Dear fellow lactnuts,
Perhaps we should use personal brainpower and logic next to research outcomes.

If the mother could be put on a supervised programme to stop using, baby could benefit from it to continue breastfeeding and so gradually be weaned of the drugs, as is mom. If she is not going to stop all discussion is needles, for she won't be able to be a responsible mother breast or formula feeding. In that case baby would be best with a responsible foster mom and donated human milk (or a wetnursing foster mom) to help compensate for the harm already done during pregnancy.
Remember baby has been exposed to drugs throughout the most vulnerable period already, a bit more or less by mouth rathe  then IV (as is the case during pregnancy) won't do very much extra harm, if mom is herself weaning of drug abuse.

Warmly,

Gonneke IBCLC in PP, LC lecturer in Southern Netherlands





>________________________________
> From: Pamela Poe <[log in to unmask]>
>To: [log in to unmask] 
>Sent: Thursday, February 7, 2013 6:58 PM
>Subject: Active Drug use
> 
>I am torn in posting this message but want some input.  Working with a mom that has abused meth amphetamines, cocaine, cannibis throughout pregnancy.  Tested positive for Ccoaine and cannibis at delivery and then lied about this.  Not actively being treated, as she was kicked out of her drug treatment program for not following the expectations and rules.  I had said to the RN's on the floor that breastfeeding shoudl be discouraged for this woman is an addict that is not being treated nor successful with past treatment.  I went by guidelines set forth in the AAP, ABM protocol #21 for drug addiction, CDC and Tom Hales Meds and Mother's milk listing all of these drugs as L5 and breastfeeding is to be discouraged.  She had agreed to bottlefeed until one of our IBCLC went against every thing that I said and stated that this mother can breast feed and should be encouraged and helped her to breastfeed.  In my mind she does NOT fit the criteria of
 breastfeeding as safe, but I feel it is extremely unsafe and hazardous.  One of my coworkers who is also IBCLC stated I need to address this with the director and possibly take it to the IBCLC code of ethics and report her.  Baby is having a tough time with withdrawal, seizures noted, now on morpihine...I am worried sick about this baby being exposed to his mother's breastmilk.  Input????
>
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