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Hospital testing policies are so opaque that even state health officials say they are in the dark about specifics. The incidence of babies born dependent on drugs, especially opioid painkillers and heroin, nearly doubled from 2009 to 2012, according to research by Patrick.“Some hospitals, any pregnant woman that comes in, they’ll test for drugs,” said Janice M. There’s no consistency there.” Does she know which hospitals take which approach? Hospitals charged

Hospital testing policies are so opaque that even state health officials say they are in the dark about specifics. The incidence of babies born dependent on drugs, especially opioid painkillers and heroin, nearly doubled from 2009 to 2012, according to research by Patrick.“Some hospitals, any pregnant woman that comes in, they’ll test for drugs,” said Janice M. There’s no consistency there.” Does she know which hospitals take which approach? Hospitals charged $1.5 billion to treat babies in withdrawal in 2012, according to the same study.In Alabama, a positive drug test can have dire repercussions for pregnant women and new mothers. Yet the hospitals that administer those drug tests — and turn the results over to authorities — are exceedingly reluctant to disclose their policies to the public. They can face lengthy sentences in the most notorious women’s prison in the United States and thousands of dollars in fees and fines.“It doesn’t set up a place where people have the opportunity to engage with their providers honestly.” The severe consequences for women and families make it even more important that doctors and hospitals are transparent in their testing policies, experts say.The American College of Obstetricians and Gynecologists guidance states that drug testing “should be performed only with the patient’s consent …Smiley, director of the Perinatal Health Division at the Alabama Department of Public Health. There are many medical reasons to screen pregnant women and new mothers for drug use, experts say: to provide proper prenatal care, to prevent pregnancy complications and to anticipate problems that may arise at birth.

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Hospital testing policies are so opaque that even state health officials say they are in the dark about specifics. The incidence of babies born dependent on drugs, especially opioid painkillers and heroin, nearly doubled from 2009 to 2012, according to research by Patrick.

“Some hospitals, any pregnant woman that comes in, they’ll test for drugs,” said Janice M. There’s no consistency there.” Does she know which hospitals take which approach? Hospitals charged $1.5 billion to treat babies in withdrawal in 2012, according to the same study.

In Alabama, a positive drug test can have dire repercussions for pregnant women and new mothers. Yet the hospitals that administer those drug tests — and turn the results over to authorities — are exceedingly reluctant to disclose their policies to the public.

They can face lengthy sentences in the most notorious women’s prison in the United States and thousands of dollars in fees and fines.

.5 billion to treat babies in withdrawal in 2012, according to the same study.In Alabama, a positive drug test can have dire repercussions for pregnant women and new mothers. Yet the hospitals that administer those drug tests — and turn the results over to authorities — are exceedingly reluctant to disclose their policies to the public. They can face lengthy sentences in the most notorious women’s prison in the United States and thousands of dollars in fees and fines.“It doesn’t set up a place where people have the opportunity to engage with their providers honestly.” The severe consequences for women and families make it even more important that doctors and hospitals are transparent in their testing policies, experts say.The American College of Obstetricians and Gynecologists guidance states that drug testing “should be performed only with the patient’s consent …Smiley, director of the Perinatal Health Division at the Alabama Department of Public Health. There are many medical reasons to screen pregnant women and new mothers for drug use, experts say: to provide proper prenatal care, to prevent pregnancy complications and to anticipate problems that may arise at birth.

In many cases, law enforcement officials cited hospital-administered drug tests as probable cause for arrest.

“Criminal laws tend to make women less forthcoming,” said Dr.

Stephen Patrick, professor of pediatrics and health policy at Vanderbilt University School of Medicine.

Under Alabama law, drug abuse in pregnancy is considered a form of child abuse, and medical providers are “mandatory reporters,” meaning they are required to report positive test results to child welfare authorities, who then must report them to law enforcement.

At least 15 other states also treat prenatal drug use as child abuse, but only three — Alabama, South Carolina, and Tennessee — explicitly allow mothers to be criminally prosecuted.




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