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| Although opioid withdrawal during pregnancy is dangerous for the mother and the fetus, in some cases, it cannot be avoided. If the patient refuses methadone maintenance, lives in a place where maintenance is not available, or has been stable for some time and wants to become completely drug free, she may need to be withdrawn from opioids. Ideally a careful medically controlled withdrawal will not endanger the fetus during any stage of the pregnancy. If withdrawal is necessary, the woman should be provided with extensive psychosocial, medical and obstetric support, so that she will be less likely to return to heroin use once drug free. |
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