Punishment For Pregnant Women

By Lynn M. Paltrow, TomPaine.com. Posted July 18, 2006.

In a society that values children, it's striking how frequently our public policy falls short of our rhetoric. Too often, the notion of collective responsibility for the nation's children translates into collective demonization of pregnant women. Collective responsibility for our children should mean support for policies that help pregnant women get the care they need to have healthy babies. Instead, states and localities are increasingly blaming individual women, exaggerating the harms from individual behaviors.

In Arkansas' recent special spring session, Hot Springs Rep. Bob Mathis followed up his successful proposal to make it illegal for someone to smoke in a car with children with a proposal to ban pregnant women from smoking. For those who subscribe to the view that pregnant women are vessels, treating them like cars makes perfect sense.

No one disputes that smoking, drinking and using drugs raise serious health issues for everyone, including pregnant women and their future children. Addressing these health matters, however, through punitive prohibition measures does not work to protect the health of women or the babies they're carrying. Rather, focusing on pregnant women as dangerous people who require special control or punishment inevitably undermines maternal and fetal health. Such measures divert attention from pregnant women's lack of access to health services, and deters them from seeking what little help is available. That is why medical groups including the American Medical Association, the March of Dimes and the American Academy of Pediatrics overwhelmingly oppose punitive measures targeting pregnant women.

Nevertheless, Arkansas Gov. Mike Huckabee supported Mathis' proposal, saying, "A lawmaker's suggestion to prohibit women from smoking during pregnancy makes sense from a health standpoint."

It only makes sense if you haven't bothered to think for a moment about the nature of addiction. Ask Rush Limbaugh, who has by word and deed made clear that addiction -- even for the most popular and economically privileged people -- can be very very difficult to overcome. According to press accounts, Huckabee added that "such a prohibition, if enacted, would probably have to cover other unhealthy activities such as drinking." Perhaps the governor forgot about America's experiment with alcohol prohibition in the 1920s. It failed miserably and there is nothing to suggest that resurrecting it for women only will work any better.

Meanwhile, a county in Alabama is also pursuing public policies that punish pregnant women for their otherwise legal behaviors. Late last month in Franklin County, a woman was arrested and charged with child torture for giving birth to a baby that tested positive for methamphetamine. Never mind that Alabama's legislature has not made it a crime to continue a pregnancy to term in spite of a drug problem or that more than 90 medical researchers warn not to rush to judgment about the potential harms of prenatal exposure to methamphetamine. And just ignore the fact that access to appropriate family drug treatment for pregnant and parenting women is virtually non-existent in this country.

Lynn Paltrow is the executive director of National Advocates for Pregnant Women.

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