Dear Lactnetters,
 
Permission to post from a mom who took this med (buprenorphrine) in  
pregnancy (Hale says Class C risk in pregnancy and L3 risk in  breastfeeding) and 
continues on it postpartum. AAP has not reviewed  this med, at least according to 
the 2004 edition of Hale.  It is a  narcotic analgesic.
 
The baby was determined to be showing withdrawal signs and was started  on 
Morphine.  The is three weeks old, still hospitalized and has had a  tapering 
down dose in the last week and a half.  I don't really know  why the baby was 
not put on Phenobarbital and  discharged. 
 
The baby is very fussy in the evening, usually around 7 to 10 or 11  PM.  He 
has normal breastfeeding stools, some seedy and some runny, more  liquid at 
times.  When it is more liquid, the baby receives a point  on the abstinence 
score.  This baby also gets points for being fussy,  high tone, etc.  What she 
describes could sound a lot like a colicky  baby. Wt. gain is good.  Back to 
birth weight before 2 weeks.  Mom has  a great milk supply.  
 
If anyone has had experience with a baby whose mom took this med in  
pregnancy and can report on its effect on her newborn, would you share your  
experience with the list?
 
Thank you for your assistance.
 
Mary-Jane Sackett, RN, IBCLC, RLC
 A new hospital-based lactation consultant with lots to learn
 

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