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Re: Methadone in pregnancy From: DoctorJoe@aol.com Thu Oct 30 15:30:00 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Carpenter, Jr. MD: "Re: Methadone in pregnancy" Previous message: Richard Chudacoff, MD: "Re: Methadone in pregnancy" Maybe in reply to: Dr. Ainsworth: "Methadone in pregnancy" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Methadone in pregnancy" Reply: Robert J. Carpenter, Jr. MD: "Re: Methadone in pregnancy" In a message dated 10/30/03 12:35:01, jescnm@icehouse.net writes: > 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? > This is REALLY a job for a lawyer who is familiar with this sort of stuff. When they get the courts involved and have the power they have (i.e. Child Protective Services, etc.), you CANNOT afford to miss a beat or make a mistake. They'll swoop her baby up at birth quick as you can bat an eye. If they want to INCREASE her dose, against medical advice, you need to be aggressive and go after them and advocate for your patient/client. I would advise the MFM and you and the lawyer put your heads together and go for it, if you think the mom is sincerce, etc., etc. Joe P. Next message: Robert J. Carpenter, Jr. MD: "Re: Methadone in pregnancy" Previous message: Richard Chudacoff, MD: "Re: Methadone in pregnancy" Maybe in reply to: Dr. Ainsworth: "Methadone in pregnancy" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Methadone in pregnancy" Reply: Robert J. Carpenter, Jr. MD: "Re: Methadone in pregnancy"

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