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PostPosted: Fri Feb 19, 2010 2:50 pm 
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Hi everyone! I am so glad to have found this blog/forum!! I am currently 25 weeks pregnant, I have a 2 year old daughter that I happened to find out I was pregnant with a week after I got out of detox, thank goodness, I used very sparingly while pregnant with her and was terrified she would have withdrawal or other problems, she was totally fine. My drug use got worse after she was born and my husband and I decided this was not how we wanted to raise our daughter or live our lives and we went on Suboxone therapy with an awesome addiction doc. I knew I wanted another baby and talked to my addiction doc about it before becoming pregnant, she said she had many patients who had babies and they were perfectly healthy, came home with the parents on time and needed no additional help, she referred me to an ob/gyn that had experience with Suboxone and that her other patients had gone to. I love my OB, she is so sweet and wonderful. I wasn't that worried until I started looking things up on the internet and now I am TERRIFIED that my baby is going to have to stay in the hospital and go through withdrawal. I know that it is different from us and I've read Dr. Junig's blog which brought me a degree of comfort but I can't help to shake this uneasy feeling. I am trying to wean to as little as possible. I am at about 16mg a day but know I can live on 4mg. Can anyone give me their experiences with their children? Did they have NAS? Did they get to come home with you? How baby was the withdrawal for them? Any info would be great, thanks!


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PostPosted: Fri Feb 19, 2010 4:19 pm 
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" FOR HEAVENS SAKE "


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PostPosted: Fri Feb 19, 2010 5:09 pm 
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Welcome alael -

I'm not sure what sullimi was posting, but I'd like to welcome you to the forum. I'd believe your doctor - they are on your team. I believe Dr. J is pretty thorough on his Blog about this too. Hopefully you'll get some of the mothers (I'm a father) who can tell you their experiences.

From what I have read in the past several months - is exactly what your doctor said.

Naturally, nobody want's any type of medication in their body to affect their children, that is natural. I'd just give yourself a break. You can find ANYTHING on the internet. This board, and Dr. J are solid. Sounds like your doctor is solid. Leave the other stuff alone. FILTER FOR SANITY.

I wish you all the best, and I hope you will be part of the community!


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PostPosted: Fri Feb 19, 2010 7:38 pm 
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Thanks Dude!

I would love to hear from some other Moms too to hear their experiences. I just don't want the baby to have to go through all that, it would hurt me and I knew this going in but I guess I really wasn't thinking about it, I just went my what my doc said and thought there would be nothing and now I guess that was a bit naive. I'm healthy otherwise and the baby is doing great, I just want her to have the best shot at life, like all of us want for our children.


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PostPosted: Sat Feb 20, 2010 12:13 am 
Hello Alael! I'm glad you joined the forum and posted! We've had a few other ladies post recently about being pregnant and on Suboxone.....I hope you've read their posts. There is also a very recent article posted here about the very thing you're worrying about....it's under the "talkzone article" section. Please go read it right now if you haven't already!
Give yourself a break and give yourself credit for all the work you've done in your recovery thus far. Be proud that you're bringing another baby into your family at a time in your lives when it sounds like you've planned appropriately. There are way too many women who have become pregnant at a far worse time in their life than where you are now. If any type of Neonatal Abstinence Syndrome occurs in your baby, it will be minimal compared to what it would be if you were actively using full-agonist opiates. I'm not a doctor and thankfully all three of my babies were born a long, long time before I got caught up in my love-hate relationship to pain meds. But from everything I have read, you really don't have much to worry about.
It sounds to me like you are fortunate in that you have a good addiction doctor and a good OB who are familiar with Suboxone and pregnancy issues. So please, please listen to their advice and try not to pay too much attention to random stories you find online from people who probably know a lot less than you do, and certainly know a lot less than your doctors do!
Good luck....enjoy your pregnancy! Keep posting here to let us know how you're doing.


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PostPosted: Fri Mar 05, 2010 1:34 pm 
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I'm also interested in this topic as I'm 25 weeks pregnant and currently on a small amount of Subutex. I want to quit badly. I cannot afford the pills anymore either. I know that you posted this origional post almost 3 weeks ago but I wonder how things are going for you now?


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PostPosted: Sat Mar 06, 2010 12:30 pm 
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I'm actually doing really well! I just had my 27 week visit yesterday, the baby is perfect, she is growing great. I had an appt. with my subox doc and my ob and I spoke to them both about my concerns. My subox doc said the chances of NAS is about 20% and she said it is also very mild. In all the cases she's had of pregnant women every baby was able to go home on time with the parents and maybe was just a little more cranky than usual for a couple of days but that could just be normal stuff too. Sometimes babies are just cranky! I spoke to my OB about my concerns as well and she reassured me that I am doing everything great, the baby looks great and both of them said to stop beating myself up. The next step is speaking with Pediatrician which I'm going to do later this month as I have an appt. for my daughter later this month. So after speaking with them I do feel better. I am trying to get on the lowest dose I can without getting sick but I have heard that it doesn't matter if you take 24 mg or 2 mg, either way it doesn't effect the amount of NAS, I don't know. My belief is the less you take the less there is getting to the baby and less of a chance for NAS but that is just my opinion and I'm sure the doctors and the studies know better than me. I just know I'm doing the right thing, I'm keeping myself healthy and I'm no different than any other mother. My baby is going to be just fine and so will yours. I'll keep updating and I am keeping on my husband about putting his story in the quitting suboxone forum, I haven't forgotten :-)


