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Research ArticleRegular Articles

Criminal Charges for Child Harm from Substance Use in Pregnancy

Cara Angelotta and Paul S. Appelbaum
Journal of the American Academy of Psychiatry and the Law Online June 2017, 45 (2) 193-203;
Cara Angelotta
Dr. Angelotta is Instructor of Psychiatry and Behavioral Sciences, Department of Psychiatry, Northwestern University Feinberg School of Medicine, Chicago, IL. Dr. Appelbaum is Elizabeth K. Dollard Professor of Psychiatry, Medicine, and Law, Department of Psychiatry, Columbia University, and Director, Division of Law, Ethics, and Psychiatry, Columbia College of Physicians and Surgeons, and NY State Psychiatric Institute, New York, NY.
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Paul S. Appelbaum
Dr. Angelotta is Instructor of Psychiatry and Behavioral Sciences, Department of Psychiatry, Northwestern University Feinberg School of Medicine, Chicago, IL. Dr. Appelbaum is Elizabeth K. Dollard Professor of Psychiatry, Medicine, and Law, Department of Psychiatry, Columbia University, and Director, Division of Law, Ethics, and Psychiatry, Columbia College of Physicians and Surgeons, and NY State Psychiatric Institute, New York, NY.
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Table 1

Table 1

Cases of Women Charged With Child Abuse–Related Crimes for Substance Use During Pregnancy

