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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susie3827
*MODERATOR*

Posts: 1209
Registered: Sep 2006
 Posted November 17th, 2008 07:17 PM   IP           Reply with quote Edit Post Delete post
First off, WELCOME JENN...you belong to a very special family now...we are here for you, 100 per cent. You won't find any badmouthing, or ridiculing or any negativily because you are on mmt and want/are preggers...(fingers crossed...lol...).

Now, the pic didn't show anything when I clicked on it...what was it a pic of?...the results?
What were the results of the 2 tests?

You can go to your family dr. and get him to give you a blood test for pregnancy if you want.

As far as getting an OB who is knowledgable..well...that is one that you are going to have to do some legwork on. I suggest you call around to major hospitals in your area, ask if the pediatric/or neonatal ICU has ever dealt with babies born to mmt mom's. Try and get a feel for whether they are knowledgable or not.
Then I would ask for the name of a few OB's affiliated with the particular hospital, and make appts. to see them. Don't just go to one, try a couple and interview them..see what their stance is on mmt, pregnancy, what they do to treat the babies (meds they use) and if they support b.feeding while on mmt.
I would suggest that if you get an OB who is against b.feeding then I would really caution you as to whether this dr. knows enough about mmt to be good. B.feeding is quite safe and is actually preferable even if the baby is experiencing NAS.

And, do some homework here..the more threads/posts/archives you read, the more knowledgable YOU will be, that will help you to find someone who you feel comfy with. You will get alot of info here...just continue to read as much as you can....even if the thread doesn't seem like it relates to you...quite often we jump around from topic to topic on threads, so even if it seems to not be something you are interested in, chances are something in that post will be beneficial for you.

Hope this helps, good luck finding one and keep us posted.
Again, welcome to the family and Congrats on the preggers...if it is postive!!!!
Susie.

______________________________________

Susanne Moore B.A., B. ScN., R.N.
Pregnancy Support Specialist
Bachelor of Biomedical Ethics
Bachelor of Nursing Science
Registered Nurse
Member of Sigma Theta Tau Honour Society of Nursing
Methadone Pregnancy Info and Support Page
Susie@MethadoneSupport.org



   
susie3827
*MODERATOR*

Posts: 1209
Registered: Sep 2006
 Posted November 18th, 2008 12:19 AM   IP           Reply with quote Edit Post Delete post
Hmmmm I don't know...why don't you wait another week and try it again...the thing these tests pick up are the hGC hormone (human gonadatropin hormone) which can be found in blood before the first missed period.
But for urine, I'm not sure how long it takes...so if I were you I would wait a week and then take the test again, by then, if you are preggers, the amt. of hGC will be significant enough to give you a better reading. The ones here on your post are sort of ambiguous.

Or...get a blood test ordered from your family physician...cause it will show up there for sure if you are pregnant.

Good luck, I will cross my "fingies" for you..
Susie.

______________________________________

Susanne Moore B.A., B. ScN., R.N.
Pregnancy Support Specialist
Bachelor of Biomedical Ethics
Bachelor of Nursing Science
Registered Nurse
Member of Sigma Theta Tau Honour Society of Nursing
Methadone Pregnancy Info and Support Page
Susie@MethadoneSupport.org



   
robbi
Member

Posts: 161
Registered: Aug 2008
 Posted November 18th, 2008 12:32 AM   IP           Reply with quote Edit Post Delete post
Welcome and congrats Jen!! Just wanted to chime in and say, that's a definite preggo imho!! Just how mine looked at first, although I had to take like 5 more to be sure haha.. it doesn't matter how faint the line is, that's normal especially if it's only a day or two after a missed period.. It is detecting hcg like Susie said, and it's MUCH more common to get a false negative (when you are pregnant but the level of hcg is too low to show up, like happened to you 5 days prior) than a false positive.. once that line is there, however faint, it's a pretty sure bet.. and yeah you can also have the doc do a confirmatory blood test, which will not only give a yes/no but tell you the amount of hcg and therefore about "how" pregnant you are (although with regular periods you probably already know that much, they calculate from the first day of your last period so you'd be about 4 weeks or so, even though the conception didn't happen until about 2 weeks in.. I know, it's confusing) but anyways just rambling on, you are definitely knocked up.. so congrats! And welcome to our li'l family!
~peace~

