I am currently writing a book on
recreational drug use during pregnancy and breastfeeding.

Would you and any of your LC friends be interested in providing
possible case study vignettes to include in the book?

All information will not include any personal patient identification.

Your name can be mentioned with the vignette, but you can also remain anonymous
if you wish.

You can respond to me at: [log in to unmask]  Thank you.

The following represent the case situation vignettes I would like to include in
the book:

1.  Describe an encounter
with a pregnant woman who uses medications recreationally. What were the
patient’s concerns? What questions did she ask? 

2.  Describe an encounter
with a breastfeeding woman who shows a desire to use medication recreationally
postpartum. What were the patient’s concerns? What questions did she ask? 

3. Describe an encounter when a patient is unsure if a recreational or illicit
medication is something she can take safely while breastfeeding. What did she
learn from her pediatrician? Why was she asking about this medication? 

 4. Describe an encounter with a woman seeking
guidance, but you did not have a clear cut, well referenced answer. Best if
this encounter demonstrates the usefulness of the ABM Clinical Protocol #21:
Guidelines for Breastfeeding and Substance Use or Substance Use Disorder,
Revised 2015. Retrievable: http://www.bfmed.org/Media/Files/Protocols/Guidelines%20for%20Breastfeeding%20and%20Substance%20Use%20or%20Use%20Disorder.pdf 

 5. Describe an encounter
where a woman admits to Schedule I illicit drug (for example: cocaine, ecstasy,
heroin, LSD, PCP) use while breastfeeding. How did she feel? What were her
concerns? Why did she decide to breastfeed while using this Schedule I drug? If
she is aware of the adverse effects, how does she manage to take this drug and
breastfeed? Does she separate intake and

 breastfeeding by a certain amount of
time? Does she use other techniques to get rid of the drug? How did she hear
about this technique? How was the infant affected? 

 6. Describe an encounter where a patient
admits to marijuana use while breastfeeding. How did she feel? What were her
concerns? Why did she decide to breastfeed while using this marijuana?

 If she is aware of the adverse effects,
how does she manage to take this drug and breastfeed? Does she separate intake
and breastfeeding by a certain amount of time? Does she use other techniques to
get rid of the drug? How did she hear about this technique? How was the infant
affected? 

7. Describe an encounter where a woman is unsure if an illicit medication is
contraindicated while breastfeeding. What was her course of action? What alternatives
did she use? 

 8. Describe an encounter where an infant
experienced (Neonatal Abstinence Syndrome (NAS) due to opiate or other drug
exposure. What did the infant look like? What was the course of action? How did
the mother respond? 

9. Describe a case where a breastfeeding mother is being treated for her addiction.
Why was she using this recreational drug? How was she treated? What alternative
therapies were used?

 How was the infant affected? With what
method and/or drug was the infant treated? 

10. Describe an encounter where a breastfeeding mother who uses drugs
recreationally is counseled. How did she respond? Did she decide to discontinue
the recreational drug use, or

 discontinue breastfeeding? 

11. Describe a case where a breastfeeding mother who used drugs recreationally
recovers from

 the addiction. What were the struggles?
How did she overcome the addiction? How did she continue breastfeeding, or what
was her course of action?

Frank J. Nice, RPh, DPA, CPHP

[log in to unmask]     www.nicebreastfeeding.com 


 		 	   		  
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