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Richard Chudacoff, MD
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-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rachel
Hedin
Sent: Tuesday, May 31, 2005 11:59 AM
To: Multiple recipients of list OB-GYN-L
Subject: hello and question
Hi. I'm a family practice nurse practitioner working in women's
health...currently also beginning studies for a second master's degree
to get my CNM.
We have a 32 y/o client at my clinic who just moved from out of state.
She is 26 weeks pregnant (G2 P1, had a c. section for FTP in Sept 2004
and is due again Sept 2005) She has struggled with drug addiction in the
past, but has been sober for 8 years and currently is maintained on 10
mg of methadone a day. She would like to discontinue the methadone
completely but was advised by her previous provider to wait until after
the birth. There are no methadone clinics/addictionists nearby for us
to refer to. We found out legally that we CAN continue to prescribe for
her during her pregnancy, so the group has asked that we do some
research into what the best action plan is. Mom is very motivated to
get off the methadone as she wants to prevent IUGR, withdrawl syndromes
postnatally, etc. If anybody has any experience with this...or
suggestions about how to taper mom off (and when) as well as any
risks/pitfalls to look out for, I'd appreciate the input. FWIW mom is
in a very structured living environment with lots of emotional support
right now as she has voluntarily joined a live-in religious program for
unwed moms. Thanks!
Rachel RN MSN
