Choosing the Right Pregnant Opioid Use Treatment for You

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Address pregnancy and opioid use

When you or a loved one need pregnant opioid use treatment, it can feel overwhelming to figure out where to seek help. Pregnancy, on its own, presents a host of emotional, physical, and social adjustments. When opioid dependency is part of the equation, the challenges become even more complex. This is why having a supportive environment and access to comprehensive care are essential. By choosing Ascend Health for your drug and alcohol addiction and therapy services, you receive compassionate guidance and specialized treatment plans that acknowledge your unique needs as an expectant parent.

Opioid misuse during pregnancy is a growing concern across the United States. According to the Centers for Disease Control and Prevention (CDC), the number of women with opioid-related diagnoses documented at delivery increased by 131% from 2010 to 2017. Additionally, about 7% of women reported the use of prescription opioid pain relievers while pregnant, with one in five of those women reporting some form of misuse. These statistics highlight the critical need for individualized plans and treatment programs tailored to pregnant individuals struggling with substance use. Through well-structured therapy methods, medication-assisted approaches, and the support necessary for lasting recovery, you can begin to overcome these obstacles and protect both your health and the health of your baby.

Opioid use in pregnancy can lead to significant complications, including preterm labor, neonatal abstinence syndrome (NAS), and other neonatal health issues. In fact, over 59 newborns are diagnosed with NAS every day in the U.S. (CDC). These numbers underscore how urgent it is to find the right guidance for a safe and effective treatment path. Thankfully, the standard of care for pregnant women with opioid use disorder (OUD) has evolved significantly, focusing on medication-assisted treatment (MAT) options such as methadone or buprenorphine, alongside extensive counseling and behavioral support. At Ascend Health, you’ll find a caring, knowledgeable team dedicated to providing the individualized treatment you need throughout your pregnancy.

Explore your treatment options

When seeking a pregnant opioid use treatment plan, it is important to know all of your options. Among the most widely recommended solutions for pregnant individuals with opioid use disorder are medication-assisted treatments. These evidence-based methods can help stabilize withdrawal symptoms, reduce cravings, and create a solid path toward meaningful recovery. The ultimate goal is to strike a balance between managing your opioid dependence and nurturing a healthy pregnancy.

Medication-assisted treatment benefits

Medication-assisted treatment (MAT) is an umbrella term for programs that use FDA-approved medications in combination with counseling and therapy. If you are new to MAT, you might be wondering how it differs from more traditional abstinence-based methods. Here are some benefits:

  • Reduction of withdrawal symptoms: Properly administered medications such as methadone or buprenorphine can mitigate the severity of withdrawal, helping you focus on your prenatal health and overall well-being.
  • Lower relapse risk: Because MAT addresses both the physiological and psychological components of opioid addiction, it can make relapse less likely.
  • Improved prenatal outcomes: MAT programs incorporate comprehensive support, ensuring you receive both addiction treatment and prenatal care that closely monitors fetal development.

You can learn more about some of these concepts by exploring medication assisted treatment outpatient programs, which allow you to maintain a more flexible schedule while meeting prenatal responsibilities.

Understanding methadone and buprenorphine

Methadone and buprenorphine are the two primary medications recommended by the American College of Obstetricians and Gynecologists (ACOG) for opioid use disorder in pregnancy. According to the CDC, both are considered safe and effective when used as prescribed under medical supervision. Here is a quick comparison:

Medication Dosage and Administration Potential Advantages Potential Considerations
Methadone Daily doses at a registered clinic Longstanding treatment evidence Requires frequent clinic visits; some risk of sedation
Buprenorphine Typically self-administered at home Less clinic time needed, fewer side effects Possibility of precipitated withdrawal if started incorrectly
  • Methadone: Often provided through a methadone maintenance program, this medication has a track record of helping individuals stabilize their lives. Over time, you may adjust dosages under the guidance of specialists who monitor pregnancy progress and any withdrawal symptoms.
  • Buprenorphine: Commonly known by brand names such as Suboxone when combined with naloxone, buprenorphine can be picked up from a clinic or pharmacy. Some outpatient programs offer suboxone induction appointment services, along with close monitoring to ensure it is started correctly.

Either medication can support your recovery while reducing the risks associated with prenatal opioid use. Ultimately, the choice depends on your health condition, personal preferences, and the recommendations of qualified healthcare providers.

