The Nanny Murder Case essays

The Nanny Murder Case papers Louise Woodward, a British Nanny, was employed in November of 1996 by Sunil and Deborah Eappen, for their children, Matthew and Brendan. On February 4, 1997, the Massachusetts police got a call from Woodward expressing that Matthew Eappen was experiencing difficulty relaxing. At the point when the paramedics inspected Matthew, they said he had a 2-Â ½ inch skull crack. His eyes were swelling, which is an indication of the shaken infant condition. Before Matthew Eappens demise, he went through four days on time on earth support. After the occasion, Woodward was imprisoned without bond. Supporters from Massachusetts and Britain contended that she ought not need to remain in prison on grounds that she is an outsider and didn't comprehend the U.S. lawful framework. She was kept in a states womens jail and needed to remain in light of the fact that investigators felt that she may escape the nation on the off chance that she was liberated on bail. Examiners said that Woodward confessed to hurting Matthew. They said she shook him, dropped him on the floor, and afterward hurled him on the bed so as to calm the infant. Examiners contended that Woodward was so disappointed with Matthews wild crying, that she started to fiercely shake him to stop the crying. Clinical analysts said that Matthew more likely than not hit the floor with the power proportional to a tumble from a second-story window. Normally the wounds from the fall alongside the shaking caused Matthews demise. Measurable master, Barry Scheck, who participated in the O.J. Simpson preliminary, was enlisted to support Woodwards guarded contention. The barrier expressed that a prior ailment may have slaughtered Matthew, not the alleged abuse. The protection endeavored to discover hereditary scatters that could have influenced his bone quality and advancement or could have caused mind hemorrhages, by mentioning DNA tests on Matthew. The guard likewise attempted to accuse Matthewss two-year-old sibling, B ... <!

E-Procurement And E-Logistics Free Essays

our site †CUSTOM ESSAY WRITING †Business Management Dissertation Ideas Conceptual In this paper, we break down the e-obtainment and e-coordinations of the Dell Inc. Organization. This will incorporate a short outline of the organization, an investigation of its Customer Relationship Management, the Supply Chain the executives and an examination of the different programming projects utilized by Dell Inc in advancing its relationship showcasing. We will compose a custom article test on E-Procurement And E-Logistics or on the other hand any comparable point just for you Request Now Presentation Today, numerous individuals have found the hugeness of E-trade. Online business, otherwise called electronic trade alludes to business exchanges and correspondence by means of PCs particularly over the web and systems (Botha, Bothma and Geldenhuys, 2008: p.23). This includes purchasing and selling of administrations and products, and move of assets among other business interchanges through the web, for the most part through the World-Wide Web (Botha, Bothma and Geldenhuys, 2008: p.23). Web based business happens in various circumstances, for example, among organizations and clients (B2C), between one business/organization and another (B2B), and among client and client (C2C). It is for the most part separated into two primary parts, which are e-acquirement and e-coordinations. E-obtainment is characterized as an electronic strategy for directing business exchanges while e-coordinations alludes to the exchange of merchandise sold over the web to clients (Botha, Bothma and Geldenhuys, 2008: p.24). An all around executed e-acquisition framework is exceptionally successful in interfacing organizations and different business forms with providers while running all associations between them. As indicated by Botha, Bothma and Geldenhuys (2008: p.23), the turn of events and progression of innovation, numerous organizations presently sell their items through PC innovation, which is a splendid method of causing organizations to diminish overhead expenses and arrive at a wide client base. In this manner, e-obtainment benefits the entrepreneurs, yet in addition clients since they can shop without leaving their homes. Additionally, clients can without much of a stretch locate the most minimal cost of items when purchasing their products by means of the web. In this paper, we dissect the e-acquirement and e-coordinations of the Dell Inc. Organization. DELL INCORPORATED Dell Inc. is a PC organization that was set up by Michael S. Dell, in 1984 (Krauss 2003: p.7). It offers a wide scope of innovation item classifications (Krauss (2003: p.8). These items run from PCs to administrations, for example, stockpiling