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

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Fig. 5 — State trends in 10 states with the highest NAS and prenatal substance exposure rates, 2020–2016. Among the 10 states with the highest NAS and prenatal substance exposure rates, 9 states had both decreasing NAS rates and increasing prenatal substance exposure rates with the exception of New Hampshire and Kentucky. In New Hampshire both prenatal substance exposure rate (from 41.58 in 2016 to 63.59 in 2020) and NAS rate (from 51.98 in 2016 to 52.80 in 2020) increased while Kentucky had declines in both prenatal substance exposure rates (from 63.52 in 2016 to 60.27 in 2020) and NAS rates (from 42.92 in 2016 to 35.83 in 2020)