We are aware that an increasing number of babies are exposed to opiates, to methadone, to cannabis and cocaine through maternal breastmilk. In this presentation, I will discuss the pharmacokinetics of the medications and how this impacts the clinical care of the babies both immediately after delivery and later on. We need mothers to be open and honest about any drugs which they have taken in order that we may care for the baby appropriately if it is exhibiting clinical symptoms. This impacts on safeguarding issues but our aim should be to help the mother consider the impact on her baby using evidence-based information and to maintain breastfeeding appropriately. What are the long- and short-term implications of exposure for mother and baby? Is there sufficient research? As always, more questions than answers.
Learning Objectives:
Objective 1: Explain the pharmacokinetics of substances to which babies may be exposed through breastmilk.
Objective 2: Assess whether breastfeeding can be continued following exposure.
Objective 3: Discuss how we may support the breastfeeding mother who is using substances during her lactation
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