arrangements. Additionally, it gives an assortment of administrations, which run from business administrations and configurable data innovation including item related help administrations, counseling and applications and foundation innovation (Krauss, 2003: p.8). As expressed by Levy (1999: p.20), Dell Inc. works in four worldwide business sections, which incorporate open, Large Enterprise, Consumer, and little and Medium Business. The organization structures its own items, makes and markets them, sells, just as supports a scope of items and administrations, which can be altered to singular prerequisites of clients (Perret and Jaffeux, 2007: p.4). Dell Inc. is considered among the organizations that are generally gainful. The organization offers the most creative client assistance, just as item custom design on the planet (Perret and Jaffeux, 2007: p.5). Therefore, the organization is confronted with the test of fulfilling the customers’ needs while keeping up a steady relationship with them. E-PROCUREMENT AT DELL Dell Inc. is broadly known for selling its PCs and others benefits through the web to different business (B2B) and to singular clients (B2C) (Perret and Jaffeux, 2007: p.5). B2B alludes to business exchanges between one organization and another, for example, business clients, providers and merchants. The B2C alludes to business exchanges between an organization and customers. Toward the start of the 1990’s, Dell Inc. endeavored to disseminate products by retailing. In any case, the administration discovered later that this technique was unrewarding for business (Gattorna, 2003: p.51). Thus, Dell Inc. chosen to key on boosting its client care and administrations by permitting clients to make arranges legitimately (Gattorna, 2003: p.52). This was viewed as a novel technique for Dell customization. As of late, Dell Inc. improved its sourcing and purchasing forms by actualizing a main e-acquirement arrangement known as Ariba Buyer (Krauss, 2003: p.8). So as to facilitate the business forms between Dell Inc. what's more, its provider organizations, Ariba Buyer which is an e-obtainment arrangement is utilized. It is very valuable in computerizing and smoothing out sourcing. (Li, 2007: p.20). In prior years, making buy orders at Dell was an exceptionally relentless procedure since organization laborers rounded out structures for each buy procedure each time they requested a thing, which included gathering around ten endorsement marks (Li, 2007: p.21). The purchasers were then expected to reemerge the information into two unique frameworks that incorporated a home-developed Access database and the inheritance buying framework. This paper-based procedure was trying for Dell to follow its buys by ware, just as examine its buying designs regarding where, how much and from whom the provisions were purchased, henceforth the adjustment in its obtainment procedure. In this manner, Dell Inc. actualized an e-obtainment arrangement known as Ariba Buyer. E-acquirement empowered Dell to smooth out its providing base. This aided in the end of free thinker spending, just as normalization of the requesting forms for its providers. (Krauss, 2003: p.8). This was followed, by Dell’s move, to evaluate 3 e-acquirement frameworks relying upon five measures. These standards incorporated an easy to use limit, cost-adequacy, and mix with existing back-end framework (Krauss, 2003: p.8). Others included web based business connects to the majority of Dell’s providing organizations, and similarity with the present IT strategy of Dell servers (Li, 2007: p.20). As per Gattorna (2003: p.50), near seven months were spent by the work force that were answerable for executing Ariba. This time was spent in creating twenty interfaces that would encourage association of Ariba purchaser with Dell’s heritage frameworks. They made linkages for Ariba and Dell’s buy request, list information, cost focus, bookkeeping code approval, and representative information among different frameworks (Gattorna, 2003: p.50). This was made to determine that all the prepared requests had been approved. This brought about a last item, which encourages making buys on the web. This item is known as Dell Internet Requisition Tool (DIREQT) (Gattorna, 2003: p.51). At present, DIREQT has made it simple for Dell workers to finish buying orders online by loging into DIREQT Web website, just as leading scans for specific items, providers or administrations, which normally give precise status reports (Levy, 1999: p.23). Quickly, Ariba Buyer advances the inventory things and demand directly to the correct administrator at the cost place who signs the request electronically. The framework at that point consequently makes a supporting chain before guiding it to a representative system. (Gattorna, 2003: p.51). Be that