Jade Dass in her garden in Apache Junction, Ariz., in July 2022.Credit...Ash Ponders
By Shoshana Walter, The New York Times, June 29, 2023
One morning in the summer of 2020, Jade Dass woke up and vomited. She assumed she was hung over; she’d been depressed lately and sometimes self-medicated with too much wine. But then a woman in her online counseling group suggested that she might be pregnant. Dass looked in the mirror and realized she was probably right.
At 26, Dass had spent the previous 10 months in recovery from an opioid addiction. Her boyfriend of three years, Ryne Bieniasz, was in recovery, too. Since getting out of rehab in 2019, they had been trying to re-establish their lives, but they had trouble finding work and a place to live. Eventually they made their way to a remote horse farm east of Phoenix, doing odd jobs in exchange for housing. They didn’t have a car or close friends or much in the way of family support. Even so, Dass longed to be a mother; she thought she would be good at it.
To help with her recovery, Dass had been taking Suboxone, a medication that binds to the receptors in the brain that crave opioids, preventing withdrawal without creating a high. She was concerned that it might affect the developing fetus, but a health care provider, she says, assured her that she should continue taking it. The advice seemed counterintuitive; pregnant women are routinely urged to abstain from alcohol, tobacco, even ibuprofen. So Dass did her own research. Everyone from the American College of Obstetricians and Gynecologists to the Centers for Disease Control and Prevention said the same thing. Pregnant women with opioid addiction should be encouraged to take doctor-prescribed synthetic opioids such as buprenorphine, the main component of Suboxone, or methadone, which has been used to treat heroin and other addictions for almost six decades. Weaning off these medications could trigger withdrawal and contractions that could result in a miscarriage, premature birth or cause a person to relapse.
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