Substance guides

Heroin use during pregnancy: Treatment that protects both lives

Published November 28, 2024 · 7 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

Heroin use during pregnancy is a medical situation requiring careful management. Abrupt cessation can be more dangerous to the fetus than continued use.

Why cold turkey is dangerous

Opioid withdrawal during pregnancy can cause uterine contractions, premature labor, miscarriage, and fetal distress. Abruptly stopping heroin is NOT recommended during pregnancy.

MAT is the standard of care

Buprenorphine (preferred) or methadone stabilize the mother, prevent withdrawal, reduce illicit use, and improve birth outcomes. Both are safe during pregnancy and recommended by ACOG, SAMHSA, and WHO.

Neonatal abstinence syndrome

NAS may occur in newborns exposed to opioids in utero. It is manageable and treatable. The outcomes are far better with MAT than continued illicit heroin use.

Stigma

Pregnant women with heroin addiction face severe stigma. Some states have punitive approaches. Compassionate treatment produces the best outcomes for mother and child.

Authoritative sources

This article references guidelines from: NIDA · SAMHSA · CDC

Frequently asked questions

Can you quit heroin cold turkey while pregnant?

NO. Opioid withdrawal during pregnancy can cause miscarriage and fetal distress. MAT is the safe approach.

Is Suboxone safe during pregnancy?

Yes. Buprenorphine is the preferred MAT during pregnancy. It is recommended by ACOG, SAMHSA, and WHO.

Will my baby be addicted?

NAS may occur but is manageable and treatable. Outcomes are far better with MAT than continued heroin use.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.