Dear Morgan, 
I feel bad for the way mom was treated by the staff.  Calling in cps was in my 
opinion a bit hasty.  Not sure why the baby was delivered early, or if it will 
affect the outcome of this article, but it is sure worth a try. Many moms must 
use supervised pain meds to lead a productive life.  I hope this article makes 
mom feel a bit more secure and not labeled as a "druggie". I just came across 
(tonight) an article from the AAP regarding pain management and 
breastfeeding. Pediatrics vol. 1 January 2008, pp 106-114.  I put the link 
below.  Here is the basic conclusion for Methadone Maintenance and 
Breastfeeding in the neonatal period.

Results:  Concentrations of methadone in breastmilk were low (range: 21.00-
462.0ng/mL) and not related to maternal dose. Their was a significcant 
increase i methadone concentrations in breast milk over time for all 4 sampling 
times.  Concentrations of methadone in maternal plasma were not different 
between groups and were unrelated to maternal dose.  Concentraations of 
methadone in infant plasmaa were low (range:2.2 -8.1 ng/mL) in all samples. 
They were comparing infants on formula vs those whose moms took 
methadoneand breastfed.  Infants in both groups underwent neurobehavioral 
assessments on days 3, 14, and 30; there were not significant effects of 
breastfeeding on neurobehavioral outcomes.  Fewer infants in the breastfed 
group required pharmacotherapy for neonatal abstinance sydrome, buth this 
was not a statistically significan finding.

Remember, I summerized the above: please read the whole paper. If you can't 
get the link please e-mail me off list and I will type out the objective, and 
methods used.  

Sincerely,
robin

Methadone Maintenance and Breastfeeding in the Neonatal Period
Lauren M. Jansson, Robin Choo, Martha L. Velez, Cheryl Harrow, Jennifer R. 
Schroeder, Diaa M. Shakleya, and Marilyn A. Huestis
Pediatrics. 2008; 121:106-114.  [Abstract] [Full Text] [PDF]
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