Quote from Katyana:
That is not true.
Abusing heroin during pregnancy is dangerous to both the mother and the fetus. Methadone maintenance is the best way to help a pregnant woman to maintain a normal pregnancy. This treatment is not likely to affect the development and cognitive functioning of the baby. Sure there will be a detox period for the infant, but detox is mild compared to congenital abnormalities and/or brain damage from unsafe narcotics.
As far as infants/fetal development are concerned, there is no such thing as safer vs unsafe narcotics. Heroine and
methadone are almost identical in their effects on a developing baby. The effects are usually none as far as congenital abnormalities and brain damage go. Opiates have been proven to be non-tetrogenic to fetus's. Heroine and
Methadone are both opiates. Heroine is considered safe in european countries and is given in a hospital setting for analgesia. The point I wished to make is that the
methadone withdrawal period is very long and protracted because of it's enormous half-life. That's why for maintence it only requires 24hr dosing where short-acting opiates like
norco require q4hr doses. For a baby, this makes the difference between a detox that lasts days compared to weeks. Infants do not tolerate it well. But the thinking that leads to
methadone recommendation is that the other risky behaviours associated with heroine use like aids, hepC, non-standardized dosing, and behaviors associated with the aquisition of heroione(ie prostitution) are more risky to the fetus and mother than the protracted detox from
methadone. I don't mean to argue, but if Savannah is going to make an educated choice regarding this, it's only proper to support it with evidence that can be backed up with research. If there is liturature that disagrees with this, I'd really like to see it.
Leora