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. 2023 May 23;27(Suppl 1):14–22. doi: 10.1007/s10995-023-03670-z

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Fig. 4 — Percent change in NAS and prenatal substance exposure rates, 2020–2016: list of states. Between 2016 and 2020, 10 states had NAS rate increases above 10%. Three states had close to 100% increase in their prenatal substance exposure rates by 2020- South Dakota (101.4%), DC (98.9%) and Mississippi (92.4%). 29 states had more than 10% increase in their prenatal substance exposure rate, and three states had close to or above 100% increases (Wyoming, Utah, Missisippi)