[CarCan]

I am looking for help finding research on the use of heroin/methadone in pregancy - from either mother's or midwife's perspective. I've found next to nothing so far.

Any help gratefully received,

Carol

[La Sage-Femme]

Oh I printed out an article from the bjm recently as it had info on breastfeeding as well - i'll see if i can dig out the pdf for you - you can look up the references and see if theres anything useful x

[La Sage-Femme]

Abrahams RR, Kelly SA, Payne S, Thiessen PN, Mackintosh J & Janssen
(2007) Rooming-in compared with standard care for newborns of mothers

using methadone or heroin

Can Fam Physician 53(10): 1722–30

Advisory Council on the Misuse of Drugs (2003) Hidden Harm –

Responding

to the needs of children of problem drug users

ACMD, London

Ballard (2002) Treatment of neonatal abstinence syndrome with breast milk
containing methadone

J Perinat Neonatal Nurs 15(4): 76–85

Begg E, Malpas T, Hackett P, Ilett K (2001) Distribution of R- and S- methadone
into human milk during multiple, medium to high oral dosing Br J
Clin Pharmacol

52: 681–85

Bellis J, Donmall M (1994)

Drug Misuse Monitor 1993: Drug Statistics in

the North West and the UK plus a focus on gender

University of Manchester

Drug Misuse Research Unit, Manchester
Berghella V, Lim P, Hill M, Cherpes J, Chennet J, Kaltenback K (2003)
Maternal methadone dose and neonatal withdrawal Am J Obstet Gynecol

189

(2): 312–17

Berghella V, Kaltenback K (2004) Reply to Improving the management of
opiate-dependent pregnancies

Am J Obstet Gynecol 190(6): 1806–07

Byrington D (1997) Applying Relational Theory to Addiction Treatment In:
Straussner SLA, Zelvin E (eds)

Gender and Addictions: Men and Women in

Treatment

Aronson, London: 31–46

Dashe J, Sheffield J, Fleischer D, Todd S, Jackson G, Wendel G (2002)
Relationship between maternal methadone dosage and neonatal withdrawal

Obstet Gynecol

100: 1244–9

Dashe J, Sheffield J, Wendel G (2004) Improving the management of opiatedependent
pregnancies

Am J Obstet Gynecol 190(6): 1806

Department of Health (1999)

Drug Misuse and Dependence–Guidelines on

Clinical Management

. Annex 5: Pregnancy and Neonatal Care http://www.

dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAnd
Guidance/DH_4009665 (accessed 21 August 2009)
Department of Health (2000)

Information for Midwives: Hepatitis B Testing in

Pregnancy

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/

PublicationsPolicyAndGuidance/DH_4007742 (accessed 21 August 2009)
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methadone dosage, maternal–neonatal methadone levels, and neonatal
withdrawal

Obstet Gynecol 81(6): 936–40

Dryden C, Young D, Hepburn M, Mactier H (2009) Maternal methadone
use in pregnancy: factors associated with the development of neonatal
abstinence syndrome and implications for healthcare resources

BJOG

116

(5): 665–71

Fraser J, Barnes M, Biggs H, Kain V (2007) Caring, chaos and the vulnerable
family: Experiences in caring for newborns of drug-dependent parents

Int J

Nurs Stud

44(8): 1363–70

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BMC Pregnancy

Childbirth

6: 19

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[La Sage-Femme]

don't know if any of that will help - pm me you email addy and I'll send you the article if it would help

[lilgirllost]

Hi. I work for a HON code approved Methadone Maintenance website www.medicalassistedtreatment.org and I also have personal experience with methadone during pregnancy and opiate abuse during pregnancy. If I can help you with any info, I would be more than happy to. You can contact me at boandtrent@cebridge.net

[Butterfly]

I did a project on this in my second year. The book 'Drug misuse and pregnancy' really helped with classifications etc, and think there was stuff in there about meeting the needs of these women too:

http://www.amazon.co.uk/s/ref=nb_ss_...egnancy+and+dr

xxx

[CarCan]

Blimey ladies - thanks very much ! I've been at work since I wrote this and to see such wonderfully helpful responses - has reduced my stress load enourmously.

Thanks again.

Carol xx