Addiction Treatment for Pregnant Women
Using any drugs, alcohol, or tobacco during pregnancy exposes women and their developing fetus to harmful substances and can have a potentially deadly or long-term effect. Smoking during pregnancy can increase the risk of stillbirth, infant mortality, sudden infant death syndrome, preterm birth, respiratory problems, slowed fetal growth, and low birth weight. Drinking alcohol during pregnancy can lead to the child developing fetal alcohol spectrum disorders, characterized by low birth weight and enduring cognitive and behavioral problems.
Prenatal use of some drugs, including opioids, may cause a withdrawal syndrome in newborns called neonatal abstinence syndrome (NAS). Babies with NAS are at greater risk of seizures, respiratory problems, feeding difficulties, low birth weight, and even death.
Research has established the value of evidence-based treatments for pregnant women (and their babies), including medications. For example, although no medications have been FDA-approved to treat opioid dependence in pregnant women, methadone maintenance combined with prenatal care and a comprehensive drug treatment program can improve many of the detrimental outcomes associated with untreated heroin abuse. However, newborns exposed to methadone during pregnancy still require treatment for withdrawal symptoms. Recently, another medication option for opioid dependence, buprenorphine (ie Suboxone) has been shown to produce fewer NAS symptoms in babies than methadone, resulting in shorter infant hospital stays. In general, it is important to closely monitor women who are trying to quit drug use during pregnancy and to provide addiction treatment as needed. Content courtesy of DrugAbuse.gov
Addiction Treatment with Pregnancy
A pregnant woman who is considering stopping opioids goes to a level 3 or level 4-inpatient detox first. It is very important to consider the safety of your unborn baby while your body is going through opioid withdrawal. Those places are equipped to monitor you and your fetus while you will be put on medically supervised detoxification and induction with Buprenorphine. Once you are released from the detox, we will take over your care at Right Choice, and continue to prescribe suboxone. At Right Choice, we do not prescribe Subutex. All pregnant patients are required to have OB/GYN establishment. It is recommended to stay on methadone if you have started on methadone already.