as it may, if the item requested is absent in the list, Ariba Buyer incorporates a Dell purchaser to source the item and hands over the solicitation for last marks (Perret and Jaffeux, 2007: p.6). After the demand has been affirmed, it is moved to the Ariba Commerce Services Network (ASCN). ASCN is a mutual system foundation that assists with interfacing with purchasers and commercial centers, on the Ariba Business to Business (B2B). Trade stand (Perret and Jaffeux, 2007: p.6). Ariba utilizes ASCN to impart its requests to providers, which incorporates dispatching through email, faxes, Extensive Markup Language (XML) and electronic information trade (EDI) (Perret and Jaffeux, 2007: p.6). In addition, Ariba Buyer additionally quickens the installment procedure in Dell Inc. The receipts that Dell’s focal accepting office gets ready for products are brought into the association and coordinated naturally with the correct receipt. This is then taken care of into the framework by the record payable processors (Bothma and Geldenhuys, 2008: p.25). Furthermore, the buyers make receipts of the administration given to them, which is additionally coordinated in a programmed way. Hence, this training assists with maintaining a strategic distance from the early daily practice of administration solicitations, which is tedious, when making buys for endorsement. As expressed by Botha, Bothma and Geldenhuys (2008: p.25), with the Ariba Buyer at Dell, the order process duration is probably going to be diminished by 62%, and decrease activity costs by 61%. In any case, Dell Inc. accepts that it stands to profit for a bigger scope from the discernment into the purchasing procedure accomplished through joining customers’ data. Also, using Ariba, Dell can accumulate data important to assess its flexibly base and reconsider key business to showcase correspondences administrations, office items and counseling, among a lot more sorts of uses (Gattorna, 2003: p.50). Client RELATIONSHIP MANAGEMENT As indicated by Perret and Jaffeux (2007: p.7), Customer Relationship Management (CRM) is the creation and upkeep of relations with clients. The key point of Dell is to offer its clients mechanically solid client care necessities. Perret and Jaffeux (2007: p.7) contend that the product that help in assistance encourage Dell’s CRM incorporate promoting computerization programming, a framework that benefits the deals, and hand crafted Web pages that contain buy information. As indicated by Ross (2010: p.88), today, one fifth of standard-based PCs sold on the planet is Dell’s item. The key idea of Dell Inc. is to sell PCs straightforwardly to clients. This will expand their accomplishment in the comput

Brave New World: Utopia or Dystopia Essay

The tale Brave New World has regularly been described as oppressed world as opposed to ideal world. All things considered, the shallow review of the novel infers an idealistic culture, particularly if deciding by what the Controller said to John, the Savage: People are upbeat; they get what they need, and they never need what they can’t get. They’re wealthy; they’re safe; they’re never sick; they’re not scared of death; they’re willfully unaware of enthusiasm and mature age; they’re tormented without any moms or fathers; they’ve got no spouses, or kids, or darlings to feel unequivocally about; they’re so adapted that they for all intents and purposes can’t help acting as they should act. What's more, on the off chance that anything ought to turn out badly, there’s soma. (Huxley, 2002: 151) Enjoying themselves in feelies, electromagnetic golf and in soma they are rarely stressed, dismal, nor singular. The mos t regular sentence articulated in the novel which portrays the people’s passionate perspective is „Everybody’s glad nowadays.â€Å" People invest energy at work, burning through cash on new things, having a ton of fun and sex which doesn't include any profound emotions or love relationship. The second we bring a more profound knowledge into this general public, perfect flawlessness, or ideal world, promptly vanishes. The mankind is misleadingly created, individuals are adapted to suit their social jobs in the Community, they are oblivious that their lives are deliberately arranged, controlled and constrained by a couple of pioneers. This image doesn't suggest a Brave New World to be an idealistic culture. Inverse to ideal world stands oppressed world, characterized by word references as „an nonexistent spot where individuals lead dehumanized and regularly frightful livesâ€Å" (Hornby, 1995: 362). Somewhat milder tone of this definition can be applied to Huxley’s society. Individuals don't live in a dread, they carry out the responsibility they are fated to and hence OK with, they lead the existence they are made for, without making any contentions, and the above all else they are fulfilled and content with the manner in which the things are. „All th e individuals who, for some explanation, have too reluctantly individual to fit into network life. All the individuals who aren’t happy with universality, who’ve got autonomous thoughts of their own.