Drug test

[Jenjaybee]

I went to my obgyn yesterday for a follow up ultrasound. Since I tired to ct from oxy it made me start having contractions and end up in the hospital. My pm doctor decided to put me on a taper instead to help avoid preterm labor. I've been completely honest about the medication I have been on from the beginning but I feel like my ob treats me like I'm a junkie kid. Yesterday he asked me if I watched this movie that was about a heroin addict and w/d and said I should so I know what real w/d is like.... Um, hello I know what its like, I made it about 24 hours and it wasn't easy! Well aside from the what I feel to be inappropriate comments, my chart was left up on the computer. I wanted to know what the ultrasound showed so I peeked, I've been in this field for 10 years so I know how to read a chart. Anyway I saw that a urine drug screening was ordered and sent out. I've never know that to be a common test ordered unless something is expected. I'm just feeling really uncomfortable with this ob now. I am angry because I was honest from day 1 that I was in pm and he never said anything, then I try to stop by myself and instead of support I get, well... At least its not heroin but you should have tapered and then he runs a secret drug test on me. Am I just being oversensitive or is this inappropriate behavior from a doctor? I don't want to have to reestablish care with a new ob because I'm so far along but I feel uncomfortable in the office.

[Pat1956100]

Yes a lot of pregnant moms feel very judged when they talk about getting clean from their addictions and that's why we don't want you to feel judged here.  Keep going with your taper and being honest with your doctor.
Great job on stopping everything else.

[Jenjaybee]

So many replies on here, thank you everyone. I think there is some confusion with my other posts. So to clarify, I have been on pain management for 4 years, he has messed with my long acting medication but I've always been on oxycodone for my short acting dose. Recently in pregnancy he changed me to oxycontin and oxycodone, two months ago, and it was planned to d/c all pain medication in my late second trimester. When I hit my second trimester my pain management doctor wanted to put me on methadone to get me off all the pain meds, since I had never abused my rx I didn't think I needed that so I read all this info on the internet (not smart), flushed my pills and thought I'd just do a rapid detox and show my pm doctor that I didn't need his methadone. Well, I started having contractions and was miserable so that's when I found this forum and ended up in the hospital. Now I am on a very slow taper because of the contractions. I have never used heroin but my ob keeps saying comments like, at least you're not w/d from heroin and telling me to watch some movie. Just comments that I felt were weird, maybe it's his way to relate but it came off uncomfortable. When I started having w/d this all threw me for a loop. I never thought that I was abusing my meds or would have a problem stopping. I've always been honest with my ob and my pm doctor and neither one expressed concern with my current dose of meds. However, as I started this process and being honest with myself I see that my drinking had increased and I had experimented with coke which is a problem. Since I found out I was pregnant I stopped drinking, smoking and coke and that was no problem. I think the pain meds snuck up on me because it was prescribed by my doctor. And now I see that I was using it as a crutch. I think what upset me is I felt like I have been seeing my ob for months, he's never said anything about my pain meds and then when I share my struggles with stopping he acts really weird like I've been hiding this. I know that the best thing for the baby is for me to quit, I know that is the best thing for me and my daughter that Ialready have which is why I'm following my taper. In another 5 weeks I will be off everything and that feels great. I guess I just didn't ever think I would have to deal with so much judgment. It's embarrassing and makes me not want to be honest with my ob. I don't know if it's normal to feel that way or not but I just feel uncomfortable, thats it.

[nursegirl6572]

I agree that it's good your doctor wants to closely monitor you.

That being said, didn't you say he was the one who told you you would be okay going CT?  If I recall, he said "It's not like it's heroin?".  After you had flushed everything, he was okay with you going CT?  

If I remember that right, that's unnerving to me.  He should know better.  Is he planning on keeping you on a maintenence dose to avoid w/ds?  Or, does he want to taper you off?

There's nothing wrong with getting a second opinion, but if you are going to...do it for the reasons I just mentioned, not the stuff you wrote in this thread. Having a doctor on board who has experience with addiction.  

