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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Vicky in UK
*SUPER MODERATOR*

Posts: 653
Registered: Feb 2009
 Posted January 15th, 2010 07:23 AM   IP           Reply with quote Edit Post Delete post
Hi everyone! I have just copied this post from the New Members Thread. I wanted to give it, it's own thread in the hope that one of you guys will see it and maybe be able to help. Thanks in advance!!!!



Texas
Member

Posts: 1
Registered: Jan 2010 Posted January 14th, 2010 06:01 PM IP
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Hi I am 31 wks and have a lot of questions for anyone who can help. I am not on methadone, but was on Lorcet (back injury) when I found out I was pregnant. I detoxed and quit smoking when I found out I was pregnant.

About 4 wks ago I took approx 6 Lorcet (stupid, stupid, stupid) over a cpl days time due to some back pain (wrapping christmas presents).

Now I am concerned about CPS involvement and meconium testing. Even though I have a rx for these pills I have not been taking them during pregnancy and my dr knows all about it. I was also honest about my drug use prior to pregnancy.

I keep hearing horror stories about children being snatched from their mother's arms due to intrauterine drug use.

Any input would be greatly appreciated.


VICKY
Pregnancy Support Specialist
Vicky@MethadoneSupport.org

Lilypie
Lilypie
   
Vicky in UK
*SUPER MODERATOR*

Posts: 653
Registered: Feb 2009
 Posted January 15th, 2010 07:26 AM   IP           Reply with quote Edit Post Delete post
Here is my reply:

Hi Texas!!!
Welcome to the Board Sweetie!!! And Congratulations on your pregnancy!!!! As I don't live in the States, I'm not 100% sure what would happen in your situation. I'm not sure if those drugs would be detectable in the meconium after such a long period of time? And as you do have a prescription for the (very few) drugs you took then, if it ever came to it I would just tell the truth. (But only mention it, if they know.) Say you had severe backpain over Xmas and took these drugs for that reason and you didn't realise it would cause a problem. But I wouldn't mention it first.

It's great you've been so honest with your Doctors and you've done so well quitting smoking etc. I'm going to e-mail Jess as she lives in the States and should no alot more than me. I'm also going to copy and paste your post to a Thread of it's own so that more people see it and that way you should get more responses.

As for CPS, it makes a huge difference which State you live in. Some States are FAR more strict than others. Also if you are co-operative that helps. And if you have been prescribed the drug in question then that is another positive.
I'll e-mail Jess now.
Love Vicky x
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VICKY
Pregnancy Support Specialist
Vicky@MethadoneSupport.org
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VICKY
Pregnancy Support Specialist
Vicky@MethadoneSupport.org

VICKY
Pregnancy Support Specialist
Vicky@MethadoneSupport.org

Lilypie
Lilypie
   
fascination
Member

Posts: 65
Registered: Jan 2010
 Posted January 15th, 2010 08:46 PM   IP           Reply with quote Edit Post Delete post
Sweete, I don't even think that they will test your baby's meconium as your your baby won't have NAS. What reason would they have to test him/her? Also, you do have a legal prescription for the pills so even if by some stretch they did test your baby's stool, you would not be in trouble. You didn't break any law. Someone else would probably know more than I do about it, but I don't see how you could get into any trouble with CPS.
JENN
fascination1980@yahoo.com
   
Jessica1381
*SUPER MODERATOR*

Posts: 1216
Registered: Mar 2008
 Posted January 17th, 2010 07:19 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
p.s. Some places do automatically test the baby's meconium at birth because its considered standard practice and some hospitals do not because they feel they need a reason to do it.

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
   
Texas
Member

Posts: 4
Registered: Jan 2010
 Posted January 18th, 2010 06:25 AM   IP           Reply with quote Edit Post Delete post
And I forgot to mention - I am going by the pharmacy today to get a copy of the rx - It was written back in July - does the age of the script make a difference?

dunno something I will ask pharmacist about .

Neways - will have that on hand when I deliver.

   
Jessica1381
*SUPER MODERATOR*

Posts: 1216
Registered: Mar 2008
 Posted January 19th, 2010 04:34 PM   IP           Reply with quote Edit Post Delete post
I can not say for sure whether or not this will make a difference, BUT at least the RX is for YOU! So this is a good thing...
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
   
Jessica1381
*SUPER MODERATOR*

Posts: 1216
Registered: Mar 2008
 Posted January 19th, 2010 04:39 PM   IP           Reply with quote Edit Post Delete post
Texas I merged the other thread Vicky started where she coppied your original post in the welcome new members thread and merged here because it was about the same thing. Hope you dont mind. That way people knew what you were talking about and you may get more responces this way as well... with more responces you will get more supportive women to talk too!!!!!!!!!
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
   
Texas
Member

Posts: 4
Registered: Jan 2010
 Posted January 21st, 2010 09:25 AM   IP           Reply with quote Edit Post Delete post
Thanks everyone for your response. And thanks Jessica for fixing my mess up. I'm still having a hard time figuring this posting stuff out.

I am eternally grateful for the responses I have gotten. I am probably being somewhat paranoid. My main concern stems from the fact that I was completely honest about my drug use on my first dr visit. I had been partying some and there was alcohol and cocaine as well as the prescribed lorcet in my system. So that is why I think they will do meconium testing, which when/if they do they will not find any illicit drugs, I quit all that upon notice of pregnancy (even smoking!).

Again, thanks everyone for their help and support. I love my little daughter and am so excited to meet her in less than 2 MONTHS!!!

She has changed my life. And I cannot imagine doing anything anymore without imagining her doing it with me.
   



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