Heroin addiction and pregnancy

[holly0518]

PART 1/2.  I have been a heroin addict for 2 years/opiate addict for over five yrs. Just learned I'm prego today. I want help - more than anything I want help. I'd like to begin a suboxone/subutex treatment but how can I make that happen immediately? How can I make that happen before I need my next heroin dose and begin experiencing withdraws? I don't have insurance at the moment but I do have an appt tomorrow afternoon with the hopes of leaving there with Medicaid coverage for my pregnancy. I guess my question is do I go to my OB and tell her about the heroin addiction? Or do I find a subutex doctor that can immediately see me? But a few other things to be noted that complicates the issue. I have a five month old daughter who was born addicted to opiates. CPS obviously is involved and believes me me to clean. If they learn I've been using I face the possibility of her being taken away from me. My parents and family think I have been on suboxone since my daughter's birth. Finding a suboxone doctor that takes Medicaid is nearly impossible around here and I have no money to pay a cash only doctor. I have no money to feed my habit even for tomorrow and from everything I've read stopping cold turkey could cause me to lose the baby.

[buytheticket]

Part 2 (accidentally hit send oops!):
at least 20-48 hours in order to take your first dose. Also, methadone is shown to be better for pregnant women in a recent study.

Here is some simple information: http://www.methadoneandpregnancy.com/?page_id=46

Call a clinic. Explain your problem - don't be ashamed to do the right thing and get help. In America, clinics usually cost at most about $70/week, which is much cheaper than suboxone, and some are free. Almost all of them have financial support - ESPECIALLY for pregnant women. You could end up paying $1 a day, or nothing. Just get online, search for clinics in your area, and start making phone calls in the morning.

You can do this! You have a bigger reason to get clean now. There is no shame in getting into methadone maintenance program to save your baby's life. It is admirable. Stay strong.

I know I didn't address a lot because I just woke up here :) but please, any other questions - please let me know.

[buytheticket]

Sweetheart, there IS help for you. Let's try to find a solution to keep that stress down and protect the baby. It's well documented that stopping cold-turkey can kill the fetus quickly, so please don't make any rash decisions like that.

Find your closest methadone clinic. Many times they will take a pregnant patient in as soon as possible. Suboxone is really not a viable option because of the baby - you'd have to go through withdrawals for

[holly0518]

PART 2/2.  I literally feel like this is the end. Like there is no way out. I am powerless to my addiction. It has taken over every aspect of my life and I give up - it wins. But what I really want is to fight for my life back. I want to fight my addiction. But I CANNOT do it without suboxone so how can I make that happen tomorrow ? Without insurance and without money and without CPS  knowing and without my family knowing? If I talk to my OB is she required to immediately notify CPS? She is not the doctor I had with my daughter that was born five months ago but is within the same hospital. I mean it is almost like I have to use until I can get into see someone for suboxone. My problem with that is that I want to stop now. Plus I don't want the heroin to harm the baby and I don't want withdraws to harm the baby. And I don't have the money. Anyone who is familiar with addiction I think would know where I'm at when I say I've hit the end - there is nothing left from my family or friends or to pawn. Sold my car two days ago and robbed the dope man today. I am literally at the end of the line. Again I go back to there being no way but death. What else is there? I'd rather die than go thru withdraws. And I'm honest enough with myself to admit that I will do something to find the money for my dose. In other words to say I'm gonna quit cold turkey is a lie and setting myself up for failure. I don't want to kill myself but what else is there? Please help me. Someone.  Please. Any thoughts, suggestions, comments, ideas?