ArticleHealth economics2022
Prenatal substance use policies and newborn health.
Article in Health economics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Punitive legal responses to prenatal drug use in the United States: A survey of state policies and systematic review of their public health impacts.The International journal on drug policy · 2024Pooled it
- Perinatal Insights Into Parenting, Pathways, and Addiction (PIPPA): Protocol for a Longitudinal, Strengths-Based Study in Flanders, Belgium.JMIR research protocols · 2026Article
- Impact of policies on pregnant individuals using drugs: A narrative synthesis review of treatment, health care access, and outcomes.Stigma and health · 2026Article
- Perspectives of professionals on the perinatal period as a window of opportunity for change in women with SUD: insights from healthcare, child welfare, substance use, and child protection services.Frontiers in psychiatry · 2026Article
- Prenatal drug use criminalization and health system avoidance: Evidence from births in Alabama, South Carolina, and Tennessee, 1989-2019.Social science & medicine (1982) · 2025Article
- Importance of Fetal Alcohol Spectrum Disorders Prevention and Intervention.Substance use & addiction journal · 2025Article
- State Child Abuse and Mandated Reporting Policies for Prenatal Substance Use and Congenital Syphilis Case Rates: United States, 2018-2022.American journal of public health · 2025Article
- Prenatal opioid exposure, neonatal abstinence syndrome diagnosis, and child welfare involvement.Child abuse & neglect · 2025Article
- Cannabis and Nicotine Substance Use Coercion During the Perinatal Period.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Substance Use-Associated Infant Maltreatment Report Rates in the Context of Complex Prenatal Substance Use Policy Environments.Child maltreatment · 2024Article
- Pregnancy-specific alcohol policies and admissions to substance use disorder treatment for pregnant people in the USA.Alcohol and alcoholism (Oxford, Oxfordshire) · 2023Article
- Preserving Families of Children in Child Welfare with Fetal Alcohol Spectrum Disorders: Challenges and Opportunities.Child welfare · 2023Article
- Association of Pregnancy-Specific Alcohol Policies With Infant Morbidities and Maltreatment.JAMA network open · 2023Article
- Reducing the stigma of perinatal substance use disorders: the time is now.Archives of women's mental health · 2023Article
- Initiation and Treatment Discontinuation of Medications for Opioid Use Disorder in Pregnant People Compared With Nonpregnant People.Obstetrics and gynecology · 2023Article
- Factors associated with perinatal substance use among Ethiopian women: an institutional-based cross-sectional study.Advances in drug and alcohol research · 2023Article
- Examination of promotive and protective effects on early adolescent prosocial behavior through a bioecological lens.Frontiers in psychology · 2023Article
- Development and Implementation of State and Federal Child Welfare Laws Related to Drug Use in Pregnancy.The Milbank quarterly · 2022Article
- Impact of prenatal substance use policies on commercially insured pregnant females with opioid use disorder.Journal of substance abuse treatment · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
We study the effect of punitive and priority treatment policies relating to illicit substance use during pregnancy on the rate of neonatal drug withdrawal syndrome, low birth weight, low gestational age, and prenatal care use. Punitive policies criminalize prenatal substance use, or define prenatal substance exposure as child maltreatment in child welfare statutes or as grounds for termination of parental rights. Priority treatment policies are supportive and grant pregnant women priority access to substance use disorder treatment programs. Our empirical strategy relies on administrative data from 2008 to 2018 and a difference-in-differences framework that exploits the staggered implementation of these policies. We find that neonatal drug withdrawal syndrome increases by 10%-18% following the implementation of a punitive policy. This growth is accompanied by modest reductions in prenatal care, which may reflect deterrence from healthcare utilization. In contrast, priority treatment policies are associated with small reductions in low gestational age (2%) and low birth weight (2%), along with increases in prenatal care use. Taken together, our findings suggest that punitive approaches may be associated with unintended adverse pregnancy outcomes, and that supportive approaches may be more effective for improving perinatal health.
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