Additional support and counseling

Medication alone cannot address all of the contributing factors to opioid dependence. Pregnant individuals benefit from ongoing therapy, such as cognitive-behavioral counseling and group support, to create lasting behavioral changes. Therapy can cover:

  • Identifying emotional triggers that can worsen cravings
  • Building coping mechanisms to handle stress
  • Strengthening motivation for sobriety during pregnancy
  • Creating an environment where you can explore past traumas or underlying mental health concerns

This comprehensive care approach involves medical providers, addiction specialists, therapists, and social workers collaborating to develop a well-rounded treatment plan. If you need convenient support, telehealth behavioral health support options might be beneficial. Virtual sessions can fit into your schedule without the additional stress of travel.

Expect benefits of medication therapy

Part of choosing an effective pregnant opioid use treatment involves understanding how medication therapy can lead to concrete, positive outcomes for both you and your baby. The advantage of a safe medication-assisted plan, combined with supportive services, is that it can significantly reduce complications commonly associated with opioid use during pregnancy.

Protecting maternal health

Managing opioid cravings and withdrawal is important for reducing risky behaviors that could endanger you and your baby. Uncontrolled withdrawal can potentially lead to preterm labor or fetal distress. By using a controlled, supervised medication plan:

  • You stabilize your physical health, lowering the likelihood of erratic drug use
  • You get regular checkups and support from a consistent healthcare team
  • You can maintain better nutrition and prenatal care

According to research published by the National Institutes of Health (PMC article), pregnant women with opioid dependence who initiate treatment often show higher rates of remaining abstinent compared to those who do not. This underscores how pivotal professional guidance can be in managing cravings and preventing further harm.

Reducing neonatal harm

One of the most significant risks associated with prenatal opioid use is neonatal abstinence syndrome (NAS). NAS occurs when a baby is exposed to opioids in utero and then experiences withdrawal symptoms after birth. According to CDC data, the number of babies born with NAS across the United States increased by 82% between 2010 and 2017. However, when you engage in a structured treatment plan during pregnancy, the intensity of NAS symptoms may be reduced.

Medication therapies like methadone or buprenorphine, coupled with frequent prenatal checkups, can stabilize your baby’s development. If your doctor recommends a certain dosage throughout pregnancy, sticking to that schedule can lower the chance of severe withdrawal symptoms for the newborn. In addition, breastfeeding, if medically approved, may further lessen the effects of NAS for some babies and offer additional bonding benefits.

Coordinated postpartum care

While the primary focus is often on the birth itself, postpartum recovery also plays a major role in your long-term health. Medication-assisted treatment, supplemented by consistent aftercare and mental health services, can create a smoother transition into motherhood. If you want specialized postpartum follow-up, you might consider postpartum opioid treatment, which is designed to continue crucial care and support well beyond delivery.

Experience Ascend Health’s specialized care

Choosing Ascend Health means working with a facility that offers a tailored treatment program, multiple medication options, and a supportive environment to help you and your baby thrive. Our professionals understand the unique challenges of pregnancy-related opioid addiction and are here to guide you every step of the way.

Comprehensive and individualized plans

At Ascend Health, we design strategies around your specific circumstances, using assessment tools that evaluate your medical history, lifestyle, and any co-occurring mental health conditions. We may coordinate with your obstetric providers to ensure seamless collaboration between addiction treatment, prenatal checkups, and postpartum care. With particular emphasis on maternal well-being and fetal development, your treatment might include:

  • Regular prenatal examinations and addiction counseling
  • Flexible scheduling to accommodate changes in pregnancy
  • Emphasis on safe medication management for opioids
  • Access to group therapy sessions or one-on-one counseling
  • Continuous re-evaluation of treatment progress, adjusting plans as necessary

This integrated approach ensures you receive the support necessary for lasting recovery. If you need discrete services or are balancing work and family obligations, Ascend Health can also direct you to a confidential opioid treatment option, so you feel comfortable seeking help without fear of judgment.

Community and emotional support

A caring, knowledgeable community is vital for expectant parents navigating addiction recovery. You will find health professionals dedicated to fostering empathy and connection at every turn. Whether you choose in-person group therapy or prefer virtual appointments via telehealth mat services, you will feel the nurturing atmosphere that can make all the difference in your healing process.

Ascend Health emphasizes open, nonjudgmental communication, so you can freely discuss any emotional obstacles or concerns. We also encourage essential relationship building, helping you connect with peers who share similar experiences. That sense of camaraderie often leads to strong accountability networks, an essential ingredient in promoting long-term sobriety.

