In some ethical and legal respects a pregnant woman and her fetus can be considered separate. Both the woman and the fetus are ordinarily affected by the well-being of one another for as long as each of them live. The ethical and legal issues are challenged deeply in cases where the well-being of the fetus and the mother appear to be in conflict. Our society struggles with identifying cases where the pregnant woman’s interests and/or behaviors might put her fetus at risk. Criminal and/or civil commitments should be used to bar pregnant women from exposing their fetuses to risk.
The state of Wisconsin enacted a statute allowing pregnant women whose habitual drinking exposes a fetus to substantial risks of physical harm to be taken into custody and undergo involuntary patient alcohol treatment.1 Other states have proposed or enacted bills that respond to women who expose a fetus to the harms of alcohol in pregnancy by means such as requiring involuntary civil commitment of the woman, requiring health practitioners to report newborns demonstrating prenatal exposure, expanding definitions of child neglect to include neonatal harm or prenatal damage to a child, and defining such acts as criminal mistreatment in the first degree.2
There have been many efforts to restrain women from exposing their fetuses to damaging drugs, specifically cocaine, by applying law enforcement measures. In the prominent case of Whitner vs. State of South Carolina (1997), Cornelia Whitner was charged with criminal child neglect for exposing her fetus to cocaine. She was sentenced by a South Carolina court to eight years in prison. Her viable fetus was found to be protected under the state’s child endangerment statute. South Carolina currently remains the first and only state whose law recognizes the viable fetus as a person and accordingly permits criminal prosecution of women for endangerment of a fetus.1
References: 1Linder, E. N. (2005). Punishing Prenatal Alcohol Abuse: The Problems Inherent in Utilizing Civil Commitment to Address Addiction. University of Illinois Law Review, 3, 873–902. 2Substance Abuse and Mental Health Services Administration. (2006). Fetal Alcohol Spectrum Disorders Legislation by State: 2005–2006 Legislative Sessions. http://www.fasdcenter.samhsa.gov/documents/FASDLegislationByState_April2006.pdf