† (Huxley, 1995: 155) are rebuffed. Be that as it may, â€Å"Brave New World has its own gentler disciplines: for non-conventionalists, it’s outcast to Iceland, where Man’s Final End can be talked about among similarly invested brains, without bugging â€Å"normal† individuals †in a kind of college, as it were.â€Å" (Atwood, 2007: standard. 17). In spite of this humanized society, there is another littler society, a Savage Reservation. John, the Savage, brought up in the Reservation, has been assumed to the Other Position. He was anxious to go there as his mom disclosed to him excellent tales about that humanized world. Individuals living in the Reservation are considered not to have been „civilizedâ€Å" and they lead their lives as individuals did previously, in harmonization with nature. They have confidence in marriage, they are monogamous and strict. Family is critical to them. All the parts of their lives are considered as savage by individuals from the Other Place who think of them as crude. They despite everything experience the way toward maturing and grieve when somebody bites the dust. Developing old is misleadingly halted in the Other Place, and passing is acknowledged as the standard end. In a Hospital for the Dying eighteen months †old †youngsters get acquainted with death. „All the best toys are kept there, and they get chocolate cream on death days. They figure out how to accept biting the dust as an issue of course.† (Huxley, 1995: 109). This general public, the World State, has its witticism „Community, Identity, Stabilityâ€Å" which administers its citizens’ lives. The general public is masterminded with the goal that separated from the division to social classes, everyone is a piece of one unit, one enormous network which is constrained by just a couple of individuals, called the Controllers. The Controllers made nature which suits people’s lives so as to profit the Community. Character is identified with the Bokanovsky procedure. This procedure makes indistinguishable individuals, twins of similar characteristics. They can bring forth out up to 96 twins from just a single ovary and a gamete. These militaries, or sets of indistinguishable individuals with same capacities serve the Community. Accordingly „Bokanovsky’s Process is one of the significant instruments of social stability!† (Huxley, 1995: 7). Network must be steady so as to endure. They make progress toward steadiness, â€Å"the base and extreme need.† (Huxley, 1995: 31). Hence, aside from bokanovskification, controllers put forth a valiant effort to fulfill people’s driving forces and indecencies, so they orchestrated â€Å"no strain on the psyche or the muscles. Seven and a half long stretches of mellow, unexhausting work, and afterward the soma apportion and games and unhindered relations and the feelies.† (Huxley, 1995: 153). Unhindered lovemaking and the maxim â€Å"everyone has a place with everybody else†, rehashed for so often during hypnopaedic exercises, total each other together. They can have sexual intercourse with anybody they like at whatever point and any place they need. In addition, it is very inconsiderate not to do as such. Having been brought up as such it was so unusual for Lenina when the Savage dismissed to get physically involved with her. Not at all like Lenina, he depends on monogamy and sentiment, which in the World State are considered as „a limited diverting of motivation and energy.† (Huxley, 1995: 29). Despite the fact that they are not troubled with issues, individuals in the Brave New World are denied of most human characteristics. They can't think for themselves as they have actually worked in impulses, desires and capacities. They are ufamiliar with what the term family indicates. What used to be the base of a prosperous and a sound society is currently viewed as something superfluous, tainted and hostile to discuss. At the point when the Controller conversed with understudies about family and relations in family „one of the young men, more touchy than the rest, turned pale at the unimportant portrayal and was about to start being sick.† (Huxley, 1995: 27) since the negative mentality and emotions towards family and family life are implanted from their youth. The Controller again reminds them: â€Å"And home was as abhorrent clairvoyantly as truly. Mystically, it was a bunny gap, a midden, hot with the erosions of firmly pressed life, stinking with feeling. What choking out affections, what hazardous, crazy, disgusting connections between the individuals from the family group!