On learning last year she was pregnant with her second child, Cailyn Morreale was overcome with fear and trepidation. “I was so scared,” said Morreale, a resident of the small western North Carolina town of Mars Hill. In that moment, her joy about being pregnant was eclipsed by fear she would have to stop taking buprenorphine, a drug used to treat opioid withdrawal that had helped counter her addiction. Morreale’s fear was compounded by the rigidity of the most common approach to treating babies born after being exposed in the womb to opioids or some medications used to treat opioid addiction. For decades throughout the opioid crisis, most doctors have relied on medicatio
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