Choosing to undergo methadone maintenance treatment during pregnancy does not cause birth defects. However, it’s important to note that some babies may experience withdrawal symptoms after birth. It’s crucial to understand that this does not indicate addiction in the baby. The onset of infant withdrawal typically occurs a few days after birth but may also begin between two to four weeks later.

Mothers who are taking methadone can continue to breastfeed. Research has demonstrated that the benefits of breastfeeding outweigh the impact of the small amount of methadone present in breast milk. If a woman is considering discontinuing methadone treatment due to concerns about breastfeeding or pregnancy, it is recommended to consult with her doctor first for guidance and support.

Misusing heroin during pregnancy, coupled with factors like inadequate prenatal care and poor nutrition, is also associated with low birth weight, which increases the risk of developmental delays in infants. If the mother consistently misuses the drug, the infant may be born physically dependent on heroin and could experience neonatal abstinence syndrome (NAS), a withdrawal syndrome that requires hospitalization.

It is essential for pregnant or breastfeeding individuals to inform their treatment provider before starting methadone. Methadone is the only medication approved for Medication-Assisted Treatment (MAT) that can be safely used by pregnant or breastfeeding women.