† (Huxley, 1995: 28). As indicated by Atwood „The word â€Å"mother† †so altogether revered by the Victorians †has become a stunning obscenity.â€Å" (Atwood, 2007: standard. 18). Any place in the novel characters notice mother it drew debased undertone, as „that filthy word againâ€Å" (Huxley, 1995: 27) „full of mothersâ€therefore of each sort of corruption from perversion to chastity† (28) or â€Å"the word made Lenina look uncomfortable† (79) lastly â€Å"To state one was a motherâ€that was past a joke: it was an obscenity.† (103). One of the primary characters Bernard, an Alpha in addition, a scholarly person, every so often shows free feeling. At the point when he and Lenina were in a visit to a Savage Reservation and saw two moms breastfeeding, Bernard noted: â€Å"What a magnificently close relationship,† he stated, intentionally crazy. â€Å"And what a power of feeling it must produce! I regularly figure one may have missed something in not having had a mother. What's more, maybe you’ve missed something in not being a mother, Lenina. Envision yourself staying there with your very own little infant. †¦Ã¢â‚¬  (Huxley, 1995: 76) Such a perception was not something someone would see in that manner, nor state for all to hear. Lenina is stunned. She searches for soma to quiet her down. Her response isn't irregular, the greater part of the individuals originating from the World State would respond along these lines for they repeat misleadingly and don't deal with the kids. The controllers created numerous approaches to control people’s lives. Generation, which used to be the essential objective for all species, including the mankind, is presently falsely done in research centers. There are the alleged „hatcheriesâ€Å" where human children are brought forth out of jugs and adapted to accommodate their foreseen social position. The positions are involved by the degree of their knowledge. Huxley utilized the Greek letter set to name positions, beginning from Alpha, the most insightful individuals, and completion with Epsilons, dolts who are competent for manual work. Various parts are given to them while they are in bottles, just as the measure of the oxygen. This control with lives and choosing the job in the general public in the Brave New World is a dehumanizing demonstration. Mustapha Mond, one of the controllers, gladly discloses to the Savage, who is getting increasingly more frustrated with what he has seen, the incredible biotechnol ogy of individuals control „his molding has set down rails along which he’s got the opportunity to run. He can’t help himself; he’s foredoomed.† (Huxley, 1995: 152). Another component of control is soma. It is a sort of a medication, conveyed by the State, which realizes charming emotions, makes individuals cheerful and agreeable, with no reactions. â€Å"Soma advances a shallow indulgence and causes distance from the sort of â€Å"real human life† that we know. Besides, soma is utilized to maintain the social control as it is.† (Schermer, 2007: 121). At the point when his mom passes on in the Park Lane Hospital for the Dying, the Savage experiences Deltas who are going to get their parts of soma. Thinkin

Is Bitcoin a Bubble Essay Example For Students

Is Bitcoin a Bubble? Paper â€Å" Do you truly accept that Bitcoin is an air pocket which is going to blast? Well the greatest story of 2017 was the exponential flood of Bitcoin costs and if its present direction proceeds, right away we would hear an a lot greater story of Bitcoin bubble burst. On the off chance that you accept thus, at that point there’s something exceptionally intriguing for you to peruse here. Truly! Bitcoin is an air pocket on the grounds that simply like whatever other air pocket that we may have seen for example dotcom air pocket or lodging bubble, Bitcoin has no natural worth and the financial specialists are eager to address the cost which is unquestionably more than its inborn worth. In addition the cost is resolved exclusively by the harmony among purchasing and selling. One may contend that Gold is additionally an air pocket since it has no inalienable worth and Gold costs are likewise blasting on theory simply like Bitcoin. That is to say, you may contend that gold is an air pocket, yet you can't debate that it has no inalienable use and not at all like a business or a real estate parcel, it's anything but a beneficial resource. On the off chance that individuals quit purchasing gold, its worth would fall. On the off chance that its worth began crumbling, an ever increasing number of individuals would attempt to sell it, and be eager to acknowledge lower and lower costs. That’s simply the rudiments of value assurance in a free market. Presently the greater inquiry is that if bitcoin doesn’t have inherent