Robin
   
Macey
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Posts: 130
Registered: May 2008
 Posted November 21st, 2008 10:29 AM   IP           Reply with quote Edit Post Delete post
You are pregnant girlfriend!! A line is a line. There is a pregnancy hormone that makes the line appear and if the line is there, reguardless of how faint, it means you are pregnant! As long as you are waiting no longer than 15 min. or so to read the results. I do know that if you wait too long, like an hour or so a false line may appear, but as long as your reading it within the time limits, then I'd say 99% pregnant!

Macey
   
Bella81
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Posts: 111
Registered: Nov 2008
 Posted November 28th, 2008 11:29 PM   IP           Reply with quote Edit Post Delete post
Hey everyone,
my name is Janella, i'm 27 from E.Boston mass, i'm 33weeks pregnant also on the clinic in Lynn! Befor i go on and on about my situation i was told to come to this site so i can get the support i need! I'm really looking forward to talking with all you mommies!! My husband is in jail, has been sence the day after we found out about the baby! so i'v been alone sence day one pretty much! I was getting high on heroin when i found out, just relasped after 3 1/2 years, 5months befor hand! Last time i got pregnant i checked into detox, witch killed my baby at 14weeks! I wouldnt do that again to my baby, my husband or myself! So the clinic was my only option! Trust me i'm sooo thankful everyday i made this decision! I'm just scared to death of it too! thats why i came here! Instead of talking to all the dr's and nurses ect... i feel if i talk to all of you who goes through it, feels it, see's it knows it, i could get better support! i just know what my dr tells me! thats it! After touring the NICU the other day, i'm a mess! knowing my son is going to be sick because of me is killing me! so i havent read anything on here yet, i'm still kinda figuring out how this site works! lol!!! so again i'm here now, i hope to meet some girls that can really help me, stand by me cause they know what i'm doing! hope to talk to you soon!

Janella8281
   
Macey
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Posts: 130
Registered: May 2008
 Posted November 29th, 2008 11:01 AM   IP           Reply with quote Edit Post Delete post
Welcome to the site Jen and Janella!!! Just to let you two know that on the main page there is a icon in the right corner above the post that says "new topic" if you click on that you can make your own topic for all to see. I know when I came here it took me a while to find that! LOL Anyway, To Jen: I KNEW you were pregnant!!! Congratulations to you!!! That is GREAT that you've been able to stop smoking, many of us, myself included have had a hard time with quitting, even cutting back has been a struggle with me. I think it is great that you are doing whatever is in your power to try to make this a healthy pregnancy! And the book you bought is awesome, I read it with my first baby!!
To Janella: I'm so happy you followed the advice of your friend and came here!! You will always get support here, and we never judge anyone cause we've been there too!! It tears my heart out to hear that you lost a baby while in detox, I wish the medical community was more knowledgeable about methadone and pregnancy. As far as your baby being "sick" after birth, not all babies are!!! Reguardless of how low or high your dose may be it does'nt mean your baby will withdraw. Some mothers are on high doses and have babies with NO withdraw!! It varies mother to mother, baby to baby! But, if your baby does have withdraw it is very easily treated and he/she will be fine!! Don't you worry!! I know that is easier said than done! lol Anyway, both of you need to read, read, read on here, you will find so much info. and if you have questions then don't hesitate to ask! The best advice I can give a woman that is pregnant and taking methadone is to arm yourself with as many facts as you can! Educate yourself the best you can!!

