There is a program in South Carolina that is doing this very thing in the hospital. For mothers who are in a treatment program prenatally, baby rooms-in 24-hours a day on mother/baby unit and pharmacological treatment starts at birth for baby. Each day the baby's medication dose will be tapered and mother/baby are dismissed home together. They have much shorter lengths of stay than waiting for elevation of NAS scores to direct treatment. 



Our hospital actually was going to be part of the second phase of broadening this program to other hospitals in the state, but we just learned from our management team that we had to drop out of the program (just before it started here) since corporate classed it as a clinical trial. 



Rachel A. Miller

Rock Hill, SC



------------------------------



Date:    Wed, 29 Aug 2018 09:42:51 -0400

From:    Nikki Lee <[log in to unmask]>

Subject: being proactive with methadone



Dear Lactnet Friends:



Reading Tricia Shamblin's lovely post triggered a question.



Why do we make newborns go cold turkey?



Why not give them a small amount of methadone at birth and wean them off?

Wouldn't that make breastfeeding go better and be easier on the babies?



I'd rather my baby have methadone than formula...



warmly,



-- 

Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC, RYT

Reviews Editor,* Clinical Lactation*

www.nikkileehealth.com

*Communications are confidential and meant only for whom they are

addressed.*



*



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