PEDIATRICS Vol. 87 No. 5 May 1991, pp. 742
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Testing for Maternal Drug Abuse: How Much Is Enough?

EDWARD C. MAYNARD MD1

1 Women & Infants Hospital, Providence, RI

To the Editor.—

In their recent statement on drug-exposed infants,1 the Committee on Substance Abuse discourages universal screening for perinatal drug abuse, citing concern that "the harm vs the benefits of "labeling" the infant and/or the mother are not known." Just how widely we should be testing for perinatal drug abuse remains unclear, however; recent data from our institution suggest that even with broad screening criteria we are missing most cases of perinatal drug abuse.