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Child-Maltreatment-Research-L (CMRL) List Serve

Database of Past CMRL Messages

Welcome to the database of past Child-Maltreatment-Research-L (CMRL) list serve messages. The table below contains all past CMRL messages (text only, no attachments) from Nov. 20, 1996 - March 6, 2018 and is updated quarterly.

Instructions: Postings are listed for browsing with the newest messages first. Click on the linked ID number to see a message. You can search the author, subject, message ID, and message content fields by entering your criteria into this search box:

Message ID: 9200
Date: 2012-06-16

Author:Peggy Taylor

Subject:Re: opiate-addicted new mothers

Morphine treatment is also provided to methamphetamine exposed infants. My concern with this practice is that some hospitals administer the morphine to infants simply on the say so of an involved party. The justification given is that, even if both the mother and infant present as drug free at birth, methamphetamine withdrawl complications can threaten the infant's life. The miconium results are not available for a week or more, so the morphine is administered shortly after birth. This treatment requires a 4-6 week stay in the NICU for these infants. Do we not have a more accurate or timely way to make this medical assessment? Like Sherry, I would appreciate more information about morphine treatment for infants. Peggy Taylor, LMSW Kansas On Tue, Jun 12, 2012 at 12:07 PM, D F MCMAHON > wrote: I found some studies regarding outcomes for babies of opiate-addicted mothers, including one study from DC (sorry, I don't have the link) that quantified the number of babies receiving morphine treatment that left the hospital to maternal home, to supervised settings such as residential treatment (don't know if this included incarceration settings, I don't think that was mentioned), or to foster placements. I've also seen some references indicating treatment outcomes are improved for mothers who keep their babies. There is also information indicating that heroin addiction has significant lifelong implications (e.g. relapses after 10-15 years) and I am not aware of any long-term information about mothers and children in connection with this issue. Any links would be appreciated, and also any information as to variation in customary agency practices regarding newborns of opiate-addicted mothers. Thanks, Sheri McMahon ND

Morphine treatment is also provided to methamphetamine exposed infants. My concern with this practice is that some hospitals administer the morphine to infants simply on the say so of an involved party. The justification given is that, even if both the mother and infant present as drug free at birth, methamphetamine withdrawl complications can threaten the infant's life. The miconium results are not available for a week or more, so the morphine is administered shortly after birth. This treatment requires a 4-6 week stay in the NICU for these infants. Do we not have a more accurate or timely way to make this medical assessment? Like Sherry, I would appreciate more information about morphine treatment for infants. Peggy Taylor, LMSW Kansas On Tue, Jun 12, 2012 at 12:07 PM, D F MCMAHON > wrote: I found some studies regarding outcomes for babies of opiate-addicted mothers, including one study from DC (sorry, I don't have the link) that quantified the number of babies receiving morphine treatment that left the hospital to maternal home, to supervised settings such as residential treatment (don't know if this included incarceration settings, I don't think that was mentioned), or to foster placements. I've also seen some references indicating treatment outcomes are improved for mothers who keep their babies. There is also information indicating that heroin addiction has significant lifelong implications (e.g. relapses after 10-15 years) and I am not aware of any long-term information about mothers and children in connection with this issue. Any links would be appreciated, and also any information as to variation in customary agency practices regarding newborns of opiate-addicted mothers. Thanks, Sheri McMahon ND