Sorry you are struggling Lexi. I don't see value in talking to her about the situation. What would it achieve? You can't change or reverse the last three years, right? She's obviously been living with chemical dependence, a powerful force, otherwise she would have quit the opiates before or at the onset of the pregnancy. The docs had to give her something for the pain since a C-section is a surgery....I assume you weren't suggesting they just leave her in agony after cutting her open. That would be medically unethical and illegal. Your current situation and its impact on you sound untenable. Why not move out? You're over 18, right? You could find a place of your own...with a roommate or two if you need help with rent and distance yourself from this person you are unable to accept. You could then see your brother or father or whoever you like separately on your own terms. We cannot change or control other people. We can only change how we respond to them. Peace and hope to you.