The info in THIS thread just looks like a concerned doctor trying to protect the baby.  Also, unfortunately, you ARE going to feel judged along with the way from the medical staff at times.  The harsh reality is you HAVE abused drugs while pregnant, and that's difficult for some people to wrap their heads around.  I'm not saying you should be treated any differently than anyone else, but you will get the impression that people are judging you...that's human nature.  

What's important now is that you're being totally honest and upfront with your doctor, trying to do what's right.  That's what you focus on, hon.

The more people who have the best interest of your child at stake, the better.

[Nighthawk61]

I just wanted to say, i do value your appreciate your concerns on this thread, and i do understand more than a few points on your post. As a long term member of the program of AA and NA, i appreciate fully your passion about the importance of the program in turning around the lives of people in active addiction, and of course the ideal of protecting young children from active addiction, always as a first priority. God Bless you CLEAN _IN_KS .

[Nighthawk61]

I  applaud this doctor for requesting a drug screen for this baby, and every baby who is already ingesting drugs that can harm them. Why not? If you've got nothing to hide, what's the big deal? As far as i'm concerned, why isn't it mandatory? If you have nothing to hide, what is the problem exactly? I mean, who loses? Because doctor's often prescribe to drug seekers, the drug seekers shouldn't be checked? Two wrongs don't make a right.   I also think it was smart to show a movie on withdrawal.  Again, i don't understand, why there would be a problem with that? Opiates are systematically being over prescribed, in epidemic proportions. When exactly should the education to stop these practices with users begin?  Should it not begin at the beginning of life? What better time for a parent to become aware of the facts of opiate use and withdrawal then in early parenthood?

Often times members post on many threads, with relevant information on each, and it is suggested that they stick to one thread so that new people replying have all pertinent information to make a valuable contribution, so i do understand a member bringing all of the information together on this one thread, as well. All in the name of comprehension, i  I don't find that doing so is meant to be contentious. It's meant to be helpful, and it is in the long run, and in most cases.

I do concur that the poster seriously considers stopping using cocaine as a single mother of two young children, and using after care to facilitate that ideal in the home. It sounds like these two kids may only have you as their guardian, and as such, it's terribly dangerous to dabble in this type of behavior and i hope that you cease and desist, for their sake, especially. I know where that coach goes, and it's not pretty.

Best of luck with the new baby and i hope that you are not overly sensitive to the measures that are being taken to protect our children from drug abuse and the type of life that follows with that abuse. God Speed.  

[overopiates]

I know a girl who got pregnant wow its been12yrs.She went2her1st ob appointment and the asked about her drug history(she was not taking drugs at that point btw)she was totally honest about every drug she had ever taken including heroin.The immediately drug tested and continued to test her throuhh her whole pregnancy even bothered her w/child protective services even though she never had a dirty UA.I think tha was rediculous but they were simply looking out for the baby.As for that being there ur dr is making sure u r not doing anything other than ur prescibed meds.u should b greatful she is helping u slowly taper.take it n stride.U will not have any problems as long as u stick to the plan she set up for u.U will have to talk to a case worker before u leave the hospital so they know u r stable to take the baby home,they will ask if u have outside support etc.I was prescribed xanax,lortab,soma,fironal when I found out I was pregnant(my son will b4on christmas eve)I found out very early I was pregnant.My prescibing dr who knew how dangerous it was simply cut me off w/no concern I could have a miscarriage.My ob helped me a ton.I had no issue c/t soma,fironal cause I didnt take em enough2have issues.I actually wasnt taking much pain meds then AT ALL(maybe1-2times a week got physically dependant&started abusing after my pregnancy ironically)xanax I did my own taper cause my ob thought I should stay on some type of benzo through my who pregnancy but I found out the birth defects they can cause.I had so much pain during my pregnancy I was taking my pain meds often during pregnancy(lots of issues rhat caused pain but none were caused by pills)I was told by MANY drs that the pain pills were the least dangerous med and incredibly common for pregnant women to take during pregnancy.Some get them prescribed during pregnancy that didnt take them before but need them for pain.I was told my my ob but also from3others at the high risk facility that i shouldnt worry about taking them during pregnancy.We did taper2make sure no w/d of any kind for my lil guy.I was told because i was taking lortab(the lowest buffer posible which I was also told was the most dangerous part of taking them during pregnancy btw)they said if it was too much pain I could take them throuh my whole pregnancy but I didnt wanna risk it.I did research back then and everyrhing I read said what drs told me that that med doesnt pierce the placenta so there was severely minimal risk.I have had a moderator here recently send me a link saying the can possibly pierce the placenta but she told me she thought the same as me til she found the article.Im telling u all thia because some1said they r so dangerous and u should know that.I am simply telling u my experience n2008.And Im thinking u r hearing the same as I did about the meds.Btw I was induced2wks early due to preclampsia my son was9lb10oz totally healthy.He is above average intellegence and hit all of his milestones early.He is a wonderful completely healthy,happy little boy.I dnt know of ur previous posts or history but I wanted2share my experience&what I have gone through as well as my healthy little guy who will b4on Christmas eve.

