You can safely take some pain meds after your first trimester in moderation. Tramadol isn't one of them, as it contains anti-depressant chemicals that alter your hormones, serotonin and epinephrine levels. You have to keep in mind that what you take your baby takes. If you work closely with your OB/GYN and Pain Management Dr. it can be done, managing your pain, illnesses and pregnancy. I've had 2 sons while managing several Degenerative and Chronic illnesses, in between surgeries, and managing pain with meds., more meds with my 2nd.

You have to work with your Dr.'s and make a plan for what meds they feel are safest, and during what periods of your pregnancy they can be safely taken.

Never had a baby with this , but worked as a Nurse for 15 years, you will have to talk to OBGYN but usually they want you off all narcotics while pregnant. Just wondering what your nerve disease is because I have one , have had over 25 years. I feel for you. Then you have to decide if you can breast feed , because you have to be free of meds if you breast feed. Otherwise those meds affect your babies health. I have seen women go off and then go one after baby is born but they bottle feed with powder. I really wish you well, you know that a lot of meds can stop your chance of getting pregnant if you have been on narcotics for a long time. So check with your pharmacy and doctor about that. Good luck keep us posted Gentle hugs

BigMac:

You need to set up and appt with the OB/GYN that you want to use and your Pain Management Dr. you use and get their take on the Situation. There are many of us Chronic Pain, Chronic Disease Patients out here that cannot just stop all meds and pain meds. They figure out the safest plan for taking care of you and the baby. You'll probably need to see a High Risk OB/GYN. I had to when I had my sons. They can be very picky about the first trimester, after you get through that then there should be a plan to put in place that will keep you pain controlled and baby safe.

I'd have that meeting soon, so you know what you'll be expected to do.

Take care,
Kat

With so many babies being born addicted to opiates, It will be difficult to find a doctor that is going to prescribe opiates to you while you are pregnant and nursing.

Something else for you to consider is the climate of pain management. There are no guarantees you will continue to be prescribe opiates. Even if your current doctor says he will continue. There is no way he can guarantees that. He could also move, die or stop taking your insurance. He also has no way of knowing what lies ahead in pain management.. Another doctor is not obligated to prescribe opiates because a previous doctor did,.

You also need to look at you.r ability to care for a child for the next 18 years. With and without opiates. If you ended up a single parent. Could you financially support and care for your child ? I know it is not something you want to think about.. But, life does not come with any guarantees.

Children are a 24/7, 365 days a year job. It does not matter how much pain you're in or how you feel. The child has to come first. A child's needs change as they get older. But, they still require a parents energy, time and financial support.. And often they require it when the parent is least able to give it.

Years ago we had frequent flyers with sickle cell or other isssues who had children while on narcotics.
I don’t know what the long term outcome will be, but the children were born healthy.
The children did have withdrawal symptoms at birth.
Hope things work out for you. Hugs