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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

to think that unnecessarily breast feeding an infant whilst on IV morphine and against medical advice may constitute abuse

116 replies

MollyPapa · 22/06/2011 20:53

This is not a hypothetical question but based on a real case. Clearly I am not going to identify the people involved but I am interested in wider Mumsnetter opinions, as I have come across different opinions relating to this.

A mother who lives abroad visits the UK to spend some time with her infant child's grandparents. The child is approx 16-19 months old, a delight, doing well and weaned.

Suddenly the mother is taken ill and rushed to hospital, leaving the child in the care of her grandparents. She's admitted to the High Dependency Unit. Naturally, the grandparents take the child to visit the mother in hospital. The mother is apparently in so much pain, doctors have put her on an IV drip for morphine.

On arrival at the hospital the mother insists on breast feeding her child, despite the fact that she has been on solid foods for weeks. This causes alarm amongst medical staff including the ward sister who make it very clear to her that she should not do that due to the high risk of her milk being contaminated with morphine. This reaction of course alarms the grandparents as well. The mother refuses to stop breast feeding and points out to the staff that they cannot stop her, and that it is her opinion that no harm will come to her child. The staff continue to protest, the mother continues to maintain her right to breast feed and that no harm will come of it.

Sometime later the mother is in another hospital in the same area. Again a High Dependency Unit. Once more, when her child is brought in to see her she immediately attempts to breast feed and medics raise objections because of the IV morphine. The mother, showing remarkable strength of spirit for someone in a HDU, refuses to desist.

Eventually the grandparents refuse to take the child in to visit the mother because they are so concerned about her behaviour. Social services become involved (it is assumed alerted by the hospital staff) but once the mother is made aware of their visits to the grandparents she seems to immediately recover, discharge herself and within 24 hours is leaving the UK to her residence in Europe with her child.

The mother is not a medic or medically qualified. The quantities of morhpine she was receiving are not known. I am not a medic, and whilst I am relatively confident that morphine passes easily from breast milk to the child, I could not say what the potential harm would be to that child.

The mother's main argument was that she did not want her milk to dry up - yet the child was 16-19 month old and weaned. Is this an acceptable argument? Even if the risk to the child was minimal was this an acceptable way to behave?

I'm a parent but not a mother. Obviously a Dad S. My view at the moment is that to expose a child to a risk of contamination by such a powerful drug as morphine when it was entirely unnecessary and against medical advice must border on a form of abuse.

Perhaps others would think that the mother's wish to maintain her milk supply, or her rights to breast feed and that any harm, in her view, would be minimal, justify her actions.

I'd be interested to hear what other Mumsnetters think.

OP posts:
MadeUpMoniker · 22/06/2011 21:26

I expressed breast milk for my 2lb 27 weeker on morphine.

Mums who have sections frequently breastfeed on morphine.

Knackeredmother · 22/06/2011 21:30

This angers me so much.
The mum was ill and the child would want the comfort of bf from her mum. If the mum was able to physically bf then she has every right.
You can bf on morphine.
A police friend of mine told me of a case where she was trying to prosecute a mother for bf her baby whilst taking methadone.
Until I pointed out that my friend bf her own child post section on codeine. She had no idea it was the same class of drug.
The world has gone mad, seems to be so much ignorance of extended bf.

LunaticFringe · 22/06/2011 21:38

This reply has been deleted

Message withdrawn at poster's request.

delusionsofadequacy · 22/06/2011 21:39

methadone for addiction is a bit different to morphine for pain - the doses tend to be a lot higher an so the risk of sedation in the infant and withdrawal on stopping is higher. Having said that as the baby will likely have been born after a pregnancy involving methadone, breastfeeding can sometimes be used to help the baby withdraw.

Knackeredmother · 22/06/2011 21:40

Lunatic, the child in question was on solids as well as breastfeeding

AuntiePickleBottom · 22/06/2011 21:42

lunatic, there could be many reason.

my son didn't take to soild till he was 15 months, switched over to formula at 5 months as i couldn't breastfeed any longer. Perhaps the baby was like my DS

Knackeredmother · 22/06/2011 21:43

Delusion, I don't know what the
Doses involved were. But to prosecute a mother who is trying to do her best by bf, what about support to reduce the methadone instead?

hellymelly · 22/06/2011 21:43

I am another who was given morphine after a c-section and at no point did the midwives or medical team say I shouldn't breastfeed.My babies weren't any more drowsy than any other newborn.In fact I'd never even thought of it until reading this,as it seems standard to give it after a c-section.

