Umbilical cord serum prolactin concentrations were determined in 17 full-term infants of mothers using narcotic agents during pregnancy and in 18 infants of similar birth weight and gestational age whose mothers did not use narcotics. The median value for the narcotic-exposed group was 266.6 ng/ml (range, 157.5 to 448.7 ng/ml); in the normal group the median was 193.7 ng/ml (range, 69.8 to 693.1 ng/ml). These differences were statistically significant (P< .05). Although only full-term and borderline premature infants who were not at appreciable risk for respiratory distress syndrome (RDS) were studied, it may be speculated that elevated prolactin blood levels in fetuses of addicted mothers may at least in part explain the reported decrease in the incidence of RDS in this group.