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What the Court decided in this case is that a hospital that is run by the state violates the 4th Amendment when it routinely screens all pregnant women, without their consent, for drug use. The hospital did this as a way of trying to prevent pregnant women from harming their unborn children through drug use. The Court ruled that such an action by a state employee constitutes a search under the 4th Amendment and therefore cannot be done without consent. This was especially true because the hospital collaborated with the police and prosecutors in setting up their system.
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