Heroin withdrawal - page 2

Had an very uncomfortable night watching a mom and newborn withdraw. How does your hospital deal with this?... Read More

  1. Visit  marmelloz profile page
    0
    Ok, thanks. I was afraid you meant something like that. Poor little babies. So, I'm sure you get why we were wishing we could chain this mother (tongue in cheek) to a chair to stick around. She wasn't hurting for her baby, but we were. Can't imagine seeing so much more of it, as you have!
  2. Visit  estrellaCR profile page
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    Are the babies really allowed to leave with their drug addicted mother? In NY, if a baby is born with toxicology, the facility is mandated to report it to Child Protectives Services who would then take action on this often placed in and work with the parent to go through rehab and other service plan goals if she wants her child(ren) back. Does your state not have this policy?
  3. Visit  monkeybug profile page
    0
    Quote from estrellaCR
    Are the babies really allowed to leave with their drug addicted mother? In NY, if a baby is born with toxicology, the facility is mandated to report it to Child Protectives Services who would then take action on this often placed in and work with the parent to go through rehab and other service plan goals if she wants her child(ren) back. Does your state not have this policy?
    The rule where I am at is that if mom is positvie by baby is negative, baby goes home with mom. If both are positive then baby goes to foster care. Very arbitrary and stupid, I think, because it's going to come down to timing. If we test mom and then she is in L&D for a long time (and deprived of her drugs) then the baby may be negative by the time it gets out and pees.
  4. Visit  madelynsmom profile page
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    May I ask, how often do you see this happen? I am considering making L&D my specialty when I am finished with school but I am not sure how to handle seeing that and not wanting to rip the faces off of the mothers that did that to their children.
  5. Visit  monkeybug profile page
    0
    Quote from madelynsmom
    May I ask, how often do you see this happen? I am considering making L&D my specialty when I am finished with school but I am not sure how to handle seeing that and not wanting to rip the faces off of the mothers that did that to their children.
    I've been out of the hospital a year, but I doubt it's changed very much. I watched it happen a lot. I've even seen a patient come to L&D in labor with cocaine powder all over their upper lip. I always wondered if I had "Stupid" tattooed on my forehead, because that's sure how these patients treated me (and all the other nurses). "I must have gotten that cocaine off a toilet seat" (yes, I really heard that one). "I only smoke marijuana, I don't know why that other stuff is showing up." "I was in a car with somebody that was smoking, it wasn't me." When I worked in a "ritzy" hospital I cared for more women with prescription addictions rather than street drugs, but addiction is common in today's society.
  6. Visit  estrellaCR profile page
    0
    Depends what hospital you are at. City/public hospitals may have more cases as the population that is served is more often from disadvantaged living conditions and has the misfortune to be more prone to drug use or addiction. So some hospitals may have higher incidence of withdrawal babies than others.
  7. Visit  obizyanka profile page
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    My hospital is awful with this. Babies need consecutively high finnigans scores to be shipped to another facility for treatment. We don't treat the babies here and the drs are not eager to send them out. Ie cs 3 days ago on suboxone baby screaming all classic signs of withdrawal sent out only this past evening.
  8. Visit  NicuGal profile page
    0
    We treat after 3 consecutive scores of 8 or greater. When they don't treat they aren't doing that baby any justice! All the methadone moms come to our hospital to deliver, it isn't unusual to have 2 or more of these kids at one time, some for a few months because we can't get the weaned. We never send kids home on morphine or clonidine. If the mom has a safe home and has completed parenting and drug counseling and has passed urine tests then the baby will go with her.

    Some of the moms are okay, some even have a story that will strike home with you...Inhad one that was from a family like my own and she lived basically a double life when her drug habit took over. Then there are the ones that you know will never straighten out. I always give them a chance to show which one they are. And we are seeing a higher incidence of "normal" middle to upper class women on pain killers, who think it it is perfectly fine to take percosets and Vicodin and flexeril while pregnant because their doctor said it was alright, not meaning their OB. So it crosses all borders.


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