INTRODUCTION - continued
Adoption referrals rarely contain information regarding maternal drug use during pregnancy. Lack of information should not be construed to indicate that drug use did not occur. Referrals from Eastern Europe occasionally include the term "narcomania," indicating narcotic addiction. Sometimes, there is a notation that the birth mother is listed on the "narcologic registry," indicating that at some time she was treated for drug abuse. Occasionally, the term "abstinent syndrome" is listed, indicating that the newborn experienced drug withdrawal. Court-ordered termination of parental rights or abandonment of previous children may suggest maternal drug abuse. Hepatits C infection, prematurity, small size of gestational age, and/or congenital microcephaly all may result from prenatal drug exposure, although alternative explanations exist.