Pregnancy, Postpartum and Substance Use

Pregnancy and the months after birth can change substance-use risks, treatment needs and everyday pressures. Compassionate, coordinated care supports the pregnant or postpartum person as well as their baby.

Help with substance use belongs alongside pregnancy and postpartum care. Someone does not have to resolve every difficulty before asking for support. Useful care considers the substance involved, prescribed medicines, physical and mental health, feeding, infant care and the realities of daily life.

No safe amount of alcohol during pregnancy has been established. If alcohol dependence may be present, seek prompt medical help to stop safely rather than attempt withdrawal alone. Do not abruptly stop prescribed treatment because of a pregnancy or feeding concern; discuss it with the prescriber. Effective opioid treatment can be important during pregnancy and after birth.

Difficulty breathing, chest pain, seizures or heavy bleeding need emergency help now. Other severe or rapidly worsening symptoms need immediate medical assessment. Sudden confusion needs immediate medical help. Thoughts of suicide or new hallucinations after birth require urgent assessment; immediate danger to a parent or baby needs emergency help now. These problems should not be dismissed as intoxication, withdrawal or ordinary exhaustion.

Full access is needed to read this Topic's articles.