worth what is the USP and why the costs of bitcoin are valued each portion of second. Bitcoin is based on square chain innovation †a computerized record of exchanges †which empowers the money to be exchanged freely from any focal financial framework, without danger of phony or copy. That’s the USP of Bitcoins and the main explanation of being effectively exchanged the market. The usage of bitcoin, the progressive square chain innovation, the exciting story of a secret maker whom nobody knows (and who may never have existed), all that is incredible stuff and fits directly into today’s world. All things considered, the cost of bitcoin is an alternate issue. The ascent of bitcoin’s cost is an ideal show of how cost gets decided in an open market, similarly as its breakdown will be. The sexual value spurge unmistakably demonstrates that an ever increasing number of individuals are eager to get it, analyzed dealers who are for all intents and purposes irrelevant on the planet today. The pace at which bitcoin â€Å"miners† can make new units consequently decays after some time, with the greatest conceivable number of bitcoins fixed at 21 million. So the flexibly of bitcoin is likewise obliged by the mining procedure. Many individuals have acknowledged the way that there is a natural cutoff to the quantity of bitcoin that can be made. What is all the more astounding is the reality remains that the steady value ascent of Bitcoins is undiscovered in the budgetary markets or divider lanes. For instance, there is no genuine method of shorting bitcoin today. The subordinates accessible starting at now are on unregulated markets and not trustable. The greater the air pocket develops there are more odds of financial specialists losing cash as a result of government or controller intervention.This could change soon as various dependable trades are attempting to make bitcoin subordinates, Nasdaq being only one of them. This could well be a significantly defining moment in this air pocket. In any case, the bottomline for the individual saver and financial specialist is this is a betting area. That’s in light of the air pocket, yet additionally the mechanics of bitcoin. Regardless of whether you comprehend and welcome that it’s a bet and need to attempt it, the technicians are an issue. A wide range of con artists have sprung up throughout the most recent couple of months. There are applications and sites where you can ‘buy’ bitcoin however they likewise guarantee to store it for you. A significant number of these offer no provenance of any fundamental exchange or proprietorship. .u228fcb9fb4779a4120db655095d3cc10 , .u228fcb9fb4779a4120db655095d3cc10 .postImageUrl , .u228fcb9fb4779a4120db655095d3cc10 .focused content region { min-tallness: 80px; position: relative; } .u228fcb9fb4779a4120db655095d3cc10 , .u228fcb9fb4779a4120db655095d3cc10:hover , .u228fcb9fb4779a4120db655095d3cc10:visited , .u228fcb9fb4779a4120db655095d3cc10:active { border:0!important; } .u228fcb9fb4779a4120db655095d3cc10 .clearfix:after { content: ; show: table; clear: both; } .u228fcb9fb4779a4120db655095d3cc10 { show: square; change: foundation shading 250ms; webkit-progress: foundation shading 250ms; width: 100%; haziness: 1; change: darkness 250ms; webkit-change: murkiness 250ms; foundation shading: #95A5A6; } .u228fcb9fb4779a4120db655095d3cc10:active , .u228fcb9fb4779a4120db655095d3cc10:hover { obscurity: 1; change: mistiness 250ms; webkit-progress: darkness 250ms; foundation shading: #2C3E50; } .u228fcb9fb4779a4120db655095d3cc10 .focused content zone { width: 100%; position: relative; } .u228fcb9fb4779a4120db655095d3cc10 .ctaText { fringe base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: striking; edge: 0; cushioning: 0; content adornment: underline; } .u228fcb9fb4779a4120db655095d3cc10 .postTitle { shading: #FFFFFF; text dimension: 16px; text style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u228fcb9fb4779a4120db655095d3cc10 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; outskirt: none; fringe range: 3px; box-shadow: none; text dimension: 14px; text style weight: intense; line-stature: 26px; moz-fringe span: 3px; content adjust: focus; content enhancement: none; content shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/basic arrow.png)no-rehash; position: total; right: 0; top: 0; } .u228fcb9fb4779a4120db655095d3cc10:hover .ctaButton { foundation shading: #34495E!important; } .u228fcb9fb4779a4120db655095d 3cc10 .focused content { show: table; stature: 80px; cushioning left: 18px; top: 0; } .u228fcb9fb4779a4120db655095d3cc10-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u228fcb9fb4779a4120db655095d3cc10:after { content: ; show: square; clear: both; } READ: The Ending Of King Lear EssayAt some point it must blast. Today the joined estimation of all the 16.7 million bitcoins in presence is US$160 billion, with the complete capitalization of the cryptographic money universe some US$287 billion. Tomorrow it could be zero. †

