Did you ask your co-worker why she said this?
I've crossed this problem a couple of times and I would punt to the
pediatrition and try not to get to caught up in it.  Ultimately, protective
services are going to have to decide whether or not this child is safe,
because the mother will do whatever she wants to do if she takes the baby
home with her.
I usually had the mother pump to keep up a supply and help the bonding
hormones while everyone was deciding about the future of the baby.   I've
often said that a mother's love for her baby might (just might) be strong
enough to break the ties of addiction.  I've read a lovely story written by
a mother who did just this.  In the end, helping her see that it is a clear
choice between drugs and caring for her baby might give her some
perspective.
And it just breaks my heart....


On Thu, Feb 7, 2013 at 12:58 PM, Pamela Poe <[log in to unmask]> wrote:

> 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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