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Determining the epidemiology of drug use during pregnancy has always been an inexact science (American Academy of Pediatrics 1998; National Institute on Drug Abuse 1996). This imprecision has resulted from factors such as changes in drug use patterns over time, variations in sample populations in individual hospitals and larger geographic areas, differing applications of history-taking techniques and drug-detection technologies, and the varying attention that society has paid over time to this specific subset of female drug users (Kandall 1996).

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FIGURE 40–1. Family center schema for treatment of drug dependency in the perinatal period and aftercare.Note. DHHS = Department of Health and Human Services; DPW = Department of Public Welfare; WIC = Special Supplemental Nutrition Program for Women, Infants, and Children.Source. Adapted from Finnegan et al. 1991.

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