Sharon Dembinski, RNP,CMA
Sharon@MethadoneSupport.org

Sharon is a Nurse Practitioner, Certified Methadone Advocate, practices at Discovery House, a Rhode Island-based Opiate Treatment provider with 16 clinics in 5 states and is the Lead Developer and Coordinator of the "Mother's On Methadone" (MOM) Program  at Kent Hospital in Rhode Island.  Sharon is also on the Board of Advisors to Methadone Support Org.

Sharon became a Recovery and Methadone Advocate when she discovered her son’s addiction to heroin. After a one-year struggle, 5 rehab admissions and 3 overdoses, her son finally achieved a sustained recovery and has maintained that recovery for over 3 years.

Sharon decided to try and help others and learned all she could about the effectiveness of MMT as well as the problems that exist in the clinic systems. She had found her calling and became a Certified Methadone Advocate. She started working on a proposal for the Mothers On Methadone (MOM) Program at the hospital where she worked as a Nurse Practitioner in the Newborn Intensive Care Unit.  She discovered that at some hospitals MMT patients were only allowed to visit their babies one hour a day.  Sharon knew that this was not beneficial for the maternal-newborn bonding that is so essential for both mother and baby.

After a year, the "MOM" program was finally approved and is now up and running at its full potential. "MOM" supports and educates mothers on MMT or those dependent on opioids for pain management. The highlights of the program are:

*   Prenatal support, education and consultation with a healthcare professional specializing in methadone, pregnancy and the newborn where all the important aspects of pregnancy, MMT, neonatal abstinence syndrome and breastfeeding are discussed and recovery support is offered.


*   Kent Hospital offers a Level II, Special Care Nursery staffed with nurses,  nurse practitioners and physicians with specialized training and experience treating babies experiencing Neonatal Abstinence Syndrome.


*   A counseling and assessment session with a social worker who can offer assistance to link the mother with all necessary community agencies, cost-free classes including childbirth, infant care, breastfeeding and infant CPR.

*   Nursery Volunteer Program that includes cuddlers to fill in during the times the baby's family is not available.


*   With the goal of promoting bonding and educational opportunities in mind, prolonged parental visits are encouraged and supported with cafeteria vouchers that are available for those who may need them.





A very familiar name to our organization and website, Methadone Support Org, is Sharon Dembinski. Sharon is our pregnancy guru and my personal hero! In addition to everything else you already know she does.....she now practices at the Discovery House clinics also in Rhode Island in her "spare" time! and of course....she also has this page here at the website. Yikes.....did someone say "spare time", lol???

That being said.....on with the alert. Sharon recently discovered an error in TIP 43 on morphine dosing for the treatment of neonatal abstinence syndrome (NAS). She alerted CSAT to this potential danger and the following is their response/alert. I would also like to take this opportunity to once again thank Sharon for her hard work ......making this her life's passion! Had Sharon not found this error....or....."typo" infant's lives could have been lost. THANK YOU, SHARON!!!....Carol

READ ALERT!!




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Methadone Pregnancy Information






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Jessica1381
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 Posted January 17th, 2010 07:17 AM   IP           Reply with quote Edit Post Delete post
Texas,
Welcome to our site! Congrats on your pregnancy too!!!!
To answer your question the testing they do on the baby is a quantitative test so it only comes up positive IF there is enough in your system to get to the baby, if so, it is metabolized and ends up in the baby's meconium.So, bottom line answer it depends on how much and how often you took it. It would seem to me that being you do have an RX for it that you can not get in trouble for taking it. However, I do not know all the specifics about your particular situation. Again, it is something you have a prescription for. I think in my opinion you should be fine. IF it were to show up in the meconium, then just tell them you managed to make it almost your whole pregnancy without taking your prescription and then around x-mas you hurt yourself and then you had to take a few of them to relieve the pain. Then show them your RX. This way you are proving your RX for them and being honest. If you don't mind me asking what were they originally RX'd to you for? Back pain?
Best Wishes,
Jessica

