Pregnancy & Recovery

Navigating pregnancy while in recovery: what's safe, what's not, and where to get help.

5 min read

Recovery and Pregnancy

MAT (buprenorphine or methadone) is the recommended approach for opioid use during pregnancy. Recovery during pregnancy is possible, and treatment centers with prenatal care exist specifically for this. Getting help protects your baby.

What Should You Know About Recovery During Pregnancy?

You're pregnant and in recovery. Or pregnant and need to start recovery. Here's what matters.

  • Recovery during pregnancy is possible
  • MAT is recommended for opioid use during pregnancy
  • Don't stop medications without your doctor
  • Treatment is available
  • You're not a bad person

Is MAT Safe During Pregnancy?

MAT is considered the standard of care for opioid use during pregnancy. Both buprenorphine and methadone are safer than continued opioid use.

Recommended:

  • Buprenorphine (Suboxone without naloxone component)
  • Methadone

Not recommended:

  • Stopping opioids suddenly (can harm baby)
  • Vivitrol during pregnancy

How Do You Find Treatment During Pregnancy?

Start with your OB/GYN, and be direct about what's going on. From there:

  • OB/GYN who understands addiction
  • Treatment centers with prenatal care
  • SAMHSA helpline
  • State programs

What About the Stigma?

Pregnant women with addiction face extreme stigma, from every direction:

  • From healthcare providers
  • From family
  • From society
  • From themselves

You deserve help, not judgment.


What Is Neonatal Abstinence Syndrome (NAS)?

NAS happens when a baby is exposed to opioids in utero. It's treatable, and it's not your fault for seeking treatment.

  • Baby may have withdrawal symptoms
  • Treatable
  • Not your fault for seeking treatment
  • Better outcomes than untreated addiction

What Should You Do First?

  1. Talk to your doctor. Your OB/GYN needs to know what's happening.

  2. Don't stop meds suddenly. Talk to your doctor first.

  3. Find treatment. Call the SAMHSA helpline: 1-800-662-4357.

  4. Get prenatal care. Non-negotiable.

  5. Get support. You deserve it.


  • MAT is safe during pregnancy.
  • Don't stop suddenly. Doctor first.
  • Treatment exists for pregnant women.
  • You deserve help. Not judgment.
  • Prenatal care is non-negotiable.

You're protecting your baby by getting help.


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