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PostPosted: Sat Apr 19, 2014 7:34 pm 
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I found out I was pregnant about 2 weeks ago. I was on about 4 mg a day and have since weened to 1 mg from the remainder of my script. My sub Dr. won't treat me due to not fully understanding the risks of pregnancy and suboxone. Basically, I'm wondering if I will for sure miscarry. I'm in nursing school and I understand that all the babies chromosomes are matched so I'm not really worried about anything other than miscarrying. Is there anyway to make them less severe other than tapering? I'm pretty much unable to do that. I go for my first ultrasound on Monday and my fiance and I have basically decided to not tell the Dr because of the fact that a) I'm out and b) there's really not much they can do. In the state of FL you have to have a special certification to prescribe the subs which ob's generally do not have. Does anyone have any advice? I'm just scared to withdraw and scared to lose the baby


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PostPosted: Sat Apr 19, 2014 8:12 pm 
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Can you just find a new doctor, one who better understands maintenance and pregnancy? Sounds like that is your easier answer.

Are you asking if you will "for sure miscarry" from tapering? Or for being on suboxone?


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Is there anyway to make them less severe other than tapering?


Make what less severe? I'm confused.

So, you've planed to not tell your OB about subs? Do I have that right?


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PostPosted: Sat Apr 19, 2014 8:14 pm 
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Sorry for the rapid fire questions, I read your post a few times and couldn't quite make sense of it.


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PostPosted: Sat Apr 19, 2014 8:19 pm 
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I was on Subutex not Suboxone during my pregnancy. My Obgyn wouldn't treat me and sent me to a high risk doctor who thought my OB was being over cautious. I asked my sub Dr. To wean me off and he said it was too risky. What you feel your baby will feel. My advice find a different sub Dr. ASAP. When you make the appointment as the receptionist if the doctor will see a pregnant women. Your on a very low dose. I took 4mg a day. My daughter was born perfect. She is 19 months old and has no deficits either. And your doctor sounds like a real jerk. He seems to be covering his ass and not taking care of his patients properly. Did he even refer you to a different doctor who would be able to treat you?


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PostPosted: Sat Apr 19, 2014 8:33 pm 
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tinydancer wrote:
Can you just find a new doctor, one who better understands maintenance and pregnancy? Sounds like that is your easier answer.

Are you asking if you will "for sure miscarry" from tapering? Or for being on suboxone?


Quote:
Is there anyway to make them less severe other than tapering?


Make what less severe? I'm confused.

So, you've planed to not tell your OB about subs? Do I have that right?


As in my OB? No, I'm high risk due to a heart problem I have and they are literally the only people who will take me. the other high risk dr is over the bridge to tampa and that's about an hour away from me and i'm too comfortable with that.

By "them" I mean the withdrawal process.

I've called about 5 different sub doctors in my area who ALL said they would not take me because I'm pregnant.

I'm not saying I WONT tell my ob i'm just saying i'm wondering if it even makes sense seeing as how I'm out of subs as of tomorrow and the inevitable withdrawal is coming. I don't see the difference if i'm not on them and it's this early in my pregnancy. but I could be wrong, that's why I came here.


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PostPosted: Mon Apr 21, 2014 1:08 am 
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There is no debate on the issue, really; women addicted to opioids are best off on an opioid maintenance program through their pregnancy. Every review article advises that of OB's and other docs.

There are many reasons for the position-- such as the risk of going on and off opioids during pregnancy. But the main thing is that right now, your body is working to take on extra nutrients and calories, especially calories from FAT, to help the baby's body and brain develop. If you lose weight from lost appetite from withdrawal, your baby will be impacted for the rest of his life by not getting everything to develop fully. Pregnancy is a time for you to be stable. Babies do very well who are born to mothers on buprenorphine. At some point in the future, when you are done with recovering from pregnancy and childbirth, you can consider your own taper.


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