Jessica Jensen,CSAC, CMA
Primary Pregnancy Support Specialist
Certified Substance Abuse Counselor
Certified Methadone Advocate
Certified Hepatitis C Basic Educator
Member of NAADAC, AATOD & MOAR
testing for CADAC1 in June 2010
Jessica@MethadoneSupport.org
1-860-798-5785
   
Sj1980
Member

Posts: 4
Registered: Jan 2010
 Posted February 1st, 2010 06:10 PM   IP           Reply with quote Edit Post Delete post
Hi Vicky and Everyone!!!
Well, I'm back! I got pregnant right away. I got myself down to 5mg and was miserable, so now I'm back up to 10mg. I know I wanted to be comepletely off, but things just didn't wok out that way unfortunately. I decided it was more safe for me to stay on the methadone, because without, I was putting myself at risk for using other random pills and things. Like with my second pregnancy my dentist prescribed me Tylenol #3 and I got hooked on those. I didn't take anything with my first, not even a single tylenol. Wish things were that peachy these days!
Anyway, since the clinic turned me down last month, I continued to get the pills through a freiend. I fianlly made an appointment with them again today. I asked a ton of questions and told them I haven't gone to see a Dr. yet, so I don't a a "permission slip" and they said that all I needed was a positive pg test. So we will see how it goes this time around. To be honest, I almost thought of skipping the clinic alltogether. But am scared that I will get in trouble. And it's risky since I may run out of pills and not be able to get any. I actually really wanted to go through a birthing center this time around. And I'm assuming that if I'm completely honest about the methadone, they will probably turn me down. I already have an appt set with a Birthing Center for 2/16/10 and am so tempted not to say anything to them, in fear that they will turn me down. But I'm sure they will do a drug test, and I'm sure even if they didn't, it would come back to haunt me. My main reason for wanting the birthing center this time is because my last two births were pretty simple, I don't need an epidural, would like to try a water birth, and would like to go home asap. Plus, the hospital would keep my baby. I know I'm being stupid about all of this. Because if the hospital keeps the baby, obviously it is for the babies benefit. Sorry, I'm just rambling...not sure if I'm making sense. Anyway, I'm glad to be back and glad that you are all here.
   
Jessica1381
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 Posted February 10th, 2010 05:58 PM   IP           Reply with quote Edit Post Delete post
Sj1980,
Hi hun! Please be sure to get on a clinic because it sounds as though if you do not you are putting yourself at high risk for continued use while pregnant. I worry about that. You also need to be medically monitored by a doctor at a clinic with what your dose is while pregnant or even not. As for the birthing center, you must be HONEST. You can cause a lot of trouble if you are dishonest with your doctors and do not make them aware that you are on methadone. I don't know what state you live in, but if you were to do this you may very well invite child services into your life if you keep it a secret and then your baby tests positive for methadone or starts withdrawing and they dont know why. There have been some women who have had their babies taken for that and then there have been some who had to keep child services in their life because of the dishonesty. Its not worth the pain you will cause yourself if you don't say anything. If the baby needs to stay it is for the baby's own good. We all want our babies to come right home but being on methadone you have about an 80% of that not happening because 80% of babies being born to moms on methadone need to be treated for NAS. You will make it through and your baby will too if this needs to happen. It's going to be okay as long as you get yourself on the clinic which it sounds like you want to do and you are honest with the doctors you are working with. Some women see a couple doctors and check out a couple hospitals until they find the ones they like and are comfortable with.
Keep us posted! Congrats on your pregnancy hun!
Jessica

Jessica Jensen,CSAC, CMA
Primary Pregnancy Support Specialist
Certified Substance Abuse Counselor
Certified Methadone Advocate
Certified Hepatitis C Basic Educator
Member of NAADAC, AATOD & MOAR
testing for CADAC1 in June 2010
Jessica@MethadoneSupport.org
1-860-798-5785
   
