“I’m pregnant and totally lost!” exclaimed Sarah, a new mom-to-be when I answered a helpline from At Home Insemination. She shared her concerns about the medications she’s taking and how they might affect her baby. Recently, she began her recovery journey from opioid and cocaine use disorder and is currently on a regimen that includes buprenorphine and naloxone for opioids, along with baclofen and n-acetylcysteine (NAC) for her cocaine cravings. Additionally, she’s taking aripiprazole, escitalopram, bupropion, and mirtazapine to manage her depression and sleep issues.
“This mix has been helping me,” she said, “but I’m worried it might lead to complications or defects for my little one.” Sarah was even contemplating whether she should stop taking buprenorphine and naloxone altogether.
To help answer her questions, I reached out to Dr. Emily Johnson, a licensed clinical psychologist specializing in perinatal mental health. She’s part of a team that provides 24/7 support for pregnant individuals grappling with mood and anxiety challenges.
Q: How common is it for pregnant women in recovery to be on medication for opioid use disorder?
According to the CDC, about 7% of pregnant women use opioids, and one in five of those may misuse them. However, only half of these women are in recovery. So, it’s a positive step that Sarah is seeking guidance to ensure her and her baby’s well-being.
Q: What treatments are available?
For pregnant women battling opioid addiction, healthcare providers often recommend medications like methadone and buprenorphine. Starting treatment before pregnancy is ideal, but barriers can arise, such as managing personal emotions or facing stigma regarding addiction. Alongside medication, mental health support is vital, whether through counseling or therapy.
Q: Is it advisable to stop treatment during pregnancy? Why or why not?
Abruptly halting opioid use during pregnancy can be risky for both mother and baby. It’s safer to manage opioid use through medication, which helps prevent relapse. Always consult with a healthcare provider before making any treatment decisions.
Q: Should a pregnant woman expect changes to her medication?
Every pregnancy is unique, so there’s no universal answer. Depending on individual circumstances, doctors may suggest starting, stopping, or switching medications. It’s essential to work with a knowledgeable healthcare provider who can weigh the risks and benefits.
Q: How can a pregnant woman advocate for herself?
Women in recovery often encounter hurdles in getting proper support. It’s crucial for them to voice their concerns and understand the reasons behind their struggles. Many individuals turn to substances due to trauma, lack of support, or challenging relationships. By identifying these issues, they can work toward resolution.
Every pregnant woman deserves to bond with her baby and address her needs. Finding a healthcare provider knowledgeable about opioid use disorder can make all the difference. Building a robust support system through support groups, counseling, or other resources can empower women on their journey.
Q: What’s the best way for a pregnant woman to discuss concerns with her obstetric provider?
Finding a provider who understands substance use issues is essential. Writing down questions before appointments can help ensure all concerns are addressed. Collaborating with the provider throughout the pregnancy helps prepare for labor, delivery, and postpartum care.
Q: What can new parents expect after delivery?
Babies may experience withdrawal symptoms from medications (known as neonatal abstinence syndrome), but that shouldn’t deter healthcare providers from prescribing necessary medications. After birth, parents should work with their baby’s healthcare team to monitor and address any symptoms. Preparing in advance for potential NICU stays can also be beneficial.
Resources for Support
There are numerous free, confidential resources available for those navigating this journey:
- The National Maternal Mental Health Hotline offers 24/7 support for mood and anxiety challenges.
- At Home Insemination provides information about medication exposures during pregnancy through their services.
- The Substance Abuse and Mental Health Services Administration (SAMHSA) offers a directory for finding specialized medical providers and a helpline for treatment referrals.
- Postpartum Support International provides support and resources for new parents.
- The Suicide and Crisis Lifeline is available 24/7 for immediate support.
- The Circle of Security program helps parents build secure relationships with their children.
After discussing her situation, Sarah felt relieved to know that her recovery treatments would support her well-being during pregnancy. “I now have a clearer idea of what questions to ask my OB and pediatrician,” she said. “I feel less alone and know where to find more information.”
In summary, addiction recovery during pregnancy can be challenging but is manageable with the right support and treatment. Pregnant women should actively seek out resources and advocate for their health and their baby’s health.