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Re: neonatal methadone withdrawal From: DoctorJoe@aol.com Wed Jan 28 19:44:51 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: neonatal methadone withdrawal" Previous message: Charlie Chambers: "neonatal methadone withdrawal" Maybe in reply to: Charlie Chambers: "neonatal methadone withdrawal" Next in thread: DoctorJoe@aol.com: "Re: neonatal methadone withdrawal" In a message dated 1/28/09 8:19:55 PM, ricechaz@me.com writes: > We have a patient who delivered about 3 years ago at our level facility who > remained on methadone. Baby was cared for by a local FP, and did remarkably > well though eventually taken by child protective services. Patient is now > back in our practice at 35 weeks again on methadone. We discussed with local > peds MD who is agreeable to care for the baby. However, behind the scenes, > nursing supervisors were concerned with caring for this patient at our facility. > Without prompting from ob or peds, they contact neonatal doc at tertiary care > center regarding appropriateness of this plan. Opinion was given that there > are new guidelines which mandate in patient management of these kids for 3-6 > weeks. The local peds doesn't want to go against these "guidelines" and I > can't seem to find the source. Are other aware of this ? Would you agree that > delivery at level one facility is inappropriate? Opinions please.  > Depends on the dose of Methadone, any other medications, and underlying pathology. I've seen a number of babies whose mothers were on modestly small Methadone doses who didn't even withdraw in the neonatal period. Joe P. ttp://http://www.freecreditreport.com/pm/default.aspx?sc=668072%26hmpgID=62%26bcdÞ cemailfooterNO62) Next message: Charlie Chambers: "Re: neonatal methadone withdrawal" Previous message: Charlie Chambers: "neonatal methadone withdrawal" Maybe in reply to: Charlie Chambers: "neonatal methadone withdrawal" Next in thread: DoctorJoe@aol.com: "Re: neonatal methadone withdrawal"

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