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Substance abuse among pregnant women and women with children is one of the most emotionally charged issues of our day. Many physicians who provide care to these women are ignorant of aspects of substance abuse outside their own narrow confines. Ways of preventing in utero drug exposure are rarely discussed and even thought to be futile, short of instituting draconian measures. Many physicians assume that drug-dependent women have failed treatment for substance abuse or refused it and are unaware that often no treatment is available. Although "crack babies" have grabbed headlines for over 10 years, public concern has not resulted
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