Take care,

Macey
   
susie3827
*MODERATOR*

Posts: 1209
Registered: Sep 2006
 Posted November 30th, 2008 10:42 AM   IP           Reply with quote Edit Post Delete post
Welcome jen and Janella: Take what Macey says to heart Janella....and I want to add something...your baby is not SICK...it is dependant on methadone when born, and with the right medication and care, he will get over it just fine, in no time at all, and won't suffer one bit.
I can guarantee that!!!!!

Please do what Macey suggests and read EVERYTHING you can..even the archives...many many girls have asked the exact same questions that are going thru your minds, and I guarantee you will find every question and more that you could think of, answered already.
I also want to stress that even if the title of a thread doesn't apply to you, read it anyways, because we jump around from topic to topic and answer many different questions on threads that you would think have nothing to do with anything related to NAS, and low and behold there is ALWAYS something on them that is beneficial. So, I enourage you to at least skim thru all the posts/threads you can.

And, please feel free to ask any questions you need answered..no matter how DUMB they may seem...ok?
The only dumb question is the one you didn't ask!!!!

Again, congrats and welcome to our Family.
Susie.

______________________________________

Susanne Moore B.A., B. ScN., R.N.
Pregnancy Support Specialist
Bachelor of Biomedical Ethics
Bachelor of Nursing Science
Registered Nurse
Member of Sigma Theta Tau Honour Society of Nursing
Methadone Pregnancy Info and Support Page
Susie@MethadoneSupport.org



   
Bella81
Member

Posts: 111
Registered: Nov 2008
 Posted December 2nd, 2008 01:29 AM   IP           Reply with quote Edit Post Delete post
ahhhhh man, i cant even tell you how good you both just made me feel! seriously! i'm happy i listened to my friend too!! Thanks for welcoming me in! lil man is going crazy right now!! lol!! one thing i must say is this whole site is really confusing!! i'm not good with computers at all, so i have no idea where that main topic thing would be, how to add things, read things or find things!! lol!! but i'm trying! i found myself on here the other night for almost 2hours trying to figure it out, i got my pic on, and found this! so i'm getting there!! i definitly will be reading cause i want to know all i can! Susie your right, i shouldnt look at this as my baby being sick! the thing is i know how sick i was last time i kicked the clinic in jail so i imagine it kinda being like that for him! two weeks ago at my 32 week check up the neonatal specualist came in to talk to me! He explained to me how they are going to be treating him (my son), with the morphine and how they do it! they even gave me a tour of the NICU!! i have to say it was one of the hardest days so far! i kept him in the room for almost 45minutes, he was laughing cause he thought it was gonna be a 10minute thing! i just kept asking away!! HEY I WANT TO KNOW LOL!! this is the love of my life, my lil man i want to know everything there is to know! I felt a little better when i left but i still fear the unknown! i have this image in my head that i cant let go of! He did say that this is treated fairly easy and once he's over it he's over it, he wont suffer what so ever, he told me to imagine my baby born with a cold! all colds with infants have to be treated with medicine! i asked him whats the worse that could happen and he answer me like this---- 'well the worse thing that could happen is that he wont take to the morphine correctly and he could stop breathing!!" i completely lost it! balled my eyes out!! he said he is obligated to tell me this! i dont know girls! this is just really scaring me and making me feel so quilty! but then on the other hand i know i did the only, the best and the most healthiest thing for my baby so thats what keeps my head up! feeling him the way he is right now (crazy lol) makes it all worth it!!
so having you all to fall back on when i need it, makes me feel soo much better! not only do you know what i need to know but you have been here yourselfs!! thanks soo much!!

Janella8281
   
mom2bjd
Member

Posts: 28
Registered: Dec 2008
 Posted December 12th, 2008 08:25 PM   IP           Reply with quote Edit Post Delete post
I already did my info but since I asked for all the posts with my other user name to be deleted I'm gonna post a quick intro with my new user name I already got my welcome as you can see above so no need, lol!!!!

