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Re: Methadone in pregnancy From: Dr. Ainsworth (ainsron@sbcglobal.net) Thu Oct 30 12:17:13 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Methadone in pregnancy" Previous message: jescnm@icehouse.net: "Re: Methadone in pregnancy" In reply to: jescnm@icehouse.net: "Re: Methadone in pregnancy" Next in thread: Richard Chudacoff, MD: "Re: Methadone in pregnancy" The problem with that is that the current literature is not lacking, they simply believe what they want to believe because it supports keeping the patients under their program and keeping the money rolling in! If you don't have access to these articles, email me privately and I will be happy to forward them. I also offered them to the methadone doc, so far he hasn't asked for them or responded - I hardly expect that he will. Dashe, J.S., et al. “Relationship between maternal methadone dosage and neonatal withdrawal.” Obstetrics & Gynecology, December 2002. V.100-6, p.1244-1249. Dashe. J.S., et al. “Opiod detoxification in pregnancy.” Obstetrics & Gynecology, November 1998. V.92-5, p.854-858 >I'm having similar problems with the methadone clinic in our community, I have >a 24 y/o woman, g4 p3 with a hx of previous prescription pain med addiction, >she was court ordered into this program and now that she is pregnant wants to >wean so that she will be metadone free to breastfeed, she's currently first >trimester. > >I consulted with an MFM who supported her attempting a slow withdrawl to be >down to 20mg per day by 3rd trimester. Sent the metadone clinic the notes and >plan which they are refusing to carry out. > >The methadone folks are threatening to report failure to comply to Child >Protective services and the court if the mom refuses to take their prescribed >dosage and are trying to increase the now 60mg/day dose. > >They are reciting 25 y/o studies which show higher SAB rates, abruptio etc. The >current literature is lacking. So what to do? > >Joseph Shaeffer ARNP/CNM >Spokane, WA Next message: Richard Chudacoff, MD: "Re: Methadone in pregnancy" Previous message: jescnm@icehouse.net: "Re: Methadone in pregnancy" In reply to: jescnm@icehouse.net: "Re: Methadone in pregnancy" Next in thread: Richard Chudacoff, MD: "Re: Methadone in pregnancy"

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