I too work with drug addicted infants going through withdrawal,infants with fetal alcohol syndrome, etc, and yes it does make me very angry. I have 3 very healthy kids, and I take pride in the fact that I gave them a good start by providing them with a healthy uterine environment. However, I don't know exactly what the answer would be in order to help these families and children. We know that jail time does little to break a person of an addiction ( what better place to get drugs but in jail). Other punitive stances do little to help as well. Judgemental attitudes also do not help. I know that many of these women were abused themselves , are poor , frequently in abusive relationships, and all round horrible circumstances. Some of the Moms we see in our unit themselves have fetal alcohol syndrome. Are they to blame, maybe in some instances, maybe partially, but not all of the time. Its easy for me to say don't take drugs when your pregnant, get prenatal care, eat well etc,etc,, when I enjoy a middle class existence, have acess to universal health care (I live in Canada), and have a wonderful husband, family, and friends that support me. This is often not the case for these women. I do agree that a method of birth control should be ulitized until these women can (or if and when) get their lives together. I do not live in a dream world, nor do I agree with what these women and men do to their children. I do believe that these women DO NOT want to do this to themselves or their children. And every once in awhile we get a sucess story that, helps me reflect, think and again reach out to try and help. Its too bad that most days I feel like I'm banging my head against the wall. It is an area that could use more research, funding etc, to try and break the cycle.