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Grieving a Lost Pregnancy? Sorry, We'd Like a Drug Test

Posted by Miriam Axel-Lute

The fight over when women lose all rights when they become pregnant continues. A bill under consideration in Tennessee would mandate drug and alcohol testing for pregnant women under several conditions:

(1) No prenatal care;
(2) Late prenatal care after twenty-four (24) weeks gestation;
(3) Incomplete prenatal care;
(4) Abruptio placentae;
(5) Intrauterine fetal death;
(6) Preterm labor of no obvious cause;
(7) Intrauterine growth retardation of no obvious cause;
(8) Previously known alcohol or drug abuse; or
(9) Unexplained congenital anomalies. 

Refusal of "treatment" results in referral to child protective services. Now, there are all the usual (good) arguments to made in response against mandating drug testing and rehab for pregnant women, such as: it deters them from seeking health care in the first place; it interferes with a doctor's judgment; treatment is impossible in a state where there are aren't enough beds available and nearly all the facilities don't take pregnant women or allow women to bring their children along (see Salon for details). 

But as Rachel from Women's Health News points out eloquently, the list of triggers for the testing here adds a whole extra layer of ick: Preterm labor? Intrauterine death? We don't know what causes these things most of the time—are we now going to by default blame them all on the mother's behavior? Should a woman grieving a lost pregnancy not be able to drink for while for comfort without fear of being sent to rehab or losing her other kids?

And how about "incomplete prenatal care"? So now it is not up to us to choose whether we want ultrasounds or invasive tests that tell us nothing or carry a risk of miscarriage themselves?

If you care about the effects of drug and alcohol abuse on kids, for god's sake spend your energy making the treatment system actually work.

Photo by michab37.

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Comments

 

anon said:

When I got pregnant with my 3rd son my family and I were in the process of moving cross-country with all of the headaches relocating entails (new jobs, new schools, new house, etc.).  Due to all the stress I was under, coupled with the fact I have never had a regular period, I was 12 weeks along before I realized I was pregnant.

The midwife practice I went to required drug testing for moms like me who, they basically inferred, were flippant about prenatal care.  

Fast-forward to 41 weeks.  Every drug test came up clean for everything.  Then, at my last appointment, I was double-booked (breach baby+41 weeks=getting squeezed in) and when I left my urine sample, there was already another sample in the bathroom.

I was admitted to the hospital that afternoon, and upon checking in was told I tested positive for marijuana earlier in the day!  WTF?!  My baby was born 12 hours later, at which point he and I were both re-tested and came up negative.  Due to the positive result earlier though (which I now think may have been an error resulting from the two urine samples being switched), CPS was alerted and for the next 3 months I was subjected to weekly CPS visits and drug tests--all of which came up negative.

Now, I'm not entirely opposed to drug-testing pregnant women, but at the same time, in my situation, there was no system of checks-and-balances, which created a ton of undue stress during those already hectic newborn months.

March 12, 2009 8:04 PM
 

Twyla said:

This is absolutely stupid. What a horrible thing to do to a grieving mother. I already get mad enough that to get a job I have to have a drug test but to be on welfare- no test there. If states want to do drug testing there are far better places to focus their attention.

March 12, 2009 11:00 PM
 

Kikiriki said:

Aaaaaaand... yet ANOTHER reason I don't want to live in Tennessee.  There's something wrong with a state that decides this is the way to react to a lost pregnancy. Perhaps it's the result of the low ranking in education the state has received for years - it just seems completely ignorant.

March 12, 2009 11:30 PM
 

leahsmom said:

And what about all the women who can't afford prenatal care because of lost jobs or inadequate health insurance that doesn't cover what TN thinks they should have? "We won't provide you with health care, then we're going to tell you you're a bad mother and likely an addict because you don't have it."

Nice, very nice.

March 13, 2009 9:30 AM
 

Alice said:

This is once again those crazy Anti-Choice people, mostly men, who want ot deny women rights as citizens.  By giving a fetus rights that supercede the rights of the woman women in this country become 3/4 of a citizen.  These zealonts want us to be property again not full citizens.  They dont give a damn about the unborn.  If they did they would adopt many unwanted children and embryos.  They would demans better care for children and better prenatal care for mothers.  This is not about babies but about stripping women of rights.

March 13, 2009 12:25 PM
 

cyn-diego said:

How exactly would the alcohol testing work? Is there some kind of long-term hair test or something? Sounds like a big waste of money to me. OTOH, if the rare pregnant woman is  obviously an alcoholic or drug user, I think the baby's welfare would warrant a carefully-orchestrated intervention of some sort... If I were an ob, I would hate to see a patient like that and just let her go on...I think the critical issue is HOW this would be done. Anyone know what's SOP in this situation in other states?

March 16, 2009 2:18 PM

About Miriam Axel-Lute

Miriam Axel-Lute is a freelance writer, editor, poet, and urban planning junkie. She lives, works, and gardens in Albany, NY, with her two partners and daughter.

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