Substance Use and Pregnancy
Discovering you’re pregnant while using substances or taking medications can feel overwhelming, but it’s important to know you’re not alone, and help is available. Addressing substance use is an essential step toward ensuring both your health and the health of your pregnancy.
Prescription Medications
If you’re taking prescription medications, DON’T stop them suddenly without talking to a healthcare provider. Some medications—especially those for mental health or chronic conditions—can be harmful if stopped abruptly.
A healthcare provider can help you review your medications and talk through options. In some cases, adjustments or alternatives can reduce risk while still supporting your health.
Illegal Substances
Using certain substances during pregnancy can increase health risks for you and the pregnancy. If substances are part of your life right now, you deserve support—not judgment.
A healthcare provider or addiction specialist can help you think through safer next steps and create a plan that supports your wellbeing. Stopping suddenly without guidance can also be risky, so getting support early can make a difference.
Alcohol
There is no known safe amount of alcohol during pregnancy. Drinking while pregnant can increase the risk of long-term health and learning challenges for a child.
If stopping feels hard, support is available. A counselor, healthcare provider, or support group can help you take steps that feel possible for you.
Nicotine
Smoking or vaping during pregnancy can increase health risks, but quitting can be difficult—especially under stress. If nicotine is part of your routine, you’re not alone.
Support options, including nicotine replacement or other strategies, may help reduce risk. A healthcare provider can help you talk through what support might work best for you.
For immediate assistance, call the Substance Abuse and Mental Health Services Administration (SAMHSA) helpline at 1-800-662-HELP (4357). It’s free, confidential, and available 24/7.
If You’re Looking for Next Steps
If substance use is part of your situation, support is available. You deserve care, clarity, and help that meets you where you are.
Talk With a Healthcare Provider
If you’re using substances or taking medications, a healthcare provider can help you understand what’s safest for you and your pregnancy. Their role is to support your health—not to judge or pressure you.
Learn About Support Options
There are different kinds of support for substance use, including counseling and treatment programs. Some options focus on reducing risk and supporting stability, rather than requiring immediate change.
Connect With Supportive Communities
Some people find it helpful to talk with others who understand what they’re going through. Support groups or community programs can offer encouragement, shared experience, and practical help.
Care for Yourself
Small steps toward rest, nutrition, and emotional support can make a difference. Self-care doesn’t have to be perfect—it just needs to be possible for you right now.
You Sure You're Pregnant?
If you haven't taken a test yet, that's the best way to know. Follow our step-by-step instructions to take an accurate test.
Help Processing
We're here to support you. Our Whole-Self Approach helps you consider each part of your life so you can make a thoughtful. well-grounded decision.
Prefer a book over a website?
Sometimes, we do too. Download our free eBook.