As I read through this thread, It truly upsets me, to here how most of you talk about this girl. I agree, she CANNOT be using while she is pregnant. However, if any of you really knew of addiction, the tone of this thread would be very different.
Reading this thread, I had to look at which web site I was on? I thought that somehow I got switched to a different web site. Like Sean Hannity, or that Glen Beck was back on the airwaves again?????? 
5 1/2 months along, and the doctor hasn't figured out that something might be going on? With the blood work that they do? Granted, it can happen, but I would doubt that she is the low bottom scum bag that you describe. And if it is happening, you want to lock her up???? Why? What is that going to do? Other than put a smile on your face? It is obvious that you are very ignorant with it comes to alcoholism and drug addiction. You make your conclusion off of ??? Because it is not an educated response.
If this girl is truly doing what you say? And if you care about the baby, because it is obvious that you don't care about the niece, sounds like you will just throw her to the curb, she needs an intervention, and be sent to treatment. But no, you want to make sure she has charges that will follow her for life? And it sounds like you would be happy about that? 
And your family?
People don't grow up and say, "hum, what do I want to do in life?? Oh, I know, I want to be a junkie, and an alcoholic so I can slowly destroy myself, all those around me, and ooh, and a baby in the womb" Really.........
I know that ACTIVE alcoholics and addicts are a pain in the you know what to deal with. But do you truly know how much pain they are in? And if they are that, then addiction is addiction. A person CAN NOT STOP WITHOUT HELP. Thank goodness that your parents don't have the same attitude as you.
And Ala-non...... that would be a good place to start, although you will be in a big surprise when you learn that Ala-non has nothing to do with the alcoholic in your life. And no, you won't learn new ways of becoming Judge, Jury and Executioner.
And to the response from the NICU nurse...... you know damn well that there are protocols in place with a addicted infant, to allow for the infant to receive medications that won't let them go through all those withdrawals.
So, if you are truly open to suggestions, and not just niece bashing, then here:
Reach out to her, quit being so judgmental, although you may have already ruined any ability you had at getting a connection with your niece, you may have to allow someone else to do this. Do an intervention on her. Get her into treatment.
Boy what a surprise it would be to look into the future and see that you niece and her child are well adjusted, productive citizens in the community. Thanks to a loving family who did a intervention. Lets hope the current charges that you are gleaming at doing will be dropped, if she goes to treatment now.
If you wonder how I can say all this...... your niece...... that was me in my late teens, early 20's. Since, I have had a very successful 22 year career as a critical care nurse, and ALL my children are doing super! Thank you to my family, whom truly loved me and knew that I had potential. That took the risk of making me mad, and feared that I would run, I say, thank you for being there. After all isn't that what family is all about? 
“Whether I or anyone else accepted the concept of alcoholism as a disease didn't matter; what mattered was that when treated as a disease, those who suffered from it were most likely to recover.”
― Craig Ferguson, American on Purpose: The Improbable Adventures of an Unlikely Patriot
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