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 Post subject: Experience with NAS
PostPosted: Sun Mar 14, 2010 8:52 pm 
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I wanted to share my experience with Suboxone/Subutex in hopes that it helps someone in a similar situation. I am a registered nurse, and after colon cancer at age 19, a car accident, and chronic migraines, became addicted to opiates-mainly vicodin. I was put on Suboxone in January 2006 because even though I had been sober for almost a year, I still didn't feel 'right'. My addictionologist thought it would be a great help to me b/c he thought I was experiencing post acute withdrawal syndrome. I ended up on 24mg/day for several years. When I found out I was unexpectedly pregnant in July 2009, the doc switched me to Subutex and I immediatley started a taper. I was down to 1-2 mg/day by the time I was induced on March 8th 2010. I attempted to completely stop taking it at 17 weeks, from 2 mg/day and went through severe WD. I had been referred to a maternal-fetal health specialist at the beginning of my pregnancy due to the Subutex, and was basically told I had nothing to worry about, and did not need to be seen by him again. When my son was born, he started withdrawal with in 12 hours. Poor feeding, very jittery, strong startle reflex, diarrhea, projectile vomiting, the whole nine yards. His NAS scores were 6-9 for the first 72 hours, and went as high as 15 at one time. The neonatologist wanted to transfer him to the NICU in another hospital to be placed on methadone. My husband and I refused. We stayed in the nursery with him almost 24/7 for 4 1/2 days. It was horrible! I felt as though every nurse in there was judging me and talking about me behind my back. He finally started improving, and was able to come home with us on day 5. Now that he is home, even though the most severe symptoms have pretty much resolved, he is still very cranky and wants to be held 24/7!!! Although I know not every pregnant woman on Subutex will go through this, I feel that they need to know the 'could happen' aspect of it. And yes, I am breastfeeding and still taking the Subutex.


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PostPosted: Tue Mar 16, 2010 7:24 am 
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I'm so sorry to hear about your son, that sounds like a terrible experience. How old is he now? These are the kinds of stories that make me very nervous but then I hear of other people that are just fine. I don't know how it works.


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 Post subject: Experience with NAS
PostPosted: Tue Mar 16, 2010 10:12 am 
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My son is now 8 days old and is a pure joy! He went to his first well-baby check up yesterday, and the doctor said he is doing great. His startle reflex has returned to normal, and the tremors he had that would shake the whole bassinet, have pretty much disappeared. The only remaining symptoms are crankiness (he wants held ALL THE TIME!) and frequent sneezing. On one hand I am very thankful for the Subutex, I think it gave me a much stonger hold on my recovery, but on the other hand, I hate it and what it did to my baby. He will be fine, and I am still in recovery (5 years sober in June!), so I guess it was worth the few days of uncertainty. Because I know that if I relapse, it won't matter how well he is doing, I would lose him and the rest of my family! My advice to other pregnant women on Subutex: See a maternal-fetal health specialist who is knowledgable about Subutex, be open and honest with your physicians, seek out the advice of a neonatologist, and make sure you give birth in a hospital that is capable to care for a neonate with NAS. (The hospital I gave birth in did not have a NICU, only a stage II nursery, and he was going to be transferred to a larger hospital to be placed on methadone-for up to 4 weeks I might add!) And most importantly-prepare yourself the best you can for what COULD happen. I wish everyone the best of luck and pray that you have a healthy, happy baby!!!


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 Post subject: Re: Experience with NAS
PostPosted: Sat Mar 20, 2010 8:30 pm 
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JLJChrister wrote:
My son is now 8 days old and is a pure joy! He went to his first well-baby check up yesterday, and the doctor said he is doing great. His startle reflex has returned to normal, and the tremors he had that would shake the whole bassinet, have pretty much disappeared. The only remaining symptoms are crankiness (he wants held ALL THE TIME!) and frequent sneezing. On one hand I am very thankful for the Subutex, I think it gave me a much stonger hold on my recovery, but on the other hand, I hate it and what it did to my baby. He will be fine, and I am still in recovery (5 years sober in June!), so I guess it was worth the few days of uncertainty. Because I know that if I relapse, it won't matter how well he is doing, I would lose him and the rest of my family! My advice to other pregnant women on Subutex: See a maternal-fetal health specialist who is knowledgable about Subutex, be open and honest with your physicians, seek out the advice of a neonatologist, and make sure you give birth in a hospital that is capable to care for a neonate with NAS. (The hospital I gave birth in did not have a NICU, only a stage II nursery, and he was going to be transferred to a larger hospital to be placed on methadone-for up to 4 weeks I might add!) And most importantly-prepare yourself the best you can for what COULD happen. I wish everyone the best of luck and pray that you have a healthy, happy baby!!!
th