KoolAidKid · 22/06/2011 21:44

I breastfed my newborn DD on morphine after emergency Csection. I'm sure this happens every single day in maternity wards across the country. It is obviously fine.

I'm not sure why the doctors in your OP objected. Although to be honest I suspect the whole story is a load of tripe.

LunaticFringe · 22/06/2011 21:44

This reply has been deleted

Message withdrawn at poster's request.

AuntiePickleBottom · 22/06/2011 21:46

a baby whom mother is on methode would likely be on the metadone project, run by GMC, when the rate is lowered it is done very slowly.

so to me, the amount of methadone in the breast milk would also start to lower, weaning both mother and baby off it slowly

MollyPapa · 22/06/2011 21:47

Thank you for everyone's response so far - particularly the informative responses as opposed to the plain abusive ones S.

I posted this precisely because I am not a medic or a mother and assumed (as it turned out correctly) that other people would have experiences that could inform my opinion.

I would clarify that the child was on solids and so the breast-feeiding - harmful or not - was not strictly necessary for the child's welfare. It of course might have been necessary from the mother's point of view to maintain her bond with her child, though at the age involved one might argue that that was well established.

OP posts:
delusionsofadequacy · 22/06/2011 21:47

I dunno - methadone withdrawal in general is extremely hard and unlikely to be done in a reasonable time period for her to stop and restart breast feeding unless the mother is extremely motivated and there are spaces for inpatient withdrawal. Prosecution is unfair though, there should be education and other help involved. Stopping her breastfeeding suddenly due to fear of prosecution would likely send the baby into withdrawal

VivaLeBeaver · 22/06/2011 21:48

Women in labour have diamorphine and breastfeed shortly afterwards. Morphine is given to breastfeeding women on the postnatal ward if they need it.

3/10

delusionsofadequacy · 22/06/2011 21:49

sorry x-posted with APB

VivaLeBeaver · 22/06/2011 21:50

God, where I work we'd encourage a mum on methadone to breastfeed as it helps prevent the baby having sudden cold turkey once it's born.

MollyPapa · 22/06/2011 21:50

Also to be clear. This was methadone, it was morphine... top quality NHS morphine for alleged pain relief.

I do not unfortunately know precisely what the concerns or the medics or why. I can only report what happened and their reaction.

Clearly, they may have over-reacted... they may have been over cautious.

All these things are possible. It is not after all a black and white, all good all bad or perfect world we live in.

OP posts:
VivaLeBeaver · 22/06/2011 21:51

Meant to say as baby will have been getting methadone while in utero for nine months.

MollyPapa · 22/06/2011 21:51

Sorry..NOT methadone...

OP posts:
MollyPapa · 22/06/2011 21:52

I'm a bit bemused why everyone is talking about methadone from birth as if the mother was drug addict coming off heroin. This wasn't the case and not what happened.

Confused

OP posts:
KoolAidKid · 22/06/2011 21:53

Whether it was 'strictly necessary' or not makes no difference though does it? If breastfeeding her baby whilst on morphine doesn't harm the baby then what is the harm in doing so?

Believe me a 16 month old baby WILL be distraught at being separated from the mother for a long period, whether it shows it or not, especially if it's used to being regularly breastfed. It's likely that breastfeeding her child would have offered some comfort to it.

AuntiePickleBottom · 22/06/2011 21:54

molly, one subjet leads to another and sometime goes completly OT

thisisyesterday · 22/06/2011 21:54

your assumption that the need for breastfeeding is purely nutritional is, to be honest, quite stupid.

a breastfed toddler, kept apart from her mother, in a strange country, with people she doesn't know that well....

put it this way, you cannot force a toddler to breastfeed. the baby would have wanted it too, and it is ridiculous to say that her need for comfort, security and breastmilk is unnecessary because she is on solids

veritythebrave · 22/06/2011 21:57

This reply has been deleted

Message withdrawn at poster's request.

AnyFuleKno · 22/06/2011 21:59

If you're not a medic or a mother, what business is it of yours precisely?