In Oklahoma, the issue of whether medical marijuana can be considered an “illegal drug” is likely to be key in future prosecutions. People in Oklahoma can be charged with child neglect for using illegal drugs while pregnant, under rulings in 2020 and 2021 by the state Court of Criminal Appeals. These rulings all involved women who used methamphetamine during their pregnancies. Women here have been prosecuted even after giving birth to healthy babies. 

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