Reading a little bit more about this, it seems like automatically referring moms on medication assisted treatment is going to stop. I think that is a good thing because you don't want to penalize moms who are trying to the do the right thing.
I am on a statewide panel looking at the optimal treatment of the mother-baby dyad affected by su…
Reading a little bit more about this, it seems like automatically referring moms on medication assisted treatment is going to stop. I think that is a good thing because you don't want to penalize moms who are trying to the do the right thing.
I am on a statewide panel looking at the optimal treatment of the mother-baby dyad affected by substance use disorder. Who to test is the trickiest part of all of this. Ideally, women would be honest about their drug use but that will never happen. So how do you decide who to test? How do you test fairly? How do you use the information to really do the best for the family?
"It also limits testing to circumstances where results 'will change the medical management of the pregnant person or infant.'" In our institutation, every single infant that has a known drug exposure stays in the hospital for 5 days to watch for withdrawal signs. We treat them with morphine if they show significant symptoms. Regardless, these babies are at risk for poor feeding, excessive weight loss, fragmented sleep, and being difficult to console. We use those 5 days to teach the families how to best care for these infants that may be more "challenging." Not all babies are but the extra skills don't hurt. These babies are also at risk for long term developmental delay and vision problems. So we want to be sure these families have close follow up with their pediatricians and eye doctors. We also want to hook the families up with extra resources to encourage parenting success.
Reading a little bit more about this, it seems like automatically referring moms on medication assisted treatment is going to stop. I think that is a good thing because you don't want to penalize moms who are trying to the do the right thing.
I am on a statewide panel looking at the optimal treatment of the mother-baby dyad affected by substance use disorder. Who to test is the trickiest part of all of this. Ideally, women would be honest about their drug use but that will never happen. So how do you decide who to test? How do you test fairly? How do you use the information to really do the best for the family?
"It also limits testing to circumstances where results 'will change the medical management of the pregnant person or infant.'" In our institutation, every single infant that has a known drug exposure stays in the hospital for 5 days to watch for withdrawal signs. We treat them with morphine if they show significant symptoms. Regardless, these babies are at risk for poor feeding, excessive weight loss, fragmented sleep, and being difficult to console. We use those 5 days to teach the families how to best care for these infants that may be more "challenging." Not all babies are but the extra skills don't hurt. These babies are also at risk for long term developmental delay and vision problems. So we want to be sure these families have close follow up with their pediatricians and eye doctors. We also want to hook the families up with extra resources to encourage parenting success.