MargiesMommy
Member

Posts: 6
Registered: Feb 2010
 Posted February 15th, 2010 11:55 PM   IP           Reply with quote Edit Post Delete post
Hello Everyone,
I am new to this site and was wondering if anyone out there would be able to help me. I am 11 weeks pregnant with my second child. I have an eight year old daughter. I was not in MMT when I had her. II did have to take vicodin when I was pregnant with her due to a horible burn. I stoped taking them when I was seven mos. pregnant and she was born healthy and with no complications. I am terrified about this child being born while I am in MMT. I have been in MMT for over four years now and it has given me back my life. I know I wil have to remain on methadone during my pregnancy, I am just so afraid of the baby having NAS, and also I am woried about DHS, or whatever they call it here in north Texas, getting involved. I wanted to know if anyone knew about the laws in Texas, and also if anyone knows of a great Dr. with experience with MMT in pregnancy in the Dalas/ Ft Worth area. Please help! Thank you so much!
   
Jessica1381
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 Posted February 18th, 2010 03:31 PM   IP           Reply with quote Edit Post Delete post
MargiesMommy,
Welcome to our site and I am so glad you found us here! Please huni try to relax! I happen to know a member of this site who had a baby not too long ago who is from Texas. Let me see if I can contact her. I am not sure if she is from your area but I will ask. Hang tight huni! Congrats on your pregnancy and if you need to talk or if you have any questions please feel free to ask me! I am only an e-mail or phone call away! As for texas laws, I am not 100% familiar with them, so I can not say 100% either way how things will go for you. I have seen women give birth from texas who's babies went home with them after NAS treatemtn was complete. Unfortunately though, every state is different and therefore their laws are different as well. I would ask the counselor at your clinic. Also, you may want to try and talk with the hospital in your area where you may give birth and see what their protocal is and how things have gone for other moms who have babies on mmt, but have not other issues with drug use. You can try to call DHS and see what they say. Here in my state they usually will open a case because you have a baby who is testing possitive for an addictive substance. Then they will come talk to you and will talk to your clinic and see if you have been sober. They may come to the house and check to be sure you have everything the baby needs too. Its unfortunate that they even waist there time on women who have been sober for so long and in treatment. I see no reason to even investigate a mom just for being on methadone. If there was other drug use going on durring the pregnancy, than that is a different story, but just for methadone it seems rediculous. I hope to someday see this rule changed in every state that it applies.
Hun, I will get back to you about the doctors as soon as I find out! I promise okay! If you need to talk all my info is listed below! Hang in there! Welcome to our site and I look forward to speaking with you more!
Hugs, Jessica

Jessica Jensen,CSAC, CMA
Primary Pregnancy Support Specialist
Certified Substance Abuse Counselor
Certified Methadone Advocate
Certified Hepatitis C Basic Educator
Member of NAADAC, AATOD & MOAR
testing for CADAC1 in June 2010
Jessica@MethadoneSupport.org
1-860-798-5785
   
MargiesMommy
Member

Posts: 6
Registered: Feb 2010
 Posted February 18th, 2010 10:47 PM   IP           Reply with quote Edit Post Delete post
Jessica,
Thank you so much for getting back to me. I am so happy that I found this site. I have been reading through the archives and have found some good information. Thank you so much for giving me a little peace of mind!
Amber
   
fascination
Member

Posts: 65
Registered: Jan 2010
 Posted February 19th, 2010 12:42 PM   IP           Reply with quote Edit Post Delete post
Hey MargiesMommy. I responded to your post in the due dates thread. You might want to post your introduction as a new topic. You'll get more responses that way. I would repost it for you but I don't know how. LOL. I'm not very computer literate, unfortunately.
As for DHS, I don't know about Texas but here in Nevada they just visit you in the hospital and check that you have a prescription for your methadone and thats that usually. Some girls don't even get a hospital visit! You are on methadone legally, you get it from a doctor so you'll be fine hon. It may be annoying that they visit you to talk to you about it but they won't take your baby away for being on MMT. There has to be something else going on, I think.
I hope your pregnancy is going well. I had such bad morning sickness in my first and second trimesters that I had to be medicated for it. That was not fun! Keep us updated about everything sweetie.
fascination1980@yahoo.com

