Nevertheless, false public hysteria over the so-called 'crack-baby epidemic' fueled by the war on drugs has led to widespread misinformation about the actual harms of maternal drug use, particularly cocaine. Policy makers and prosecutors have also wholly ignored possible risks of paternal exposure to tobacco and alcohol to fetuses. By contrast, scientific studies, such as the comprehensive review conducted by Deborah Frank and colleagues, Growth, Development, and Behavior in Early Childhood Following Prenatal Cocaine Exposure: A Systematic Review, conclude that the fetal harms attributed to illicit drug use generally, and cocaine use in particular, are often highly speculative and significantly overstated and typically pale in comparison to the known dangers posed to fetal development by two licit drugs, namely alcohol and tobacco.
Drug Policy Alliance has represented many of the country's leading medical and public health organizations, and most prominent scientific researchers and bio-medical ethicists in amicus briefs filed in state and federal court in several cases opposing the criminalization of drug use during pregnancy.