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Adult diseases cause significant pediatric morbidity. Eleven percent of women of childbearing age are current illicit drug users, and 5% of pregnant women self-report drug use during pregnancy, which is no doubt an underestimate of the true prevalence. Opiates are the second most common class of abused drugs, after marijuana. Despite the commonly held belief that most opiates are street drugs, the majority of abusers obtain prescription narcotics from physicians, family members, or friends.1
In utero opiate exposure has major negative health consequences for children, including neonatal abstinence syndrome (NAS). A recent national analysis revealed a near tripling of NAS over the last decade, to 3.39 cases per 1000 hospital births. NAS begets significant health care expenditures, with total US hospital charges increasing from $190 to $720 million between 2000 and 2009.2
In this issue of Hospital Pediatrics, Forbes et al3 report findings from a national survey of …
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