I'm Jen, I'll be 31 in 2 weeks, live in Bronx NY & just got married to my bf of 11 years in October. We are both on MMT program after (10 years of hell) and have been for almost 3 years & it has saved our lives! Started on 120mg & slowly got down to 60mg where I'm at now. Right after we got married we tried having a baby & here we are!! We are so excited!
Hello again!

~Jen

Lilypie First Birthday tickers
   
ggms
Member

Posts: 21
Registered: Jan 2009
 Posted January 15th, 2009 04:34 PM   IP           Reply with quote Edit Post Delete post
hello,
I was looking for a message board that dealt with methadone and pregnancy, so I was very happy to find this place. I am scared of having a baby on methadone(240mgs), plus I am 40yrs old and never planned on having another baby at this age. My husband and I both were estatic that we were still young enough to beable to do what we wanted without being tied down anymore. That was one reason why it was so great having our kids at such a young age. I love my family the way it was, looking forward to graduation and college, and moving out!!!

My husband and I use to joke in our mid thirties about having a mid life baby, never did we dream that it would come true.....I have always been on time, so when I was two weeks late, I bought a pregnancy test, and within 30 seconds it was positive, we went thru four that day,. We did alot of research on line, waited until Monday and talked with our methadone doctor. After alot of reading and asking questions, and hearing we decided that the baby would be healthy on methadone, (my two boys weren't born on methadone). then I found out that I have Hep C, so we did more research, talked with a Hepatologist, and come to find out that there is a low percentage of passing it onto my unborn., so the pregnancy contiunes on. Now, the problem that I have is I picked a ob in my hometown. She knows nothing about hep c nor methadone. I met the nurse, not the doctor yet, she gave me the blood work, then called me to inform me of the hep c and that the doctor didn't want to see me until I talked with a methaodne specialist and a hepatologist. (I informed the nurse that I have been on methadone for 13yrs, and I did my research before deciding on continueing with this pregnancy) My husband and I are beginning to think that this doctor knows nothing about methadone. We want a doctor who is knowledgeable and caring enough to treat me under any circumstance that could arise. And definently understand and be educated with methadone, they had given us a pamphlet saying all sorts of things that could happen, like the placenta tearing away from the cervix by being on narcotices and having a handicapped baby because of all the drugs that is put into the baby. SCary information, which is misinformed, and I feel sorry for the mothers who read this without any prior knowledge .She may be a good doctor for high risk pregnancies . So I talked with my doctor today at the clinic, and decided to drive two hours away to see a methadone specialist ob gyn. So I am hoping that I will relieve some of my stress, cuz right now I don't need any.......I have read alot of stories of mother giving birth to babies on methadone and how healthy they are. the only thing that scares me is that the babies stay in the hospital for a long time. I do have a question, can you breast feed your baby even though you are on methadone???? Because I really would like to.....my husband feels that by breastfeeding it would help the baby withdrawl off of methadone plus get the nutrients that it needs to develope,

I am hoping that our baby won't be the one who withdrawls, but i know that is living in a fairy land, lololol..............is this true if you split your dose that the baby doesn't go thru withdrawls??because I have been splitting my dose for almost 8yrs now.

Are any of you hep C positive?? and have had a baby??? I am nervous about this, and I do know that there's a 4% chance of the baby recieving this, and they have to watch the tools they use, such as no vacume, forceps and a few others. but there is no hep c in breastmilk, the only way they could get it thru this way is if I am chapped.

Well enough chatting, I am sure I have worn all of you out, thanks for listening to me....I am so happy that there is a site that we can go to. It's scary when you really don't have friends, and the friends you do have don't know you are on methadone.....thanks again for listening to me.
Take care all you mothers and mothers to be
gina
   
stacymuise
Member

Posts: 99
Registered: Feb 2007
 Posted January 16th, 2009 12:01 AM   IP           Reply with quote Edit Post Delete post
welcome gina. i don't know too much about hep c. if i were u i would find a md w/ knowledge, or at least an interest, for methadone treatment and hep c....why go to anyone other than a practitioner who is suitable for you.....good luck to you!










b

stacy
   
susie3827
*MODERATOR*

Posts: 1209
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 Posted January 17th, 2009 12:50 AM   IP           Reply with quote Edit Post Delete post
Congratulations Gina on the "suprise" addition.
I too was 42 when I had my FIRST little guy.. Never felt better than when I was pregnant.