JLJChrister congratulations on the birth of your son! I also delivered a son, almost one month ago. I am so glad to hear that your son is doing well and is home with you now! That must have been unbearable not being able to bring him home right away. Did he receive any treatment for the NAS? I hope you are doing well, the first few weeks can be very tough. I had some very difficult days, especially when I experienced breastfeeding problems. I have been on such a learning curve with nursing, but it is also a wonderful experience. Thank you for sharing your birth experience. It is different with each woman and her baby


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PostPosted: Wed Mar 31, 2010 9:13 am 
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Im wondering if anyone has stopped taking suboxone while pregnant? I am 7 months pregnant & have been taking suboxone (2mg twice a day)`off and on( When I can find it. otherwise taking percocet) since the beginning, but not through a doctor. When I found out I was pregnant, I was taking percocet for a bad shoulder and tried to stop taking it, but was experiencing alot of withdrawal symptoms, so tried suboxone, that a friend recommended. My obgyn doesn't know & either does my regular doctor. I have an apt today with my regular dr, & am not sure what I should do. I have other children and am nervous to tell my doctor because i'm scared that if I do my children might get taken from me. I am also scared that my baby will be born addicted and suffer from wd if i dont tell. I am going to have a c-section but it's not like I'll have time to stop taking subs first becaus I usually have my children early, so I wouldnt know when to stop taking it so the pain meds would work!! Should I stop everything? I haven't told anyone except my husband about this, & he's not understanding at all. He thinks I should stop taking subs & start thinking about the baby & deal with the wd. I am soo depressed and dont know what to do. I cant sleep at night with all these thoughts running through my mind and need help asap. If anyone has any suggestions, please share. Thank u soo much!!!


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 Post subject: Best for your Baby?
PostPosted: Wed Mar 31, 2010 10:55 am 
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Hi momof5,
WELCOME to the forum...... I hope someone can help with your questions? I am a very lucky Dad of two Beautiful daughters so I can't help you first hand.... But, IMHO I think you should come clean with your Dr.s.. Hopefully you can get into a program and get on the road to Recovery once and for ALL.... I would think that this will give your Baby the best chance for a "Normal" delivery!!!! I think you will be surprised how supportive the Dr.s can be. I wish the best for you, your Baby & your Family. Anyways I just wanted to Welcome you & wish you Luck with your Baby. Take care of yourself.

God Bless
TW


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PostPosted: Wed Mar 31, 2010 1:24 pm 
Hello and welcome alael, sunshinepromise, JLJChrister & momof5
Twelve years ago I and one of my best friends were put on anti-depressants for post-partum depression. I know this isn't the same thing, but please hear me out. At the time AD's were much less accepted than they are today. In both our cases our OB/Gyn's were OK with continuing to breastfeed, because the feeling was that the benefit to the mother (and her ability to care for the baby) outweighed the risk to the a baby (meds passing through breastmilk). However, both of us were convinced to stop breastfeeding by overcautious pediatricians, who took a much harder line. Looking back, we both regret quitting breastfeeding, as now AD's are more accepted and not beleived to pose a threat to breastfed infants.
The point is, you have a very supportive prescriber & OB/Gyn. When you go to see the pediatrician he/she is likely to scare the hell out of you and make you quit. But please weigh the benefits of the Sub to both you and the baby. Will the chance of relapsing cause the baby more potiential harm? Can you be a good caregiver to an infant when you are in active addiction?
I hope I'm not overstepping my boundaries, but I know Moms tend to put themselves last and we sometimes don't see how neglecting ourseles is bad for our kids. I wish you and your babies all the best
with hope and prayers,
Lilly


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PostPosted: Tue Apr 06, 2010 12:22 pm 
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My son is now 4 weeks old, and is doing very well. He is a little "needier" than my other two children were at this age, but who is to say the Subutex had anything to do with it. I am still breastfeeding, and it seems to have absolutely no effect on him. The person who posted that my pediatrician would probably try to get me to stop breastfeeding was right. When I took him in for his first check up, he told me it would be best to stop. But when I explained how the Subutex is absorbed, and what my neonatologist said, he was okay with me continuing. It must be doing some good- he already weighs almost 12 pounds!!! I had stopped breastfeeding my daughter at 3 1/2 months, when I was put on Suboxone. At the time, I was told it wasn't safe. I had a very hard time with that, and regret it to this day. That makes me all the more determined to breastfeed my son as long as I can, up to a year anyway. Thanks to everyone for their posts, opinions, and support! This website is the greatest! If anyone ever has any questions about my experience, please PM me! I am more than glad to share.


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