The combination medication buprenorphine-naloxone is rated category C by the US Food and Drug Administration (potential benefits should outweigh the potential risk).

Currently, the Federal Drug Administration (FDA) classifies Suboxone as a pregnancy risk category C medication. This category indicates there is not enough research on human subjects for the FDA to consider Suboxone as completely safe for use during pregnancy.

Buprenorphine (which is frequently known by its common brand name, Subutex) is a widely used opioid medication considered safe for women during pregnancy.

Naloxone Pregnancy Warnings This drug does cross the placenta and therefore may precipitate withdrawal in the fetus. There are no adequate and well controlled studies in pregnant women.

So does suboxone affect fertility? Suboxone may cause fertility problems in both men and women. It can influence the way the hormones that support sperm production and testosterone perform.

Studies in women who were taking naloxone during the first trimester did not find an increased chance of birth defects above the background risk in their babies. No studies have been done to see if treatment with naloxone for an overdose in the first trimester can increase the chance for birth defects.

Methadone and buprenorphine help reduce your need for opioids in a way that’s safe for you and your baby. They don’t make you feel happy or calm the way some opioids do. These medicines help reduce your baby’s risk for premature birth and growth problems. Your baby may have some withdrawal symptoms after birth.

National guidelines from the American College of Obstetricians and Gynecologists (ACOG) and the Substance Abuse and Mental Health Services Administration (SAMHSA), and international guidelines from the World Health Organization, recommend that pregnant women with opioid addiction be treated with methadone or …

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• Take a prenatal vitamin.
• Exercise regularly.
• Write a birth plan.
• Educate yourself.
• Change your chores (avoid harsh or toxic cleaners, heavy lifting)
• Track your weight gain (normal weight gain is 25-35 pounds)
• Get comfortable shoes.
• Eat folate-rich foods (lentils, asparagus, oranges, fortified cereals)

A miscarriage is when a pregnancy is lost before 24 weeks. They are very common. Many early miscarriages (before 12 weeks) happen because there is something wrong with the baby. A later miscarriage may be due to an infection, problems in the placenta, or the cervix being weak and opening too early in the pregnancy.

Most miscarriages occur in the first trimester, which is the first 13 weeks of pregnancy. Chromosomal abnormalities can prevent proper development of the fertilized egg. Or physical problems with a woman’s reproductive system can make it difficult for a healthy baby to grow.

Cocaine is one of the most harmful drugs to unborn babies. Cocaine can cause a woman to miscarry and may cause preterm birth, bleeding, fetal death and fetal strokes, which can lead to brain damage and death.