Get treated for addictions
If you are addicted to any opioid and become pregnant, the American Congress of Obstetricians and Gynecologists (ACOG) recommends treatment with a maintenance drug — methadone or buprenorphine. This is more likely to succeed than trying to go through withdrawal — most patients relapse. Making yourself stable and able to mother is the most important thing you can do for your child.
A methadone dosage may need to be adjusted while you are pregnant to help you avoid drug cravings and withdrawal symptoms that could distress the fetus, so speak up. There is no good evidence that a smaller dose will help a child adjust after birth, according to ACOG.
“Babies born to mothers on methadone do as well as other babies,” the authors of a federal brochure wrote, and “their health is much better than babies born to mothers on heroin. It can be reassuring to know that thousands of healthy babies born to methadone-maintained moms develop into normal children.”
November 01, 2017
Christopher Nystuen, MD, MBA