Hello and thank you for the question Alison.
Answers given are for informational purposes only and are not meant to replace an exam by an in-person.
I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.
You have broken the barrier, its reassuring that you have realized the problem you have. This is the most important factor to determine the success rate for getting off the drug/substance abuse.
Dont feel embarrassed; you did all this under the influence of drug, and there might be a genetic predisposition you had towards substance abuse (most of us has), which does not manifest until we start abusing any drug.
Using such kind of drugs can lead to birth defects in some babies, but not in the most.
As per American College of Gynaecology, "the current standard of care for pregnant women with opioid dependence is referral for opioid-assisted therapy with methadone, but emerging evidence suggests that buprenorphine also should be considered".
So the first step here is to see your gynaecologist, discuss all the problems you have and the detail i have mentioned, and get further management plan chalked out that suits best to your needs.
he gynaecologist may involve an addiction medicine specialist in the treatment plan, and with the help of both the professionals (and your support), they can make your pregnancy not only safer, but will also help you to successfully get off the narcotics.
Stay relaxed and proceed as i mentioned.
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