Addiction Recovery

Pregnancy and Substance Use

Choosing a team you trust is central to recovery in this unique situation, as it allows you to comfortably share personal information regarding your treatment, services, and needs.

Valor Lakes

July 5, 2024

Navigating the path to treatment and committing to it can be daunting, especially when pregnant and grappling with substance use. The apprehensions surrounding the effects of alcohol or other drugs on both your pregnancy and your baby can be overwhelming.

These fears, compounded by anxiety over societal judgment, might deter you from seeking help. Reaching out for assistance is the first step towards advocating for your health and your baby's. Engaging in treatment and maintaining consistent prenatal care is critical to ensuring you and your baby receive the optimal start to life.

It is important to remain attuned to your emotional state during this period. It is expected to experience feelings of sadness or anxiety, which are typically normal if they are mild and transient. However, for some individuals, the stress of pregnancy and new parenthood can exacerbate these feelings, leading to more severe and persistent mental health issues. Recognizing the signs of a potential mental health disorder is crucial.

Risk factors include a family history of depression, anxiety, bipolar disorder, or other mental health conditions; experiencing a mental health disorder in a previous pregnancy; a history of trauma, such as intimate partner violence or abuse; and dealing with stressful life circumstances.

Understanding the signs and symptoms of maternal mental health disorders is fundamental to seeking timely and appropriate treatment. Symptoms might manifest as persistent sadness, overwhelming anxiety, irritability, difficulty bonding with the baby, or even thoughts of harm. Recognizing these symptoms early can lead to more effective intervention and support. Organizations like Maternal Mental Health Now provide comprehensive information on the signs, symptoms, risk factors, and treatment options for maternal mental health disorders. 

By educating yourself on the complexities of maternal mental health and substance use, you empower yourself to take proactive steps toward recovery and well-being. It is not just about the immediate benefits of treatment but about ensuring a healthier, more stable future for you and your child. Seeking help is a courageous act of self-advocacy and an essential investment in your family’s future. When it comes to ensuring the best possible outcome for you and your baby during and after pregnancy, assembling a supportive and knowledgeable care team is key. This team often includes a variety of medical professionals, each playing a vital role in your journey. An obstetrician/gynecologist (OB/GYN) will likely be responsible for delivering your baby and providing follow-up care to ensure both of you remain healthy.

Labor and delivery nurses are essential during childbirth, offering medical and emotional support. Hospital social workers can assist in planning for your needs once you leave the hospital, helping you navigate the transition home. Other professionals may also be dedicated to keeping you and your baby safe and healthy.

Choosing a team you trust is central to recovery in this unique situation, as it allows you to comfortably share personal information regarding your treatment, services, and needs. Your team needs to understand the unique challenges faced by families affected by substance use disorders (SUDs). When your care team has comprehensive information, communicates openly, and knows you well, it significantly enhances the support and outcomes for your family. Caring for your baby requires learning specific skills and knowledge, mainly if you use alcohol or other drugs during pregnancy. Babies born with signs of substance withdrawal or other health issues might need extended medical care post-birth. They may stay in a neonatal intensive care unit (NICU), a special nursery, or even in the room with you. The time, love, and attention from caregivers are paramount in these early stages. 

One of the most effective tools your care team might use is a Plan of Safe Care (POSC). This plan organizes information about the services and support you and your infant will need. Some teams start developing a POSC during pregnancy, while others wait until after birth.

The POSC provides a structured way to gather and organize input about what to expect next, including a comprehensive list of available services and resources. It also helps you keep track of your care team and facilitates the sharing of vital information among them to support you effectively. Many POSCs include checklists to help you remember tasks before bringing your baby home. These tasks involve ensuring you have a safe sleeping arrangement for your baby, learning how to soothe an upset infant, correctly installing a car seat, knowing where to seek help for mental health challenges, and accessing essential supports like childcare, housing, and food. By having a well-organized and informed care plan, you can navigate the complexities of postpartum life with greater confidence and assurance, knowing that you and your baby have the necessary support for a healthy start.

Understanding how to collaborate with child welfare services can be pivotal for new parents, especially those facing substance use challenges. Many parents worry about the involvement of Child Protective Services (CPS) after their baby is born.