JENN
fascination1980@yahoo.com
   
Tsunamimommy
Member

Posts: 9
Registered: Feb 2010
 Posted February 24th, 2010 03:37 PM   IP           Reply with quote Edit Post Delete post
Just a quick question for anyone who might wanna answer...I'm wondering how much on average does a woman go up on dose tward the end of a pregnancy? I know everyone is different so this is a toughy. I am at 60 mg right now and really don't want to go up but feel I may need to soon. It's so hard to tell when your kinda feeling yucky and huge to begin with. Also what are the biggest signs of withdrawl I should be watching for? I'm experiencing some extra nausea in the morning before i dose, extra sweating, backpain and a bit of racey heart. Again alot of this may just be the pregnancy so i'm very unsure weither to bring it up at all. open to any suggestions Thanks for all the support you ladies are amazing. Best of luck to all expecting and new mommies. Take care.
Silently waiting for grace
   
Divinity-
Member

Posts: 533
Registered: Oct 2008
 Posted February 24th, 2010 04:05 PM   IP           Reply with quote Edit Post Delete post
Hey everyone just wanted to say hi to everyone new also Hi Tsunamimommy to just try to answer your question to the best of my ability like you said everyone is different I myself only ended up needing to go up 5 or 10 mg in my whole pregnancy but that was just how my body was and everyone is different i only needed to go up in the first few months however i know lots who have needed to increase towards the end i would say just listen to your body how are you sleeping at night? If your getting the nausea and extra sweating it sounds to me like you could be expieriencing some with drawl i would talk to you dr at the clinic and see about going up 5 mg. or splitting your dose> i dont know if you are already on a split dose but that can help out a lot!
Lilypie - Personal pictureLilypie

Due Date
   
Jessica1381
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 Posted February 26th, 2010 05:02 PM   IP           Reply with quote Edit Post Delete post
Tsunamimommy,
Hi hun and welcome to our site!!! To answer your question, as you said everyone is different and I would say its hard to pin point an average amount that pregnant women increase while while pregnant. You said you didn't want to go up. Is there a reason. I want to tell you, in hopes that this may ease your mind about increasing your dose, that maternal dose amount has NO bearing at all on the out come of NAS (infant withdrawals). As a matter of fact what is being said is fetal withdrawal (caused by not being on a stable dose while pregnant - not increasing if you dont feel well) may cause for more pronounced NAS symptoms at birth. The best advice I can give you hun, is to increase if you feel you need to. If you are experiencing any withdrawals at all then so is your baby. To keep your baby withdrawal free and comfortable that you must stay that way. Please do not focus on the dose amount you are on. This doesn't matter. I have personally known women who have had babies who were on 200 mgs daily while pregnant and their babies went home without needing to be medically treated for NAS symptoms because their symptoms were so minor that they didn't warrant treatment.. then I have seen babies born to moms on 16 mgs daily (such as one of my daughters) and she did need to be treated for NAS. ou just never know hun! Just take good care of yourself and if you need to increase than please do it. Do not allow yourself to withdrawal. This can also be dangerous for the fetus. Withdrawals could cause miscarriages. Unfortunately I have also seen this happen and it could have been prevented if doses were kept stable. If you have anymore questions feel free to ask hun. I am available numerous ways. All my contact information is below each of my posts!!!
Congrats on your pregnancy and welcome to our family!!!
Hugs, Jessica

Jessica Jensen,CSAC, CMA
Primary Pregnancy Support Specialist
Certified Substance Abuse Counselor
Certified Methadone Advocate
Certified Hepatitis C Basic Educator
Member of NAADAC, AATOD & MOAR
testing for CADAC1 in June 2010
Jessica@MethadoneSupport.org
1-860-798-5785
   
