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PostPosted: Tue Jan 15, 2013 4:15 pm 
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Will my baby w/d if im on 1mg subutex on birth?


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PostPosted: Tue Jan 15, 2013 4:51 pm 
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There is no way to know, pati. That is like asking "if I have sex with my husband this month, will I get pregnant?"

The answer is maybe.

You will read "success" stories in this forum about babies that are born healthy. There is also plenty of evidence that babies born on any opiate have a good chance of having withdrawals at the time of birth. You will also read a lot of stories about people who believe their babies were scored as being in wd because of a prejudice or a nurse knowing the mom was using medical maintenance.

There is just know way to know until you go through it.


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PostPosted: Wed Jan 16, 2013 12:12 am 
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Location: oregon coast
it's VERY hard for people to "distiguish" w/d symptoms and normal newborn actions,
I believe that's the bottom line,,,,,


there is plenty of people who've come here and posted after they have thier babies, on 8mg 12mg even 24mg of
suboxone/subutex/bupe and NO w/d symptoms.

there is no "sure fire" way to know, TD is right about that.

but there's no reason to scare you, either....... keep doing what you doing, do NOT stress yourself, out
being pregnant is STRESSFUL ENOUGH.......

breathe in, breathe out,
it's all going to be "okay" in the end.

Click around the pregnancy section, and read the stories for yourself.... here's a few of the ones I like

http://suboxforum.com/viewtopic.php?t=6646

http://suboxforum.com/viewtopic.php?t=6591

_________________
anyone can give up,
its the easiest thing in the world to do, but to
hold it together, when everyone would understand if you fell apart
That's TRUE STRENGTH
http://almostoneyearclean.blogspot.com/


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PostPosted: Wed Jan 16, 2013 12:15 am 
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and heres one thing you should read......
here's the link, and I pasted the entire article below for ya

http://www.suboxonetalkzone.com/withdra ... 0Blog%2529


Suboxone Talk Zone: A Suboxone Blog

Questions and Answers about Opioid Dependence and Buprenorphine


Withdrawal in newborns: Lay off the guilt trip!!

by J T Junig on 2010/02/01


I will share some thoughts that I left at a discussion at a ‘linked in’ group about addiction. I was responding to someone who was equating addiction and physical dependence in a baby born to an opiate-addicted mother. My feeling is that such women are given way too much of an attitude by the nurses and others who care for them, and that was the motivation behind my response. Read on:

There are many differences between physiological dependence and addiction to substances. For example, people who take effexor are dependent– and will have significant discontinuation-emergent side effects– but they are not ‘addicted’, which consists of a mental obsession for a substance. The same is true of beta-blockes, in that discontinuation results in rebound hypertension, but there is no craving for propranololol when it is stopped abruptly.

We have no idea of the ‘cravings’ experienced by a newborn, but I cannot imagine a newborn having the cortical connections required to experience anything akin to the ‘cravings’ experienced by opiate addicts, which consist of memories of using and positive reinforcement of behavior—things that are NOT part of the experience ‘in utero’.
It is also important to realize that the withdrawal experienced by addicts consists of little actual ‘pain’ (I’ve been there—I know). Addicts talk about this subject often, as in ‘why do we hate withdrawal so much?’ It is not physical pain, but rather the discomfort of involuntary movements of the limbs , depression, and very severe shame and guilt. The NORMAL newborn already HAS such involuntary movements as the result of incomplete myelination of spinal nerve tracts and immature basal ganglia and cerebellar function in the brain. And the worst part of withdrawal—the shame and guilt and hopelessness—are not experienced in the same degree in a baby who has no understanding of the stigma of addiction!

Finally, if we look at the ‘misery’ experienced by a newborn, we should compare it to the misery experienced by being a newborn in general. I doubt it feels good to have one’s head squeezed so hard that it changes shape—yet nobody gets real excited about THAT discomfort—at least not from the baby’s perspective! I also doubt it feels good to have one’s head squeezed by a pair of forceps, and then be pulled by the head through the birth canal! Many hospitals still do circumcisions without local, instead just tying down the limbs and cutting. Babies having surgery for pyloric stenosis are often intubated ‘awake’, as the standard of care– which anyone who understands intubation knows is not a pleasant experience. And up until a couple decades ago—i.e. the 1980s (!), babies had surgery on the heart, including splitting open the sternum or breaking ribs, with a paralytic agent only, as the belief was that a baby with a heart defect wouldn’t tolerate narcotics or anesthetic. I don’t like making a baby experience the heightened autonomic activity that can be associated with abstinence syndrome, but compared to other elements of the birth experience, I know which I would choose!

My points are twofold, and are not intended to encourage more births of physiogically-dependent babies. But everyone in the field should be aware of the very clear difference between physiological dependence and addiction, as the difference is a basic principle that is not a matter of opinion—but rather the need to get one’s definitions right. Second, the cycle of addiction and shame has been well established, and there is already plenty of shame inside of most addicted mothers. If there are ten babies screaming loudly, only the whimper from the ‘addict baby’ elicits the ‘tsk tsk’ of the nurses and breast feeding consultants. My first child was born to a healthy mom years before my own opiate dependence, and he never took to breast feeding; he his mother been an addict, his trouble surely would have been blamed on ‘addiction’ or ‘withdrawal’. Unfortunately even medical people see what they want to see—and sometimes that view needs to be checked for bias due to undeserved stigma—for EVERYONE’S good, baby included.
..
Read more at http://www.suboxonetalkzone.com/withdra ... rsm82r8.99

_________________
anyone can give up,
its the easiest thing in the world to do, but to
hold it together, when everyone would understand if you fell apart
That's TRUE STRENGTH
http://almostoneyearclean.blogspot.com/


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PostPosted: Fri Jan 18, 2013 12:40 pm 
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everyone had good replies so ill just say my experiene since all babies are different, i was on 1-2mg a day my son was born w no w/ds at all :) hope the best for you


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PostPosted: Fri Jan 18, 2013 10:16 pm 
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Joined: Tue Jan 15, 2013 6:01 pm
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When I found out I was pregnant I was on 12mg suboxone, I immediately switched to subutex and by the end of my pregnancy I was up to 16mg daily.. something with your blood volume increasing during pregnancy will sometimes warrant the need to up your dose a bit.. anyways, my doctor just happens to specialize in suboxone/pregnancy so I really got lucky :) She told me that it doesnt matter if you're on 1mg or 32mg, if your baby is going to have withdrawals, he/she will. Theres many cases where a woman will be on 24mg throughout pregnancy and have a baby with no symptoms at all while someone else could be on 1mg and their baby is born dependent.. I was always scared about being on the dose I was on and all she used to tell me is dose doesnt matter when it comes to NAS.. she told me with methadone you're almost guaranteed to have a baby born dependent while with subs only a very small percentage are actually born dependent and even out of that small percentage we dont know how many cases are being treated as withdrawals when they're not.. my daughter is now 8 months old and was happy, healthy & NAS free since day 1.. She always told me not to worry bc there was only a very small chance my baby would be born with anything, its hard but I did my best to enjoy my pregnancy and im glad I did bc she was fine :) Best of luck to you & enjoy your pregnancy :)


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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

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