Addiction and Pregnancy: A Guide For Mothers

2. • Drugs can cross the placental barrier, leading to various effects. An increased risk of complications include: • Preterm labor • Injury to the fetus • Reduced oxygen and/or nutrient supply • Low birth weight • Abnormal development •

3. • The baby can be born addicted to drugs, putting them at risk from withdrawals (Neonatal Abstinence Syndrome or NAS). Can lead to birth defects, even in the case of prescription drugs. Approximately 2-3% of birth defects are caused by drugs taken to treat a symptom or disorder.¹ May be life-threatening for both mom and baby. • •

4. • In addition to physical complications of drug use, addiction can make it harder to manage responsibilities like medical appointments and labor planning. Stress can be a trigger for drug or alcohol use. Being pregnant and preparing to raise a child can put additional pressure on a mother. It can be challenging to find a substance abuse rehab program that addresses the addiction as well as the unique needs of a pregnant woman. • •

5. • Talk at length with your doctor about what you can expect, how your addiction will affect your pregnancy, and if they can provide any beneficial treatment. Look into rehabilitation options and support groups. Women who have had similar experiences can provide important insights and advice. Enlist the aid of loved ones (friends, family, partner) to help you keep track of appointments, prepare your home for a child, etc. • •

6. • A pregnant woman can still go through an addiction treatment program, so long as the plan considers her needs and involves careful monitoring. Certain medications and methods may be used to assist with rehab, so long as any risks to the pregnancy are deemed acceptable by doctors. For example, an opioid-addicted mother may be given methadone during pregnancy. The baby will likely still be born with NAS, but methadone should reduce the intensity of NAS symptoms. • •

7. • Stay vigilant and be extra cautious to avoid potentially triggering situations. The emotional ups and downs of pregnancy can make you more vulnerable. Continue to do your usual recovery work, attending 12-step meetings or counseling appointments as usual. Seek support from other moms, including those who are also in recovery from addiction. • •

8. • Get excited about the pregnancy just like any other (baby shower, nursery prep, other traditions)—every mother and child deserve to be celebrated! Help mom find addiction recovery programs or continue to encourage her through recovery. Whether the person is still addicted or in recovery, remain positive and focused on the possibilities of the future, not the missteps of the past. • •

9. • Adelante Recovery Center is a professional addiction treatment facility in Orange County, California. In our residential inpatient and intensive outpatient programs, clients are able to escape dependency and build the skills they need to lead a healthy, happy future. To learn more about our treatment options, visit www.adelanterecovery.com. •

10. https://www.merckmanuals.com/home/women-s-health-issues/drug-use-https://www.merckmanuals.com/home/women-s-health-issues/drug-use- during-pregnancy/drug-use-during-pregnancy