[LeaAnn807]

I'm afraid that when you admitted, although honestly, that you'd been addicted to Heroin, you opened yourself up for the drug test.  When you said that you were and are on addictive substances that could hurt your baby, you opened yourself up.  I truly believe that he is trying to make sure that you're being 100% honest and not taking anything more than you are.  He's doing that for the baby's benefit....yours too!  I know that you were honest, but he doesn't really know you, does he?  He may be trying to make sure you're not on coke or meth, etc.  Doctors are pretty territorial and protective of unborn babies, and I'm glad that they are.  Mothers aren't always that way enough, so the doc is taking up the slack for them.  

You're probably being oversensitive.  Try to look at it as him trying to help the baby, and be done thinking of it!  Go about your taper, and try to put an end to this.  And please be sure you're doing some sort of aftercare and following the instructions of the docs.  You don't want CPS getting in this.  That happened to a girl on here recently.  She's still only seeing her baby once a week because of it.  

Let him do whatever he wants........as long as you get your baby in the end.  Most of all, let him do what is NECESSARY to make sure your baby is born without birth defects because of drugs or being born having to detox.  I do not wanna see that happen to you or your baby!!!

[OpenMind24hours]

have a good long honest talk with him. Express your concerns about everything you're posting. Being completely honest with him will take a load off your mind, clear the air, and you'll have one less worry. You're on the way to motherhood and have much more to deal with, like kicking your drug while keeping your baby healthy. Get him on your side.

A good one I heard once: worry drains us of the energy to work on the problem.

Congratulations on your future motherhood! Keep posting and sharing, it helps.

[dominosarah]

Anytime we come in and tell the doctor what is going on their level of suspicion rises.  We can be totally honest with them but they have heard everything under the sun.  He is just being safe.  He wants to make sure there are no surprises when the baby is born and the baby's health and well being is what is important.  Since you have been honest your tests will show that.  

[Pat1956100]

Hello and congrats on your pregnancy and for making the right decision to get clean.   Are you clean now or still tapering?
Trust me if you only made it 24 hours you didn't experience the worst of withdrawals.  He may be trying to save you from that.
You don't want to have to experience it.  
Good luck with everything and to me your doctor sounds very aware and is really looking out for your baby.

[IBKleen]

Hi & Welcome,

I think you are being oversensitive. He seems to be looking out for the good of the baby. I am sure that is okay with you as you are looking out for your unborn child as well. Never mind how he feels or thinks. Some people just don't git it. Stick with the taper. It will be easy on you and the baby. Please have a plan for after the baby is born so that you don't continue your old ways. Know what I mean? Stick here. It is a great place for support. I wish you the best hun.