The Crack Baby: Truth or Myth?

As early as the 1980s, the story of the ‘crack baby’ became the nightmare for parents, particularly those with teenage daughters. It was also a nightmare for governments who feared that caring for a multitude of crack babies would overburden national coffers. In fact, the image of the baby sucking and crying uncontrollably, looking for a solution to his woes that cannot be given to him, was a fear that dug into the bones of the general population.

It is unfortunate that the science community and the government entities have not been as resolute in the retraction of the myth. And so, it is that even now, some forty years after the myth was perpetuated, that the story of the crack baby can still produce fresh shivers down one’s spine.

The Definition of Crack Baby

The crack baby is a term coined for children whose mothers used crack, or the solid form cocaine, while pregnant. Therefore, this exposed the babies to the drug in utero or while they were still inside the womb. Many so-called experts believed that this exposure made these crack babies destined to a life of physical and mental disability.

In an interview with National Public Radio, Dr. Carl Bell, a professor of psychiatry and public health at the University of Illinois at Chicago, quoted John Silber, the ex-president of the prestigious Boston University, as saying that the intellectual capacity of crack babies won’t ever develop to the level where they can have consciousness of God.

However, later investigations saw that what this proclamation was based on was actually invalid. For one, the study size was very small at only 23 crack babies. Secondly, there was no real effort to study grown crack babies to see if they really were mentally and physically disabled. The answer is that they weren’t. Study upon study proves this.

One study done by the National Center for Biotechnology Information (NCBI), an office which focuses on biomedical and genomic information, looked at 55 crack babies and 65 children who weren’t exposed to cocaine in utero. They were given a battery of 14 tasks designed to measure cognitive control, working memory, and reward processing, and also 4 other systems — language, memory, spatial cognition, and visual cognition. Results show that in utero exposure to cocaine had no effect on a child’s neurocognitive functioning. The study further showed that it was the age at testing and childhood environment that affected a child’s neurocognitive functioning.

Another study which looked at the relationship being exposed to cocaine in utero in regard to a preschooler’s physical and cognitive development and behavioral characteristics also negated the earliest claimed adverse effects. This study saw that there was no significant relationship between prenatal cocaine use and the Stanford-Binet Intelligence Scale SBIS scales.

And still another study investigated whether there would be a difference in a child’s development if in utero exposure to cocaine was greater. Again this study clearly showed that even greater levels of cocaine during pregnancy had no significant negative effects on a child’s Mental Development Index (MDI), Psychomotor Development Index (PDI), or Infant Behavior Record.

Slower Growth of Crack Babies

Of course, these studies do not in any way say that using cocaine while pregnant is not bad for the baby. It is. Crack babies have been proven to grow slower, with smaller heads that are associated with smaller brains. However, this tardiness is not permanent and eventually these babies’ brain and body size catch up with their non-exposed counterparts.

In a New York Times interview with Dr. Deborah A. Frank, a pediatrician from Boston University laments that in the 1990s especially, this concern was not addressed as a health issue. Instead, there was severe prejudice against women who used cocaine while they were pregnant. They were sent to jail and often lost custody of their children.

Another doctor, Dr. Hallam Hurt is a neonatologist and professor of pediatrics at the University of Pennsylvania, pointed out that the “aura of suspicion” might, in fact, be because the pregnant cocaine users were from low social status and thus, the prejudice stemmed from there.

This is unfair, as it was found that there are more harmful effects when mothers drink alcohol and smoke during pregnancy as compared with those who use cocaine while pregnant. Surveys conducted in 2006 and 2007 by the US Department of Health and Human Services, found that 5.2 percent of pregnant women use illicit drugs in general. However, none of the 11.6 percent of pregnant women who drink alcohol, nor the 16.4 percent who smoke during pregnancy have been prosecuted.

Even though the scientific community has proven time and again that there are few differences from regular babies — aside from their mother’s preferred recreational activity while she was pregnant, crack babies are not slowed down from the drug.

With that being said though, that doesn’t mean that doing crack while pregnant is okay. As said above, using any sort of drugs can be harmful for the baby. If you are pregnant while using drugs or just dangerously using drugs in general, it may be best to look into options such as an inpatient rehab center or support groups to help you move past addiction.

Medical disclaimer:

Sunshine Behavioral Health strives to help people who are facing substance abuse, addiction, mental health disorders, or a combination of these conditions. It does this by providing compassionate care and evidence-based content that addresses health, treatment, and recovery.

Licensed medical professionals review material we publish on our site. The material is not a substitute for qualified medical diagnoses, treatment, or advice. It should not be used to replace the suggestions of your personal physician or other health care professionals.

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