Tsunamimommy
Member

Posts: 9
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 Posted February 27th, 2010 05:29 AM   IP           Reply with quote Edit Post Delete post
Thanks so much for your advice ladies, it's very nice to have support from people who understand like I said before. I talked to the nurse at my clinic today and she is going to try and have a dose raise approved now so if anytime in the near future if I decide to go up i can do that without having to go through all the motions that could take around a week. I'm still on the fence as to weither or not I need to go up or not. It's so hard to tell with all the usual physical changes and ailments going on. I guess i'm just stuck on it seeming like more would be worse and it's just not the case in this situation, so i'm doing my best not to feel guilty and do whats best for baby. You guys are awsome, thanks again.
Silently waiting for grace
   
Divinity-
Member

Posts: 533
Registered: Oct 2008
 Posted February 27th, 2010 06:04 PM   IP           Reply with quote Edit Post Delete post
be sure to keep in touch with us tsunamimommy and let us know how u are. congrats on ur pregnancy

Lilypie - Personal pictureLilypie

Due Date
   
Jessica1381
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 Posted March 8th, 2010 11:19 AM   IP           Reply with quote Edit Post Delete post
Tsunamimommy,
Huni, please try not to feel guilty. Staying comfortable is so important. I know sometimes pregnancy symptoms can really be similar to withdrawals, so just pay close attention to how you feel and you will know what is best for you to do! You must keep reminding yourself that you are doing the right thing and that there is no shame in needing to go up if need be! I promise! Hang in there doll! If you need to talk, call me, okay?!
Hugs, Jessica

Jessica Jensen,CSAC, CMA
Primary Pregnancy Support Specialist
Certified Substance Abuse Counselor
Certified Methadone Advocate
Certified Hepatitis C Basic Educator
Member of NAADAC, AATOD & MOAR
testing for CADAC1 in June 2010
Jessica@MethadoneSupport.org
1-860-798-5785
   
Tsunamimommy
Member

Posts: 9
Registered: Feb 2010
 Posted March 10th, 2010 04:16 AM   IP           Reply with quote Edit Post Delete post
Whew what a week i've had. I did go up on my dose about a week ago and began to feel better, but since then I've gone into pre-term labor and have been pretty miserable. With both of my previouse pregnancies I never dialated whatsoever so of coarse i'm not again. So even though i'm contracting every three to four minutes they want me to tough it out so baby has more time to develope. I'm taking several meds to slow the contractions and to be able to rest and get a bit of sleep in between. I'm very glad I decided to go up on my dose before this happened or I would have no idea what symptom was what with the labor pains and all the meds. There is a possibility that next week we may do a amniocentesis to determine if baby Gracie's lungs are developed enough to deliver her early. I'm very nervouse about the procedure so i'm just hoping I can tough it out for two more weeks untill we can go ahead with our scheduled c-section at 39 weeks. I'm just gonna take it one day at a time and see what i'm able to tolerate. Luckily so far my new doctor has been able to fill me in and answer most of my methadone related questions as far as the birth and new baby are concerened and I feel much better about the whole situation. Just though i'd give you guys a little update on what I'm going through. Hope everyone is doing well, thanks for all the support ladies.
Silently waiting for grace
   
Jessica1381
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 Posted March 10th, 2010 09:01 AM   IP           Reply with quote Edit Post Delete post
Tsunamimommy,
Wow hun! What a time you have had with this pregnancy! You are almost there hun! The end is near! What a relief for you I bet! Just hang in there. You are doing great and I am happy to hear you went up on your dose and feel a little better! That is a good thing! Baby is probably feeling better too! Yeah!!!
Well, remember I am always available if you need to talk and I am going to take this post and make your own thread so more people read it and respond to it! I'll call it " Tsunamimommy Update!"
Hugs hun,
Jessica

Jessica Jensen,CSAC, CMA
Primary Pregnancy Support Specialist
Certified Substance Abuse Counselor
Certified Methadone Advocate
Certified Hepatitis C Basic Educator
Member of NAADAC, AATOD & MOAR
testing for CADAC1 in June 2010
Jessica@MethadoneSupport.org
1-860-798-5785
   



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