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Keywords:

  • analgesia;
  • first stage of labor;
  • methadone;
  • midwifery;
  • pregnancy

A 2005 national survey found that nearly 4% of pregnant women between the ages of 15 and 44 reported illicit drug use in the previous month. Among pregnant women admitted to substance abuse programs, 15% identified heroin as the primary substance used. Methadone is a recommended treatment for pregnant women wishing to discontinue their use of heroin. Providers of peripartum care may be unaware of the specific needs of this population, which are illustrated in this case discussion.