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This study found no reason to decrease pregnant women’s dosing of medication for opiate use disorder. There was no increase in neonatal withdrawal with standard dosing vs decrease dosing.
As with most things, what is good for mom is good for baby. Keeping mom from relapsing to opiate use is the number one goal of MOUD.
References
Townsel C, Turner M, Biroon F, et al. Umbilical Cord Methadone and Buprenorphine Levels and Neonatal Opioid Withdrawal Severity. JAMA Netw Open. 2026;9(10):e2641876. doi:10.1001/jamanetworkopen.2026.41876