YearCaseDefendantStateCourt LevelChargeSubstance Related to ChargeNeonatal OutcomeProcedural HistoryLegal Outcome
1977Reyes v. Superior25Margaret Velasquez ReyesCaliforniaState court of appealsChild endangermentHeroinHeroin withdrawalTrial court denied a motion to dismiss the charge. The appellate court reversed the denial.Pretrial dismissal
1991State v. Gethers26Cassandra GethersFloridaState court of appealsChild abuseCocaineNeonatal deathThe appellate court affirmed the trial court's dismissal of the charge.Pretrial dismissal
1991People v. Hardy27Kimberly HardyMichiganState court of appealsChild abuse; delivery of a controlled substanceCocaineSmall for gestational age and prematureThe circuit court dismissed the child abuse charge, but denied a motion to dismiss the delivery charge. The appellate court reversed the denial to dismiss the delivery charge.Pretrial dismissal
1992State v. Luster28Darla Michelle LusterGeorgiaState court of appealsDelivery of a controlled substanceCocaineNo adverse effects reportedThe appellate court affirmed the trial court's dismissal of the charge.Pretrial dismissal
1992Johnson v. State29Jennifer Clarise JohnsonFloridaState supreme courtDelivery of a controlled substance to a minorCocaineNo adverse effects reportedJohnson was convicted at trial. The appellate court certified a question to the state supreme court as to whether the relevant statute applied to a drug that was transmitted via the umbilical cord in the time after delivery before the cord was clamped. The state supreme court found that the statute did not apply, and the conviction was overturned.Conviction overturned
1992State v. Gray30Tammy GrayOhioState supreme courtChild endangermentCocaineHospitalized several days after birth for cocaine withdrawal symptomsThe state supreme court affirmed the denial of prosecution issued by the lower appellate court.Pretrial dismissal
1993Commonwealth v. Welch31Connie WelchKentuckyState supreme courtChild abuseOxycodoneDrug withdrawal symptomsWelch was convicted at trial. She was sentenced to five years for abuse and two years for drug possession to run consecutively. The appellate court affirmed the possession conviction and vacated the abuse conviction. The state supreme court affirmed the appellate court's decision.Conviction overturned
1994Sheriff, Washoe County, Nevada v. Encoe32Cathy EncoeNevadaState supreme courtChild endangermentMethamphetamineNo adverse effects reportedThe district court granted Encoe's pretrial writ of habeas corpus. The state supreme court affirmed the order.Pretrial dismissal
1994Collins v. State33Debra Ann CollinsTexasState court of appealsReckless injury to a childCocaineCocaine withdrawalCollins was convicted on a plea of nolo contendere and sentenced to one year. The appellate court overturned the conviction.Conviction overturned
1995Reinesto v. Superior Court34Teresa Lopez ReinestoArizonaState court of appealsChild abuseHeroinHospitalized for one month for heroin withdrawalTrial court denied a motion to dismiss the charge. The appellate court reversed the denial.Pretrial dismissal
1996Dunn v. State35Selena DunnWashingtonState court of appealsCriminal mistreatmentCocainePremature birth, small size (4 pounds, 9 ounces at birth), placenta abruptio, and blindnessThe trial court dismissed the charge. The appellate court affirmed.Pretrial dismissal
1997Whitner v. State16Cornelia WhitnerSouth CarolinaState supreme courtCriminal child neglectCocaineNo adverse effects reportedDefendant pleaded guilty and was sentenced to eight years. She filed a petition for postconviction relief, which was granted on the basis of ineffective counsel and lack of subject matter jurisdiction. The state supreme court reversed. The U.S. Supreme Court denied her writ of certiorari.Conviction upheld
2003McKnight v. State17Regina Denise McKnightSouth CarolinaState supreme courtHomicideCocaineStillbirthThe first trial resulted in a mistrial. Defendant was convicted at the second trial and sentenced to 20 years, suspended to 12 years. The state supreme court affirmed the trial court's ruling. The U.S. Supreme Court denied her writ of certiorari. Later defendant won postconviction relief at the state supreme court for ineffective assistance of counsel after the court found that her lawyer failed to introduce expert testimony about placental infection as a potential cause of fetal death. She agreed to plead guilty in exchange for an agreement that she would be sentenced to time served (8 years) rather than face a new trial.46Conviction upheld on appeal, though defendant later received relief.
2005State v. Aiwohi36Tayshea AiwohiHawaiiState supreme courtManslaughterMethamphetamineNeonatal deathAfter her motions to dismiss the charges were denied by the trial court, defendant was convicted on a nolo contendere plea. The state supreme court reversed the trial court's denial of the motion to dismiss.Conviction overturned
2005Richards v. State37Jessica Renee RichardsTennesseeState court of appealsAttempted aggravated child abuseMethamphetamineNo adverse effects reportedRichards pleaded guilty and was sentenced to 12 years. Her motion for postconviction relief for ineffective counsel based on failure to inform her that her conduct fell outside the scope of the law was denied. The appellate court reversed the denial.Conviction overturned
2005Richards v. Tennessee37Jennifer Lynne HorineTennesseeState court of appealsAttempted aggravated child abuseMethamphetamineNo adverse effects reportedLike Richards (see previous case), Horne pleaded guilty and was sentenced to 12 years. She joined Richards' motion for postconviction relief as above.Conviction overturned
2006Kilmon v. State38Regina KilmonMarylandState court of appealsReckless endangermentCocaineBaby small (5.5 pounds)Kilmon pleaded guilty and was sentenced to four years. The state court of appeals granted certiorari, joining her case with Cruz's. The convictions were overturned in each case.Conviction overturned
2006Kilmon v. State38Kelly Lynn CruzMarylandState court of appealsReckless endangermentCocaineBaby small (3 pounds 2 oz) and premature (29 weeks)Cruz was convicted at trial and sentenced to five years. Her appeal was joined with Kilmon's, as above.Conviction overturned
2006State v. Martinez39Cynthia MartinezNew MexicoState court of appealsFelony child abuseCocaineBaby “borderline” small for gestation age and premature (36 weeks)Martinez's motion to dismiss was denied by the trial court. She was convicted on entering a conditional plea of guilty. The appellate court reversed the denial of the motion to dismiss.Conviction overturned
2007State v. Wade40Janet S. WadeMissouriState court of appealsChild endangermentMethamphetamine and marijuanaNo adverse effects reportedThe appellate court affirmed the trial court's dismissal of the charge.Pretrial dismissal
2007State v. Hudson41Lisa Ann HudsonTennesseeState court of appealsAggravated child abuse and neglectCocaineCocaine withdrawalTrial court denied a motion to dismiss the charge. The appellate court reversed the denial.Pretrial dismissal
2009State v. Geiser42Michelle Behles GeiserNorth DakotaState supreme courtChild endangermentPrescription drugs (not specified)StillbirthThe trial court denied a motion to dismiss the charge. Defendant was convicted on entering a conditional guilty plea. The state supreme court reversed the denial.Conviction overturned
2010Cochran v. Commonwealth43Ina CochranKentuckyState supreme courtChild endangermentCocaineNo adverse effects reportedThe appellate court reversed the trial court's dismissal of the charge. The state supreme court reversed the appellate court.Pretrial dismissal
2013Ankrom v. State18Amanda Helaine KimbroughAlabamaState supreme courtChemical endangerment of a childMethamphetamineDied 19 minutes after birthThe trial court denied Kimbrough's motion to dismiss the charge. She pleaded guilty and was sentenced to 10 years. The appellate court affirmed her conviction. The state supreme court, joining her appeal with Ankrom's (see following case), affirmed the appellate court. The U.S. Supreme Court denied Kimbrough's writ of certiorari.Conviction upheld
2013Ankrom v. Alabama18Hope Elisabeth AnkromAlabamaState supreme courtChemical endangerment of a childCocaineNo adverse effects reportedThe trial court denied Ankrom's motion to dismiss the charge. She pleaded guilty and was sentenced to three years in prison, suspended to one year's probation. The appellate court affirmed her conviction. The state supreme court joined her case with Kimbrough's and affirmed her conviction.Conviction upheld
2013State v. Stegall44Alexis StegallNorth DakotaState supreme courtChild endangermentMethamphetamineNo adverse effects reportedThe state supreme court affirmed the trial court's dismissal of the charges.Pretrial dismissal
2013State v. Stegall44Chelsea HettichNorth DakotaState supreme courtChild endangermentMethamphetamineNo adverse effects reportedThe state supreme court affirmed the trial court's dismissal of the charges.Pretrial dismissal
2013State v. Stegall44Kimberlie Nicole LamonNorth DakotaState supreme courtChild endangermentMethamphetamineNo adverse effects reportedThe state supreme court affirmed the trial court's dismissal of the charges.Pretrial dismissal
2015Arms v. State45Melissa McCann ArmsArkansasState supreme courtIntroduction of a controlled substance into the body of another personMethamphetamineDrug withdrawal symptomsThe trial court denied defendant's motion to dismiss the charge. She was convicted at trial and sentenced to 20 years. The court of appeals affirmed her conviction. The state supreme court reversed.Conviction overturned

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Journal of the American Academy of Psychiatry and the Law Online: 53 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 53, Issue 1
1 Mar 2025
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