As for your questions...YES you definately can b.feed while on methadone. It is a very very miniscle amt. of methadone that gets thru to the baby via b.milk...so breast away....so to speak...lol... I b.fed for just over 11 months and when I finally decided to wean stevie I would mix together my milk and the homo milk...gradually increasing the amt. of homo and decreasing the b.milk....I found that stevie had NO signs of any type of withdrawl or anything.
Also remember that when b.feeding, as the baby gets bigger, and your dosage stays the same, the percentage of methadone given to the baby becomes smaller and smaller because the ratio between the two gets larger.

And secondly, split dosing does NOT ensure that NO NAS will develop, but it does lessen the likelyhood of the severity of NAS.
Split dosing is preferable...something I did not do in my pregnancy and wish I had of. I would DEFINATELY do it now and suggest all MMT moms do so. It is also not unusual that you may need an increase or two..or three or four during your pregnancy as the blood volume increases and the baby alters your metabolism.

I'm glad that you found us...We are one big happy family and very very supportive!!!!
I do so understand about the fact that we have friends...but nobody that knows we are on mmt...therefore, not alot of us can really 'talk' with them about how we are feeling. It is so good to know that this family exists to help all of us get the support and education we deserve.

Welcome to our Family...and again...congrats.
Susie.

______________________________________

Susanne Moore B.A., B. ScN., R.N.
Pregnancy Support Specialist
Bachelor of Biomedical Ethics
Bachelor of Nursing Science
Registered Nurse
Member of Sigma Theta Tau Honour Society of Nursing
Methadone Pregnancy Info and Support Page
Susie@MethadoneSupport.org



   
bewtifull1204
Member

Posts: 178
Registered: Jan 2009
 Posted January 21st, 2009 02:22 AM   IP           Reply with quote Edit Post Delete post
hi i have been reading posts and posted a couple i will intro myself.. i am 28 and on my third pregnancy first pregnancy on methadone i am on 110 mgs and been almost 2 months.. i was told that when i have the baby she has to b in the nicu and she cant be in my room i want to breastfeed.. they say t o detox is out of the question.. lately i am just tired.. so tired. i hope to meet this sharon and i am interested in i didnt know there was a program.. the one i am treats pregnant woman but doesnt specilize in it... its nice to read up and get info its the best... lil ava she will appriciate it i do helps with nerves

thanks becky
   
Jennsbaby
Member

Posts: 111
Registered: Oct 2008
 Posted January 21st, 2009 09:29 AM   IP           Reply with quote Edit Post Delete post
Welcome Becky!! You are at the right place for support.
By the way, I am due April 16 and having a little girl. We are naming her Ava also!!!

Good luck becky and feel free to ask any questions you have. The girls here are wonderful and we are a family and we will never judge you!!

Love - jenn

jenn
   
Sharon
*ADMINISTRATOR*

Posts: 1281
Registered: Mar 2006
 Posted January 21st, 2009 12:20 PM   IP           Reply with quote Edit Post Delete post
Welcome Becky!

Congrats on your pregnancy and your recovery!!

I'm glad you found us and hope you stick around!

Hugs,
Sharon

Sharon Dembinski, RNP, CMA
Registered Nurse Practitioner
Certified Methadone Advocate
Board of Directors- Methadone Support Org
508 864-0311
   
bewtifull1204
Member

Posts: 178
Registered: Jan 2009
 Posted January 22nd, 2009 01:08 AM   IP           Reply with quote Edit Post Delete post
hi and of course.. thats odd ava a few weeks before my lil ava is born.. :P and nice to meet u i am going to look over my posts to see if anyone else replied to any of my concerns.. nice to meet all of you...

