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Subject:
From:
gonneke van veldhuizen <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 8 Feb 2010 03:36:48 -0800
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If baby was exposed during pregnancy it is a bit weird to deny him all positive and possible regenerating effects of breastfeeding afterwards, isn't it? I'd try and get mom on methadone if at all possible and guide her into getting rid of her addiction. The effects of non-breastfeeding on the intellectual development is probably doubling that of the decrease in IQ following in-utero exposure to cocaine. If it is illegal to feed a baby cocaine holding breastmilk, it should be illegal to feed it cocaine holding blood before birth as well, shouldn't it? The harm has been done already.

Warmly,

Gonneke, IBCLC in PP, LC lecturer in southern Netherlands


--- On Mon, 2/8/10, [log in to unmask] <[log in to unmask]> wrote:

From: [log in to unmask] <[log in to unmask]>
Subject: [LACTNET] Cocaine positive mom/baby and breastfeeding
To: [log in to unmask]
Date: Monday, February 8, 2010, 6:06 AM

I need some advice from those wiser than myself.  What do you do when you have a mom come in who has a drug history, is found to have a positive urine for cocaine, as well as the baby after delivery.  Mom wants to breastfeed, and is allowed to put baby to breast, or baby is given pumped breastmilk.  Drs are aware of L5 status, but are allowing the feeding.  Are there policies/protocols for hospitals already in place for this situation?  If so, would you be willing to send me a copy - don't want to reinvent the wheel if I don't have too.  Main concern (aside from health of baby), is the legal ramifications of giving breastmilk that may contain cocaine while baby is in the hospital, and complications arise with the baby because of it that may have detrimental effects (ie death of baby).  Thanks!

Brenda Enfield, RN, IBCLC
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