Additional supportive services

Sometimes, pregnancy brings about unexpected hurdles that require holistic care. In addition to traditional counseling and MAT, Ascend Health can connect you with:

  • Nutritional Guidance: Eating well and staying hydrated can become more challenging under the stress of addiction, especially if morning sickness or hormonal changes are significant. Consultations with nutrition experts can keep both mom and baby healthy.
  • Stress Management Techniques: Mindfulness, light exercise, and relaxation methods help cope with stress and reduce the urge to misuse substances.
  • Family or Partner Counseling: Substance use affects everyone in your immediate circle. Offering education and therapy for family members ensures your home environment remains supportive.

Plan for postpartum success

Your journey does not end once your baby is born. Postpartum recovery requires continuous care to sustain sobriety and maintain your well-being. Between adjusting to life with a newborn and dealing with postpartum hormonal changes, you might find that cravings or mental health challenges resurface. Having a sturdy aftercare plan in place reduces these risks and helps you remain focused on a healthier future.

Transition from pregnancy to parenthood

A robust continuum of care is crucial for bridging the gap between prenatal treatment and postpartum demands. Your postpartum plan may include:

  • Regular checkups: Working closely with healthcare providers to monitor any shifts in physical or mental health
  • Recovery-sensitive pediatric care: Ensuring the pediatric team is aware of your history of opioid use so that your baby can be screened for any emerging concerns
  • Additional therapy sessions: Scheduling ongoing counseling to address postpartum stress and emotional fluctuations

If you need specialized outpatient support after delivery, outpatient detox management or aftercare opioid program services can provide structure and accountability, helping you sustain the progress you made during pregnancy.

Encouragement to breastfeed

If it is medically advisable for you to breastfeed, many experts, including the CDC, recommend it for mothers managing opioid use disorder with medications like methadone or buprenorphine. Studies have indicated that breastfeeding may reduce the severity of neonatal abstinence syndrome (NAS). Still, decisions around breastfeeding should always be made in collaboration with your care providers.

Ongoing community resources

Continued engagement with support groups, therapy sessions, and professional assistance remains vital. There may be local or online meetups specifically designed for mothers in addiction recovery where you can share challenges and exchange coping strategies. When professional intervention is needed, many postpartum-focused programs are available, such as postpartum opioid treatment, ensuring you do not have to face the process in isolation.

Review these common questions

Below are some frequently asked questions about pregnant opioid use treatment that can help you understand the path forward. Each answer reflects the combined knowledge of medical professionals and current best practices.

What is the most recommended treatment approach during pregnancy?

It depends on your individual situation, but opioid agonist therapy (OAT) with methadone or buprenorphine is often considered the gold standard. These medications, coupled with consistent prenatal care and counseling, can stabilize cravings while minimizing harm to your baby. You can learn more about different medication choices through programs like our suboxone maintenance therapy and methadone maintenance program.

Can I breastfeed if I am enrolled in a medication-assisted treatment program?

In most cases, yes. Breastfeeding is frequently encouraged if you are stable on methadone or buprenorphine, not using illicit substances, and do not have any contraindications such as untreated HIV infection. Research suggests breastfeeding can reduce the severity of neonatal abstinence syndrome.

What are common side effects of medication-assisted treatment during pregnancy?

Some typical side effects include mild drowsiness and possible gastrointestinal discomfort. Each patient responds differently, but proper medical supervision can help you manage or prevent severe side effects. If you notice anything out of the ordinary, it is crucial to speak with your care team right away.

How can I stay motivated and avoid relapse after giving birth?

Creating a strong postpartum plan is key. It often includes continued counseling, checkups, and involvement in support programs. Building a strong community around you—whether through family, friends, or group therapy—can help you remain accountable. Ascend Health also offers relapse prevention mat services to help you maintain progress in the weeks and months following your delivery.

Why choose Ascend Health for pregnant opioid use treatment?

Ascend Health specializes in individualized care, from pregnancy through the postpartum period. Our team of professionals provides a nurturing environment, evidence-based treatments, and a continuum of services that include therapy, medication management, and aftercare planning. We place strong emphasis on collaboration, keeping your obstetric team informed, and tailoring each step of your treatment to ensure a safe, empowering experience for both you and your baby.


When you begin pregnant opioid use treatment at Ascend Health, you enter an environment designed to address your unique challenges, foster hope, and guide you toward a healthier future. Each aspect of our service, from medication-assisted treatment to postpartum care, is grounded in empathy, expertise, and a commitment to your well-being. Through robust counseling approaches, a supportive environment, and close collaboration with specialized medical professionals, you have the opportunity to overcome addiction and nurture a strong foundation for you and your child. With the right clinical and emotional support, you can experience a brighter tomorrow—one that balances your sobriety, your baby’s growth, and the journey of motherhood.

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