Amanda's boyfriend's name is Twin.
She says he has a history of violence against her. Records show he's been incarcerated for battery.
She's not sure if Twin is the father of the baby.
Substance abuse often correlates with risky sexual behavior, and substance abusers report high rates of poverty, intimate partner violence, and mental illness.
Amanda has been diagnosed with bipolar disorder and borderline personality disorder.
At age 14, Amanda tried crystal methamphetamine with her older sister. She continued using sporadically throughout her teenage years.
She had her first child at 17, then got married. She stayed sober for her seven years when she was with her husband.
When she left him, she started doing meth again.
She spent time with a group of people who were injecting meth and they encouraged her to do the same. She also started working as a prostitute.
Soon after that, she tried heroin.
“Heroin has controlled my life from the moment I injected it.”
Since she started injecting heroin, she's only stopped once—for twelve days.
Heroin has incredibly painful withdrawal symptoms.
We still on for Saturday.
Should we meet at the exchange?
Yes at noon sound good i'm really stressing on the motel I am $15 short on rent
I'm really sorry you're having a hard time.
Still looking forward to talking.
Amanda is six-and-a-half months pregnant.
She gets her second ultrasound.
The baby is healthy, but Amanda is still using.
Heroin addiction during pregnancy can have serious ramifications such as causing premature separation of the placenta from the uterus, an underweight or premature baby, or the death of the fetus.
Later in life, if the child is born, they will be more likely to need psychiatric care and to display disruptive behavior.
Amanda is seven months pregnant.
She starts on methadone treatments.
Methadone is an opioid, but it's considered safer for people because it has a longer high.
The ups and downs of heroin are more harmful for a fetus.
Amanda is seven-and-a-half months pregnant.
She is continuing her methadone treatment, but still using heroin and meth.
Her feet are swollen. She checked her blood pressure and it's high.
Then, she started bleeding.
She's scared to go to the doctor because she's still using and doesn't want them to induce labor.
I'm worried, so I ask a few doctors about her symptoms. They say it could be preeclampsia, which could be life-threatening for both Amanda and the baby.
Did you go to the doctor yet?
Im not bleeding anymore
My doctor friend is worried about your high blood pressure.she said the doctor could give you blood pressure pills.
I don't mean to push you but I'm worried about you.
I don't know if it's still high
I feel feverish
Would you let me pick you up tomorrow and go to the doctor?