Marijuana and Breast Feeding ????

Published

A relative of mine just had a baby who is now only 2 weeks old. While over at their house I observed the Mom go out to the garage and smoke a "joint" and also drank a shot of tequila which was served by the father of the baby. I asked the Mom if she realized that both substances would get into her breast milk and to the baby when she feeds her. The Mom just sort of blew me off stating that her body will detoxify itself in two hours, -- which personally I know is not true cause the chemical THC found in marijuana - is stored in the body fat, the same place that the breast milk is made. I asked another relative who is staying at the house how long the Mom had been doing this, and she told me this has been going on for about a week. I'm scared for the baby's health and how she will be cared for with her mother being high off of pot. This is her 1st child too. She knows I'm a Nurse but she's not listening to me as far as this being bad for the baby. Would I be wrong if I called child protection ? What should I do ?

Mom's alleged drug use leads to murder charge

Prosecutors: Methamphetamine in breast milk

By SCOTT GOLD

Los Angeles Times

MEAD VALLEY, Calif. - One winter night last year, 3-month-old Jacob Wesley Smith was bundled up in his yellow sleeper, the one his mother liked, and was lying on his belly, the way he liked to. Around 5 a.m., in this lonely backwater where skinny dogs roam free and the only green grass is at the cemetery, he awoke with a fuss, his mother recalled.

A hard-working, hard-living woman named Amy Prien, she lifted him from his bassinet and fed him, she told investigators, and his blue eyes drooped again. The baby had been a little sick, she said, but it was just a cold. Prien laid him on her bed, and he began breathing more deeply. Maybe he'll feel better tomorrow, she thought.

"I woke up with a corpse," she says today, waving off the memory with a flick of her long cigarette.

At first, the Riverside County coroner labeled it sudden infant death syndrome - a diagnosis used when investigators can't explain why a healthy baby dies. According to agency documents, there was no sign of injury, abuse or trauma. Jacob's body was "unremarkable" - well developed and well-nourished.

Then a month later, on Feb. 19, 2002, the coroner received a toxicology report: Jacob had overdosed on methamphetamine, a cheap, addictive stimulant.

Investigators swarmed back to the case. Jacob had weighed 13 pounds and was too young to feed himself. The level of meth in his blood was too high to have been ingested through second-hand smoke. The only way a lethal dose could have entered Jacob's system, they reasoned, was through his mother's breast milk.

Prien, now a resident of nearby Perris, Calif., has been charged with second-degree murder in a case that prosecutors say could lead to the first conviction of its kind in California. Authorities hope to bring her to trial, possibly in February; no date has been set. The 30-year-old mother of three other children faces the possibility of a life prison term.

Though Prien denies having taken methamphetamine at the time of Jacob's death and insists she had already weaned him, Riverside County Deputy District Attorney Michele Levine will go to trial armed with the results of two tests that found meth in Prien's blood around the time of Jacob's death.

"Amy Prien was using drugs during the time when she was breast-feeding her baby," Levine said. "She knew the drugs were dangerous, but it was more important to her to have the self-gratification. Responsibility for Jacob's death falls at her feet."

One recent morning in Riverside, Prien stomped into a courtroom wearing a thick electronic monitoring anklet. Overzealous prosecutors, she contended, and bumbling social workers entranced by the spotlight of a landmark case, are bent on destroying her life.

Though by all accounts her other children are happy and healthy and she is free on $100,000 bail while awaiting trial, Prien said that she has had to fight to see them because of court restrictions.

A few weeks earlier, outside the Corona, Calif., tax business where she does office work part time, she had said she thought she knew how her baby died.

I hope this helps, but I don't know the reliability of the source......

http://www.kellymom.com/meds/marijuana.html

I think one of the most important things that this article states is the fact that smoking marijuana may affect the mothers ability to care for the baby. I don't know how many studies there have been as far as babies with pot in their system, but I think the above statement is a fact, and that puts the baby in danger. Just my two cents, but I wish you luck with this situation, it's a tough one.

She's not only smoking pot (the so called "soft" drug) she is also drinking shots of tequila! Makes me wonder what else she is doing and how long she's been doing this?

This is just another sign of the era of selfishness we live in. Why a person can't just wait until the baby is bottlefeeding and with a babysitter to get intoxicated (if they must) is beyond this nurse's ability to understand or emphathize.

Who wants to take a chance with brain damage or mom's lack of ability to care for her infant? It is all-encompassing and exhausting to care for an infant. So, let's add a little pot and tequila to the mix.

This is just sad.

It reminds me of a potluck I attended 20 years ago. A nice young couple new to our group came with their 1 1/2 year old daughter. Later during the evening, I saw her walking around with a bottle of Michelob, drinking from it. Her parents laughed when confronted and said they didn't mind as it made her sleep. The hosts of the party asked them to take the bottle away from her and the parents did but seemed surprised that anyone would get upset.

