This is in response to Anne Merewood's request for info on hospitals that allow for breastfeeding for moms who are on methadone. We have upped the allowable dose of methadone to 80 mg/day at our large teaching hospital largely based on the work of John McCarthy, MD (JHL 16(2), 2000). This decision was made by a committee made up of the chairperson of our high risk OB service, the chief of the neonatology dept and our two lactation consultants. We do not require a consent form but the patient is advised that they must remain in a rehab program with negative drug screens in order to safely continue breastfeeding. They are also counselled on the potential risks of illicit drug use on their breastfeeding infants. The wording in our breastfeeding standard of care reads, "Mothers on methadone maintenance generally considered safe to breastfeed if <80mg/day. Any dose over 80mg/day requires the advice of the interdisciplinary team (OB, Peds, social work and lactation consultant) and a physician's order. Hope this helps, Kimberly Jackson, RN, IBCLC *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html