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For information on breastfeeding safety: LactMed

If you are breastfeeding, please notify your baby's care provider of any medications you start, stop, or change the dosage on as this may affect your baby. Breastfeeding is contraindicated if taking substances such as cocaine, heroin, methamphetamine.

For information on FREE OR LOW COST BIRTH CONTROL options, please ask your care provider or county health department 

If you have an UNPLANNED PREGNANCY and need assistance, please call a local pregnancy center

Talk to a medical professional about all the medications or drugs you are taking and also about possible alternative medications/therapies and treatment programs. 

TO find a local drug treatment program:

or CALL 1-800-662-HELP (4357) ANYTIME 24/7! 

Treatment, counseling, relapse prevention, case management, referrals to other community agencies, legal assistance, Medicaid

and sliding fee scales are available.

Even if medications are prescribed, your baby may still suffer from NAS.

It is important to continue to take your medications as prescribed. Stopping or reducing the dose suddenly can be dangerous. The dosage a mother is taking does not affect the infant's likelihood of developing NAS. However, there are maximum safe dosages for some opiates for breastfeeding babies. 

Treatment options for pregnant women include Methadone and Buprenorphine. These medications have been shown to improve outcomes for infants and have not been associated with birth defects. Your physician can discuss risks and benefits and pros and cons of these medications. Breastfeeding is encouraged if the mother is on a supervised prescription medication program and not HIV positive and dosage does not exceed the maximum dosage. Babies are at risk of breathing issues, excessive sleepiness, and poor feeding when a mother is taking opiate/narcotics.  

Pregnant women are also encouraged to enroll in a smoking cessation program and stop smoking tobacco and marijuana, as both can make NAS worse. SIDS and incidence of low birth weight are also increased. Call the Montana QUIT LINE for help at 1-800-QUIT-NOW

IV Drug Use increases the risk for infection with bacteria, Hepatitis B and C, and HIV/AIDS or other Sexually Transmitted Infections (STIs), all of which may be transmitted to the infant. Please contact your care provider or County Health Department Pregnancy Resource Center FREE or LOW COST STI testing and treatment. 

It is very important to keep all medications, especially opiates/narcotics stored in a box that has a combination lock. A very small amount of an opiate/narcotic can kill a child. If you have medications you are no longer using, please dispose of them in a proper collection site. To find a site near you, please click on the link.

Be sure to know your POISON CONTROL PHONE NUMBER 1-(800) 222-1222