I think someone on allnurses once said you should have to pass an IQ test before being able to create children.

We are mandated reporters . . . . I would do something about this. Something.

steph

Originally posted by fergus51

Marijuana is considered a soft drug and those moms are allowed to breastfeed because it's still better healthwise for the baby than getting formula. Same goes with methodone, but not any other street drugs (like heroin or cocaine, etc). Milk is not made in fat, btw.

Marijuana is not considered a "soft" drug here and we do NOT encourage moms who use drugs to breastfeed. In fact we actively encourage bottle feeding. I don't think drinking breastmilk with marijuana is better than formula . . . . and I am a big advocate of breastfeeding, although not quite a breastfeeding nazi;) . . . . I'd much much rather have them feed formula than nurse and use drugs.

I guess I still question a person's maturity and ability to be a parent, which requires much sacrifice just normally.

steph

Specializes in Maternal - Child Health.

I agree that this should be reported. I have no problem with speaking to the parents first, but I hold out no hope that would actually accomplish anything. Of course they will either deny the whole thing, or tell you that they made a mistake and it will never happen again. But you will have no way to monitor the situation, as I'm sure you'll never be invited to the home again.

This poor baby has 1 neglectful parent: a father who knowingly encourages drinking and drug use on the mother's part, and 1 abusive parent: a mother who is actively delivering drugs to a helpless newborn infant. Neither one of them is fit to care for the child.

I have no problem with the occasional social drink taken when the child is in the care of another responsible adult. And I don't even particularly care if the parents use marijuana on occasion AWAY from the infant, but this is over the top and is endangering the child's well-being.

Specializes in Case Mgmt; Mat/Child, Critical Care.

Sorry, this is just simply unacceptable behavior! What is at stake here is the welfare of this newborn. The very fact that this woman, be she 16 or 36, has a 2wk old baby at home and be doing drugs and drinking...hard liquor (I mean SHOTS of tequila!?!).... Like someone else said, it doesn't really matter if she's bf'ing or not, clearly, she is not capable/competent to be caring for this newborn!

Party all you want, when you are not responsible for your children, when your children are with you, sorry, time to GROW UP, face facts, accept your responsibilities!

Also, the fact that she is blowing you off when trying to speak to her...not a good sign. I would definitely do something, I'm not sure what CPS will do, hopefully, they will investigate,even that may scare the parents enough, if they're long time users, probably not. Are there any other, more senior family members you could consult with also, a mother, aunt, etc?

Poor baby, sorry for your situation, please don't just let this go however.

Specializes in Maternal - Child Health.

From Neonatal Network vol.22, #4, July/August 2003, page 19:

"Marijuana is one of the most frequently used illicit substances in pregnancy, and yet studies of its effects on the fetus and newborn are controversial and limited. It does not appear to be teratogenic. Symptoms similar to opiate effects occur, including jitteriness, tremors, and impaired sleeping that persists at least into early childhood. Longer term effects include hyperactivity, impulsivity, and inattention symptoms at age ten. These suggest an impact on prefrontal lobe executive function."

Hardly sounds like a "soft drug" to me.

Specializes in Maternal - Child Health.

Also from Neonatal Network volume 22, #4, July/August 2003, page 18:

"Infants with alcohol withdrawal present with jitteriness, irritability, hyperreflexia, and hypertonia. Seizures are relatively common (also a common finding in adult alcohol withdrawal)."

Originally posted by Jolie

From Neonatal Network vol.22, #4, July/August 2003, page 19:

"Marijuana is one of the most frequently used illicit substances in pregnancy, and yet studies of its effects on the fetus and newborn are controversial and limited. It does not appear to be teratogenic. Symptoms similar to opiate effects occur, including jitteriness, tremors, and impaired sleeping that persists at least into early childhood. Longer term effects include hyperactivity, impulsivity, and inattention symptoms at age ten. These suggest an impact on prefrontal lobe executive function."

Hardly sounds like a "soft drug" to me.

Exactly . . .and WHY WHY WHY take the chance?

steph:o

Originally posted by Jolie

Also from Neonatal Network volume 22, #4, July/August 2003, page 18:

"Infants with alcohol withdrawal present with jitteriness, irritability, hyperreflexia, and hypertonia. Seizures are relatively common (also a common finding in adult alcohol withdrawal)."

SEIZURES?! I just had one. For goodness sake, why do something that would make your infant more susceptible to a seizure?

:confused: steph

Not condoning poor parenting skills or anything like that but perhaps a shot and a toke helps this new mother relax enough to breast feed her child.

Perhaps some other techniques can be taught to replace these.

-R

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