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A member asked:
Wean off subutex in pregnancy ok'd.worldhealthorg: "1st trimstr = inc rsk miscarry, 3rd = rsk preterm labor". is 2nd tri then safest option for fetus?
A doctor has provided 1 answer
Highly variable: The biggest risk in coming off a maintenance drug for opioid addiction is NOT the harm to the fetus as much as it is the harm to the mother - relapse. There are no controlled trials of this, but the relapse rate of women who come off methadone is over 90%, and the use of street drugs, the crime necessary to obtain them, the adulterants and contaminants and lifestyle issues are what is harmful.
Answered 7/20/2014
3.9k views
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