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Re: neonatal methadone withdrawal From: Dr. Ainsworth (ainsron@sbcglobal.net) Wed Jan 28 20:42:57 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Hep C carrier & gyn surgery" Previous message: DoctorJoe@aol.com: "Re: neonatal methadone withdrawal" Next in thread: Charlie Chambers: "Re: neonatal methadone withdrawal" Reply: Charlie Chambers: "Re: neonatal methadone withdrawal" This is a multipart message in MIME format. I would like to see those "guidelines" too. We care for one or two methadone patients monthly at our community hospital, level 1. The pediatricians seem quite comfortable detoxing them. They often stay for a week or longer, but I don't remember any that have stayed for 3-6 weeks. If the last baby was taken by CPS, there must have been other issues besides methadone. From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Charlie Chambers Sent: Wednesday, January 28, 2009 6:20 PM To: Multiple recipients of list OB-GYN-L Subject: neonatal methadone withdrawal 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. **************************************************************************** Charlie Chambers -- Hood River, OR cchamber@alumni.rice.edu "Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. **************************************************************************** *** Next message: DoctorJoe@aol.com: "Re: Hep C carrier & gyn surgery" Previous message: DoctorJoe@aol.com: "Re: neonatal methadone withdrawal" Next in thread: Charlie Chambers: "Re: neonatal methadone withdrawal" Reply: Charlie Chambers: "Re: neonatal methadone withdrawal"

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