Treatment Options for Pregnant Women on Heroin

Treatment Options for Pregnant Women on Heroin Addiction Drug Use Heroin Print Treatment Options for Pregnant Women on Heroin By Elizabeth Hartney, BSc., MSc., MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial policy Elizabeth Hartney, BSc., MSc., MA, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on December 09, 2015 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on January 27, 2020 JG I/ Jamie Grill /Getty Images More in Addiction Drug Use Heroin Cocaine Marijuana Meth Ecstasy/MDMA Hallucinogens Opioids Prescription Medications Alcohol Use Addictive Behaviors Nicotine Use Coping and Recovery Pregnancy is a special time in a womans life, and the discovery of a pregnancy is often when women reflect on many lifestyle choices â€" including substance use. Deciding on treatment options to address your heroin use is a wonderful gift for your baby as well as yourself, and can signify a fresh start in life for many women who are pregnant and on heroin. Determining the best approach for treating your substance use should be done with your doctor, not on your own. There are many factors to consider, and your doctor is in the best position to advise you on the path that predicts the best start in life for your baby. Will My Baby Be Taken Away If I Tell My Doctor? Substance use during pregnancy can be a reason for a child to be temporarily or permanently taken into care, particularly if the mothers substance use is likely to negatively impact the health, safety, and emotional well-being of her child. Heroin use is a very serious type of drug use, which is associated with many risks for both mother and baby â€" before and after birth. However, seeking treatment as early as possible during pregnancy will increase your chances of being able to keep custody of your baby, and is more likely to lead to you receiving the care and support you need for a successful pregnancy and parenting your new baby. Should I Quit Cold Turkey? Although it might seem most sensible to stop taking drugs immediately, quitting cold turkey can be unsafe if you have been taking heroin for some time. Your risk of having a miscarriage increase if you go into heroin withdrawal, which is why methadone maintenance is often recommended for pregnant women taking heroin. However, you may be able to quit gradually with the help of your doctor. What Is Considered in Choosing a Treatment Plan? Whether or not quitting heroin gradually, using another prescription opiate, is a good idea will depend on many different factors related to your drug use, including: Your history of substance useHow long you have been taking heroinHow much heroin you have been taking recentlyHow frequently you have been taking heroin and other drugsWhether you have been taking any other drugs, and your feelings of dependency on those drugsYour past attempts to quit or cut down on heroin, and other drugs, including alcohol It will also depend on other health factors, including: Whether you have other mental health problems that you self-medicate with heroin, such as post-traumatic stress disorder, anxiety disorder or depression, all of which are common in people who use heroinWhether you suffer from chronic painWhether you have infectious diseases, such as TB, hepatitis, or HIVAny other health concerns you have Finally, the treatment plan you and your doctor decide on will depend on your current life circumstances, such as: Whether you will have enough money for yourself and your baby to live onWhether you have a supportive partner, family, or social networkWhether you have any lifestyle difficulties that are incompatible with raising a child, such as family violence or dependence on trading sex for money, food or shelter Stability Is Key Your doctor, and perhaps another helping professional such as a social worker or psychologist, can help you to figure out how you can be as stable as possible during and after your pregnancy. Although detox and therapy are often very helpful for people coming off heroin, keeping yourself calm and stable is safest for your baby, so sometimes these aspects of treatment are better delayed until after the baby has arrived. For this reason, methadone can often be the best way to get off heroin and give you the stability to put the rest of your life in order before the babys birth. The decision to go on methadone is not taken lightly, but remember, your doctor will be balancing the risks of the various options you have available. If you are on methadone, you are less likely to have a relapse to heroin use, and the associated risks of miscarriage or overdose.