PMID: 9547769Apr 21, 1998Paper

Moral and social issues regarding pregnant women who use and abuse drugs

Obstetrics and Gynecology Clinics of North America
K A DeVille, L M Kopelman

Abstract

Pregnant women who abuse drugs, such as alcohol, cocaine, and marihuana may face a variety of legal and social responses, including involuntary commitment, forced treatment, and criminal sanctions. These programs are intended to remedy apparent maternal-fetal conflicts but paradoxically may encourage some women to avoid beneficial medical and social services or to seek abortion. Although pregnant women have ethical duties to give due consideration to their offspring, these moral obligations fail to justify coercive and punitive programs regarding substance abuse. Coercive fetal protection policies may undermine pregnant women's trust and cooperation, violate their autonomy, weaken our civil liberties, and raise a host of ethical problems relating to race, gender, and class prejudice. Education and drug treatment programs, rather than punitive and coercive measures, may better help pregnant women fulfill their moral duties to refrain from abusing substances.

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Citations

May 22, 2009·Journal of Psychoactive Drugs·Cynthia Geppert, Michael P Bogenschutz
Nov 22, 2002·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Michael T FrenchRaymond L Stephens
Dec 29, 1998·Journal of Women's Health
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Nov 7, 2000·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·K A De Ville, L M Kopelman
Mar 13, 2008·European Addiction Research·Sandra KuntscheGerhard Gmel
Aug 19, 2005·Journal of Perinatology : Official Journal of the California Perinatal Association·Henrietta S BadaRosemary Higgins
Mar 31, 2006·American Journal of Public Health·Jennifer G ClarkeMichael D Stein
Mar 31, 2006·American Journal of Public Health·Jennifer G ClarkeMichael D Stein
Apr 5, 2002·The Journal of Perinatal & Neonatal Nursing·J Tillett, K Osborne
Jan 12, 2019·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Florence ThibautKim Yonkers
Jan 25, 2003·Journal of Paediatrics and Child Health·D IsaacsB Peat
May 7, 2003·The American Journal of Drug and Alcohol Abuse·Deborah L HallerKathryn S Dawson

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