~~becky~~
   
bewtifull1204
Member

Posts: 178
Registered: Jan 2009
 Posted January 27th, 2009 12:43 AM   IP           Reply with quote Edit Post Delete post
i was wondering i am making a support group in my space about methadone and or suboxine treatment and well i wanted to ask and say that i was going to post some pics and information from this site if that is ok like information on methadone and all no i wont copy and paste the message board info.. can i add links and all from here??? please let me kno wi dont want to make this group and have problems with information.. thank you

~~becky~~
   
susie3827
*MODERATOR*

Posts: 1209
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 Posted January 27th, 2009 08:31 AM   IP           Reply with quote Edit Post Delete post
Becky: Email Sharon and ask her permission about that. I'm not sure. Better to check before you do something. Thanks.
Susie.

______________________________________

Susanne Moore B.A., B. ScN., R.N.
Pregnancy Support Specialist
Bachelor of Biomedical Ethics
Bachelor of Nursing Science
Registered Nurse
Member of Sigma Theta Tau Honour Society of Nursing
Methadone Pregnancy Info and Support Page
Susie@MethadoneSupport.org



   
bewtifull1204
Member

Posts: 178
Registered: Jan 2009
 Posted January 27th, 2009 10:11 PM   IP           Reply with quote Edit Post Delete post
yeah i figured that. i read some introductions here and am glad tht well im not alone i have been clean now for a month and a half i still have cravings but the support of my fiance and well my visit to the NICU to put the reality of wht effects i am oing to my baby who haas no choice i cant believe i was doing tht to her i was being told doing wht i was doing didnt hurt the baby and i met thm n there babies so yeah do dope its ok.. wht was i thinking... i dont smoke ciggs n i was doing tht .. twisted drug thinking i guess.. thank you for having this group n listening to me with out judgement. i dont have much in support i could not ever talk to my parents about this thnk god for my fiance n my sister,,, n my therapist who today will never gie up on me. n the ears of the board.. thank so much.

~~becky~~
   
Sharon
*ADMINISTRATOR*

Posts: 1281
Registered: Mar 2006
 Posted January 28th, 2009 12:43 PM   IP           Reply with quote Edit Post Delete post
Hey Becky!

Please do put a link to our board on your site, but contact carol@methadonesupport.org to get a link icon so it will look cooler than just http://www.methadonesupport.org/Pregnancy.html
Carol is the real brains behind this operation and the CEO/Founder of Methadone Support Org. I am just a board member, methadone pregnancy expert and site administrator. Carol designed and created this site for me to run and of course our mother site www.methadonesupport.org

Hugs,
Sharon

Sharon Dembinski, RNP, CMA
Registered Nurse Practitioner
Certified Methadone Advocate
Board of Directors- Methadone Support Org
508 864-0311
   
bewtifull1204
Member

Posts: 178
Registered: Jan 2009
 Posted January 28th, 2009 06:49 PM   IP           Reply with quote Edit Post Delete post
thanks sharon... i decided not too cause well i dont think i can the right way i made a group page and it didnt come out right but thank you
   
Sharon
*ADMINISTRATOR*

Posts: 1281
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 Posted January 29th, 2009 12:24 AM   IP           Reply with quote Edit Post Delete post
becky,
If you are still having cravings then your dose is not right. Let your clinic know how you are feeling so they can adjust your dose to keep you comfortable.

