Methadone and Pregnancy

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New Day Treatment Center is uniquely well-suited to taking care of pregnant women on methadone. Dr. Timothy A Young, Medical Director for New Day Treatment Center became interested in working with addiction and recovery in 2008 at the height of the opioid addiction crisis. A Native of Ohio and graduate from Brown University Medical School, Dr. Young wanted to create an environment where individuals were not stigmatized for falling victim to addiction. Instead, Dr. Young desired to provide the critical help to those in need. According to Dr. Young, “addiction has always been around, it has just been swept under the rug as a problem of low socioeconomic individuals when in reality addiction is much more mainstream.”  Dr. Young and the physicians at New Day Treatment Center  use a proven treatment course administering both Suboxone and Methadone.  As well as, therapy and rehabilitation to treat both the physical and psychological aspects of addiction. There will always be a concern in obtaining a balance with true pain function. When that balance shifts to addiction, the individuals at New Day Treatment Center are there to assess these difficult situations in order to get you back into a functioning self.Dr. Young currently resides in Atlanta, Georgia with his wife Dr. Mary Young, a pediatric physician, and his two adult children; a lawyer and an entertainment specialist.

Methadone is the drug of choice for all women during pregnancy. This is true for women on methadone who become pregnant as well as those women who are opioid addicted and want to start methadone maintenance. Numerous clinical studies have all confirmed that methadone is safe during pregnancy. This means that babies born to mothers on methadone are just as healthy as babies born in general. There is no greater risk of miscarriage and, following delivery, the development in these infants throughout childhood is also normal.

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The greatest concern during pregnancy is avoiding episodes of withdrawal in the mother. This in turncauseswithdrawalsymptoms in the developing fetus which isanunduestress with unknown consequences. Daily methadone is the best way of avoiding this. It is often necessary to increase the methadone dose as the pregnancy advances to eliminate withdrawal symptoms and split-dosing may help as well. The newborn may experience a withdrawal syndrome after birth, but fortunatelythisisusually mild, transient and easily treated. Buprenorphine ( suboxone)  has also been used in pregnancy successfully.Howeverclinical studies demonstrating its safety have yet to be done. Therefore, while an option, it is not recommended at this time. It is NOT suggested that detox or stopping “cold turkey” be attempted.regardless of which medication a patient is taking.It is very important that you inform your counselor if, at any time, you believe you are pregnant. An authorization will be necessary to coordinate your care with your delivering physician to ensure a healthy outcome.