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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fascination
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Posts: 65
Registered: Jan 2010
 Posted January 11th, 2010 09:22 AM   IP           Reply with quote Edit Post Delete post
I could really use some advice on this if possible. I am currently on a 60 mg. split dose. I am also 34 weeks pregnant with my first child. Well, I have had ALOT of trouble sleeping. Now, I know that that is common for pregnant women but I've also felt feverish at night. I am so confused as to if this is just normal pregnancy stuff I'm feeling or if I need an increase. Before I found this website and all of you wonderful ladies, I was determined to keep my dose as low as possible. Well, after reading all the info on here, now I know that its better to for the baby to stay comfortable. However, I really don't want to increase unless I need it. Any advice?
JENN
fascination1980@yahoo.com
   
fascination
Member

Posts: 65
Registered: Jan 2010
 Posted January 11th, 2010 09:31 AM   IP           Reply with quote Edit Post Delete post
Oh, and Ive also been having headaches too. If I wasn't pregnant I know that I would know FOR SURE if I was going into withdrawls because I've had to deal with them so much in the past. Being pregnant , however,I'm not so sure. Some of the symptoms of pregnancy and withdrawl are the same. I am seeing the clinic doctor tommorrow for a regular follow up and if I need to increase tommorow would be the perfect time for me to mention it.I just want to make sure I do the right thing.
JENN
fascination1980@yahoo.com
   
Jessica1381
*SUPER MODERATOR*

Posts: 1216
Registered: Mar 2008
 Posted January 11th, 2010 10:54 PM   IP           Reply with quote Edit Post Delete post
I would definitely mention it and then let the doctor asses you and go over how you feel with you. Yes, its a fact that some withdrawal symptoms are very similar to pregnancy ones, but that is why we have doctors so they can help us figure it out. Are you having any other symptoms? Any night sweats, or being cold, yawning a lot, watery eyes, sneezing, .... any at all? Just keep paying close attention to your body! Let me knowhow your apt. goes with the clinic doctor! I hope you and him can figure this out so you feel better!
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
   
fascination
Member

Posts: 65
Registered: Jan 2010
 Posted January 12th, 2010 12:17 AM   IP           Reply with quote Edit Post Delete post
Thank you for replying! I haven't been yawning but I've been sneezing. I'll ask him tommorow.
JENN
fascination1980@yahoo.com
   
Vicky in UK
*SUPER MODERATOR*

Posts: 653
Registered: Feb 2009
 Posted January 13th, 2010 06:17 AM   IP           Reply with quote Edit Post Delete post
Jess is right, def ask your Doctor! He should be able to help you determine wether it's withdrawals or not. But personally I think it sounds like withdrawal. I had exactly the same sympotms, plus struggling to sleep and I couldn't decide if it was withdrawals or pregnancy 'stuff', but as soon as I raised my dose the nasty feelings went, I could sleep again and I felt 100% better.
Let us know what your Doctor says and if you have an increase, let us know if it helps. It's so common to require a raise especially during the last trimester. Hope you feel better soon Hun!!
Love Vicky x

VICKY
Pregnancy Support Specialist
Vicky@MethadoneSupport.org

Lilypie
Lilypie
   
fascination
Member

Posts: 65
Registered: Jan 2010
 Posted January 13th, 2010 12:05 PM   IP           Reply with quote Edit Post Delete post
So, I spoke with the my clinic's doctor and I think I will go ahead and increase. He said that he can't be positive that its definitely withdrawls and not pregnancy symptoms but that if its been going on for at least a week then its better to go ahead and increase a little bit to be on the safe side. Thank you ladies so much for the great advice! You guys are wonderful!!!!!!
JENN
fascination1980@yahoo.com
   
Jessica1381
*SUPER MODERATOR*

Posts: 1216
Registered: Mar 2008
 Posted January 14th, 2010 03:22 PM   IP           Reply with quote Edit Post Delete post
No problem huni! No need to thank any of us! Thats what we are all here for!
hugs, Jess
p.s. let us know how you are feeling in a few days after your increase!

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
   
Vicky in UK
*SUPER MODERATOR*

Posts: 653
Registered: Feb 2009
 Posted January 15th, 2010 06:49 AM   IP           Reply with quote Edit Post Delete post
So have you had your increase yet Sweetie??? Are you feeling any better??? I think it certainly wouldn't hurt to increase a little, if it makes you sleepy, you can always drop back down.
Let us know soon!

Love Vicky x

VICKY
Pregnancy Support Specialist
Vicky@MethadoneSupport.org

Lilypie
Lilypie
   
fascination
Member

Posts: 65
Registered: Jan 2010
 Posted January 15th, 2010 08:40 PM   IP           Reply with quote Edit Post Delete post
I have to wait until Tuesday as thats when the Dr. will be there. Over the last day or so, I can definitely tell now that it is slight withdrawls. I'll be fine for the next few days until I can see him, though. They aren't too bad. Thank you for asking!
JENN
fascination1980@yahoo.com
   
Jessica1381
*SUPER MODERATOR*

Posts: 1216
Registered: Mar 2008
 Posted January 17th, 2010 07:42 AM   IP           Reply with quote Edit Post Delete post
I am surprised that they have made you wait so long to increase your dose being you are pregnant! At the clinics around here they can bring a pregnant woman up right away. All they do is page the on call doctor and he calls back and he will usually approve the increase, unless there is a reason they don't approve it, like the woman has a history of asking for increases and claiming they are sick, when they really are not, just to try to get a buzz... Its sad, but there are women even when pregnant who will abuse the fact that they are pregnant to go up on their methadone as much as possible. Its a shame. It gives us a bad name, ya know? Not all of us do that. we only go up if we feel the need to because we are legitimately ill. Anyway, let us know how you feel after you increase! I bet you will feel sooooooo much better!!
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
   
fascination
Member

Posts: 65
Registered: Jan 2010
 Posted January 20th, 2010 06:14 PM   IP           Reply with quote Edit Post Delete post
Well, they raised my dose 10 mgs. which was more than what I wanted to go up, but I do feel a lot better now. They said that I am on a low dose for being pregnant and that with my symptoms I should go up at least 10 mgs. My dose is holding me the full 24 hours now and I'm not watching the clock for when I can take my methadone anymore, so thats good! Thank you for the advice everyone! BTW, I'm 36 weeks today. My baby will be here so soon. I'm so excited!
JENN
fascination1980@yahoo.com
   



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