Hugs,
Sharon

Sharon Dembinski, RNP, CMA
Registered Nurse Practitioner
Certified Methadone Advocate
Board of Directors- Methadone Support Org
508 864-0311
   
bewtifull1204
Member

Posts: 178
Registered: Jan 2009
 Posted January 29th, 2009 03:42 AM   IP           Reply with quote Edit Post Delete post
im feeling better thanks but yes i have counceling every week
   
mandy7499
Member

Posts: 12
Registered: Feb 2009
 Posted February 4th, 2009 03:20 PM   IP           Reply with quote Edit Post Delete post
hello everyone my name is mandy i am 25yr old,and i just found out i am pregnant.(last week) of course i am on methadone(115mg). i have been on mmt since august. i am so happy to have found this site so i can talk to and relate to other women in my situation. and also so i could hopefully gets some answers to some thing i have been wondering about.if anyone can help me i would really appreciate it. one thing that has been bothering me recently is my dose is not seeming to hold me anymore.from reading some of the posting on this site, i know that pregnant women usually need to up there dose at some point or another. i am not sure exactly how far along i am due to the fact that i was not getting my period,but i think i am about 6-8 weeks. do you think this is to early for an increase? again any replys would be appreciated.
mandy
   
susie3827
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Registered: Sep 2006
 Posted February 4th, 2009 05:20 PM   IP           Reply with quote Edit Post Delete post
It is never too early for an increase if you are feeling withdrawls...Please do not judge your pregnancy by someone else's.

Some need to go up sooner, other don't have to at all...it all depends on you and your metabolism.

I would say if you are feeling "unwell" ie..withdrawls..then yes, you may need an increase.
You want to keep yourself comfy that is the best possible situation for your baby.

Welcome to our family, congrats on the pregnancy.
They best advice I can give you right now is to READ READ AND MORE READ....and when you are sick of reading....read some more...lol..
check out the archives also.

Happy reading...
You will love our family...these are a GREAT bunch of gals.
Love to you...
Susie.

______________________________________

Susanne Moore B.A., B. ScN., R.N.
Pregnancy Support Specialist
Bachelor of Biomedical Ethics
Bachelor of Nursing Science
Registered Nurse
Member of Sigma Theta Tau Honour Society of Nursing
Methadone Pregnancy Info and Support Page
Susie@MethadoneSupport.org



   
bewtifull1204
Member

Posts: 178
Registered: Jan 2009
 Posted February 5th, 2009 10:34 PM   IP           Reply with quote Edit Post Delete post


thanks she is doing well yes i think i have a pursonna on what others are or have gone through and we all have different metabolisims.. some days i feel druged and others i feel sick so it goes up n down we are dioing well i cant believe im 26 weeks already wow.. thank you all for your support and allowing me to open up and share here.. i will defienetly keep you all posted when i have my little AVAH...



, very happy,
~~becky~~
   
Vicky in UK
*SUPER MODERATOR*

Posts: 653
Registered: Feb 2009
 Posted February 15th, 2009 07:07 PM   IP           Reply with quote Edit Post Delete post
Hi everyone! I came across this website a few days ago and haven't stopped reading it since! Just to let you know a few things about myself.......
My name is Vicky, I'm 29 years old and I live in England (UK) with my gorgeous son Dylan and my non-drug using boyfriend. I'm also 29 weeks pregnant with my second child (not planned, contraception failed but we are very happy!). I've been on a Methadone Maintenance Program for around 5 years, I've been as high as 90mls and as low as 16mls but I'm currently using 30mls. Here in the UK we are often encouraged to taper in the second trimester, which I have done. I started my pregnancy at 78mls and have reduced/tapered down to 16ml but started suffering with withdrawals so I raised my dose to 30ml (altho to be honest this isnt holding me at all and I'm still feeling really ill on 30!) My biggest problem and worry is that I have a detox booked for the 2nd March and I'm not feeling confident about it. I have had so much conflicting advice from my Doctors, some of it has been totally wrong so I have no faith in them or anything they say! I've been told that I must not go into withdrawals so when I asked what drugs they could give me to Prevent me and the baby withdrawing during the detox they said theres nothing except Paracetamol! I did originally want to detox, but I'm feeling so ill now that I dont think I can. (I would be doing a very rapid taper from 30 to nothing over the space of 18 days in a detox bed within a mental hospital) What would you all recommend? I feel a bit like a failure for still being on Methadone! None of my specialists have ever detoxed a pregnant woman, so all questions I ask are all answered by either 'I'm not sure' or 'I'll find out' (which they never do!). Is detox dangerous to the baby in the womb?
One of my other concerns is that my boyfriends family have no idea I am on Methadone. I had my son when I was on 80mls of Methadone and he was observed in hospital for 5days and luckily showed no signs of NAS at all.
So please could anyone tell me the risks of detoxing in the 3rd trimester? I know we have different practices in the UK, but a risk is a risk where ever you are from. Surely if there is a risk to my baby I should be informed before I consider detox. I feel annoyed that I am doing the research that the Doctors should have done!! I just want to do whatever is safest for my baby. Sorry to have gone on so much, I just have so many questions and no-body to answer them! Thankyou for setting up such an amazing website!
Vicky x

