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The American College of Obstetricians and Gynecol-ogists (ACOG) recommends avoiding the use of psy-choactive substances during pregnancy.1 However, an article by Branum and Ahrens2 reports that, on average, women are unaware of being pregnant until five to six weeks into their pregnancy. This is a critical public health concern because substance use during pregnancy can lead to miscarriage, congenital anomalies, fetal al-cohol spectrum disorders (FASDs), and neonatal absti-nence syndrome (NAS), among others