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Re: Methadone in pregnancy From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Thu Oct 30 14:05:01 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Methadone in pregnancy" Previous message: Dr. Ainsworth: "Re: Methadone in pregnancy" In reply to: jescnm@icehouse.net: "Re: Methadone in pregnancy" Next in thread: DoctorJoe@aol.com: "Re: Methadone in pregnancy" I say, if they want to be contrary to the OB and MFM, let THEM be the obstetricians of record! -- Richard Chudacoff, MD Men think highly of those who rise rapidly in the world; whereas nothing rises quicker than dust, straw, and feathers. Lord Byron -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of jescnm@icehouse.net Sent: Thursday, October 30, 2003 12:29 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Methadone in pregnancy 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: DoctorJoe@aol.com: "Re: Methadone in pregnancy" Previous message: Dr. Ainsworth: "Re: Methadone in pregnancy" In reply to: jescnm@icehouse.net: "Re: Methadone in pregnancy" Next in thread: DoctorJoe@aol.com: "Re: Methadone in pregnancy"

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