VICKY
Pregnancy Support Specialist
Vicky@MethadoneSupport.org

Lilypie
Lilypie
   
Sharon
*ADMINISTRATOR*

Posts: 1281
Registered: Mar 2006
 Posted February 16th, 2009 01:23 PM   IP           Reply with quote Edit Post Delete post
Vicky,
In general it is not recommended that you taper during pregnancy, but if you do it should be during the second trimester (12-28wks) of pregnancy.

You should not be experiencing withdrawal in pregnancy and if you are be assured that your baby is as well. Withdrawal is thought to increase the risk of miscarriage and preterm birth- both of those are much worse outcomes than NAS!

You should not even consider the fact that your boyfriend's family does not know you are on methadone. It's none of their business and if you worry about that more than anything else you will allow yourself and your baby to suffer unnecessarily. Forget your ego and worrying about them or anyone else and do what YOU think is right. I think it is clear from your post that you already know what that is!

Tapering from 30mg to off in 18 days while pregnant (or not pregnant) is WAY to fast and a recipe for disaster!

You wanted an opinion- and I gave it : ) Did not hold back a thing!

Hugs and Welcome!

Sharon
(Edited by Sharon)

Sharon Dembinski, RNP, CMA
Registered Nurse Practitioner
Certified Methadone Advocate
Board of Directors- Methadone Support Org
508 864-0311
   
Vicky in UK
*SUPER MODERATOR*

Posts: 653
Registered: Feb 2009
 Posted February 16th, 2009 07:23 PM   IP           Reply with quote Edit Post Delete post
Thanks Sharon, everything you said is so right!!! I think deep down I just wanted someone to tell me that maintenance is ok. And it's so good to get reliable advice from somebody who knows what they are talking about! You're right I shouldn't be considering anyone else apart from myself and the baby. I've cancelled my detox and I'm going to raise my dose to 40mg and see if that holds me.(And if it doesn't , I'll carry on increasing to a dose that does). Thankyou so much for being so straight with me it's really helped me put things into perspective!
Now that I've made a decision, I feel alot less stressed, which I know can only benefit the baby!
Sharon we must class the second trimester differently in England cos 2nd trimester here is 12wks to 28wks! And this has been the period I tapered over.(this is what my Doctor advised me to do).
I must admit your post made me cry!! I think its a mixture of hormones, relief and guilt over the fact I nearly put pride and other people before the wellbeing of my baby!
Also thankyou for getting back to me so quickly with a response and with the advice I really needed.
Hope everyone else is doing really well!
Vicky xx

VICKY
Pregnancy Support Specialist
Vicky@MethadoneSupport.org

Lilypie
Lilypie
   
bewtifull1204
Member

Posts: 178
Registered: Jan 2009
 Posted February 16th, 2009 10:13 PM   IP           Reply with quote Edit Post Delete post
hi can someone put withdrawl symptoms....


on MMT

i am 28 weeks pregnant and well so far there were some days when i felt under but the next day had my dose and was ok i figure pregnancy stuff too speaking of i go for my ornge drink tommorow i was reading alot o fthe posts and well listen to your body is all you can do and well have faith all goes well....
   



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