Typically, if a newborn is identified as having alcohol or other drugs in their system or if a parent is known to be using substances, hospital staff are required to contact CPS. The role of CPS workers is to assess the baby's safety at home and identify what support your family might need to stay healthy and secure. When engaging with a CPS worker, you’ll want to share comprehensive information about your efforts to maintain your and your baby’s health during pregnancy, including your participation in substance use disorder (SUD) treatment and prenatal care. This transparency helps CPS workers understand your situation better and make informed recommendations for your infant’s safety and well-being. Suppose CPS determines that you’re not fully prepared to care for your baby alone. In that case, they might suggest that you and your baby live with a supportive caregiver or that your baby stays with someone else temporarily until you are ready.

Continuing your SUD treatment and engaging with other support services after your baby is born is vital for adhering to your Plan of Safe Care (POSC). Maintaining focus on your POSC during this challenging period is essential for staying connected with your baby and working towards reunification as swiftly as possible. Remember, recovery is an ongoing journey. During your baby’s first year, stay regularly connected with your care team and potentially expand it to include new members. A peer support group or individual can offer continuous encouragement. Finding a recovery-friendly pediatric practice that understands your needs as a parent in recovery and your baby's unique needs can be incredibly beneficial. Family support professionals, such as early intervention specialists, public health nurses, or home visitors, can assist you in improving your parenting skills and monitoring your baby’s development.

Including a mental health professional, such as a therapist or counselor, in your care team is also essential. They can help monitor your mental health and watch for signs of postpartum depression (PPD), which can increase the risk of relapse. Open communication with your care team about your feelings is crucial for your well-being and recovery. Despite the challenges, pregnant women and postpartum individuals, along with their infants and families, can successfully overcome these obstacles. With the right support, your family can thrive. Building a comprehensive and understanding care team, staying engaged in recovery, and focusing on your and your baby’s health can lead to a positive and healthy future for your family.

The Plan of Safe Care (POSC) is a crucial tool designed to ensure the well-being of infants born to parents who have used alcohol or other drugs. The federal government mandates that professionals caring for pregnant women, their babies, and their families develop comprehensive Plans of Safe Care to provide the necessary support for these infants.

The aim is to create a structured approach that ensures parents and babies receive the care and support they need for a healthy and thriving future. Each state is required to develop these Plans of Safe Care, and while the specifics may vary from state to state and even from town to town, the core components remain consistent. 

A POSC typically includes detailed information about three main areas: the services needed for the parent's health, the services required for the baby’s health, and the resources necessary for the family to thrive. This comprehensive approach ensures that every aspect of the family's needs is addressed. In addition to outlining the required services, a POSC specifies the individuals and organizations responsible for providing these services. This ensures that there is a clear plan for how the family's needs will be met and that there are accountable parties involved in delivering the necessary support. This collaborative effort is designed to create a network of care that supports both the parent and the infant during a critical period.

You can access resources that provide detailed information on state-specific guidelines to learn more about the specific rules and regulations regarding Plans of Safe Care in your state. Understanding these rules can help you navigate the system more effectively and ensure that you and your family receive the support needed to achieve health and stability. The Plan of Safe Care is a vital resource in fostering a healthy start for infants affected by parental substance use and in promoting the overall well-being of the family. Parenthood is a journey filled with both joyous moments and unique challenges.

If you use alcohol or other drugs, or if you are in recovery, this period is significant for considering how to best care for yourself and your baby. If you wonder what to expect during your pregnancy and afterward, this factsheet offers valuable information to help you make informed decisions.

You are not alone in this journey. Many people with substance use disorders (SUDs) or those in recovery feel anxious upon learning they are pregnant. Fortunately, some professionals understand your specific needs and can support you. Individuals who have experienced similar situations can offer invaluable insights and encouragement. Taking proactive steps toward treatment and recovery is crucial. If you are struggling with alcohol or other drug use and are not currently in treatment, it is helpful to find a reputable SUD treatment provider. Many communities have specialized SUD treatment programs that focus on supporting pregnant individuals or new parents, recognizing and addressing their unique needs.

If you are already in SUD treatment or recovery, it is essential to connect with a treatment provider or support group that understands the nuances of pregnancy and parenting. Peer support can be particularly beneficial; individuals who have faced similar challenges can offer empathy, advice, and motivation.  In addition to professional support, you can seek help through recovery support meetings, such as Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and Self-Management and Recovery Training (SMART Recovery). These meetings provide a community of individuals who share similar experiences and can offer support and guidance on your journey. By taking these steps, you can create a supportive network that understands and addresses your recovery needs and the demands of parenthood. Remember, seeking help is a strong and positive action towards ensuring a healthy and stable future for you and your baby.

Recent Articles

More from this Author