Hospitals Gave Patients Meds During Childbirth, Then Reported Them For Positive Drug Tests

A mairani Salinas was 32 weeks pregnant with her fourth child in 2023 when doctors at a Texas hospital discovered that her baby no longer had a heartbeat. As they prepped her for an emergency cesarean section, they gave her midazolam, a benzodiazepine commonly prescribed to keep patients calm. A day later, the grieving mother was cradling her stillborn daughter when a social worker stopped by her room to deliver another devastating blow: Salinas was being reported to child welfare authorities. A drug test had turned up traces of benzodiazepine — the very medication that staff had administered before wheeling her into surgery.

For Victoria Villanueva, pregnant with her first child, the drug detected in her baby’s system was morphine. Villanueva had arrived at an Indiana hospital at 41 weeks to have her labor induced. To ease the pain of her contractions, doctors gave her narcotics. A day later, a social worker told the new mother: The baby’s meconium — or first bowel movement — had tested positive for opiates. Now, instead of bonding with her baby, Villanueva shook with fear that her newborn could be taken away. “I didn’t even know how to function,” she recalled.

What happened to Salinas and Villanueva are far from isolated incidents. Across the country, hospitals are dispensing medications to patients in labor, only to report them to child welfare authorities when they or their newborns test positive for those very same substances on subsequent drug tests, an investigation by The Marshall Project and Reveal has found.

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