Descriptive studies have shown that twice as many rural than urban women reported to have unintended pregnancies. Unintended pregnancies are associated with greater illicit drug use as well as increased risk of some poor birth outcomes such as preterm delivery and infant low birth weight (Sarah et al., 2008). Taking illicit drugs certainly does not preclude a woman from providing adequate child care, but there is a need to provide support in more than just the high-risk cases if poor long-term outcomes for the child are to be avoided.