I had to take morphine whilst I was pregnant. I had NO choice. I had my DD early, and she was monitored for morphine withdrawal. After being heartbroken and racked with guilt that she was in this situation, I was heart broken at the thought i would not be able to breast feed. It was all I had wanted to do.
However, The consultants and matrons and other staff in the NNU all very much encouraged and supported me into breast feeding my dd, despite taking morphine. The amount i was taking and the amount secreted in Breast milk is so unbelievably minimal ( when taken in therapeutic doses, not abused) it is safe to do. It would also provide her with a natural withdrawal, should she need it. hence the encouragement. Fortunately she didn't have any signs of withdrawal, and very few signs if any, of any dependancy.
I was a NNU nurse and had regularly looked after babies who were withdrawing from drugs, resulting form maternal drug abuse. THis is not what i had done. BUt I felt SO SO guilty that I had had to take such levels of morphine, I had NO choice as i had a prolapsed disc, severe SPD and complications with my arthritis. It was the prolapsed disc which caused the most problems, and i could not even get up to pee in the end.
Guilt does not even cover the emotions I felt. I was SO incredibly fortunate, that i was given immense support to feed DD, despite her teeny size and lack of ability to feed herself. She was tube fed initially, and offered my breast for almost 3 weeks before she got the hang of it.
Was I selfish to actually breast feed as a few individuals made me feel? NO, i wasnt. I did the right thing. My DD did NOT have a morphine dependancy due to me br/f her. She still feeds from me, and I still have to take morphine. I feed her about 3 times a day now, no where near as much ( obviously) as i did until she was weaned. She has NO side effects from the reduction in milk, therefore reduction in any morphine she may have been getting from my milk... She was NOT dependent. I was unbelievably judged by many MW and other staff, for taking the decision TO feed her. This was I think, balanced almost by the amount of support i DID get.
I now know i did exactly the RIGHT thing.
It is SUCH an incredibly emotive subject. There are no judgments to be made. No-one can ever fully understand a mothers decision ( be it choice or necessity ) to br/f or not to bf/f, no-one, unless they are that woman. what people CAN understand, is that there ARE a variety of reasons mums do and dont feed, and it is these decisions that need to be supported.
Its truly horrifying to hear SO many terrible experiences, and so many of them may have been helped by better support form the professionals in hospital prior to discharge. I dont believe at all that there are so many 'crap' midwives, NNU nurses, the list goes on... I DO believe that there are many many departments which are so severely short staffed, that the staff who are there just physically dont have the time to devote as much care and attention to their patients as many of them would want to. you only have to ask them this to find it to be true...
trust me
ALL these mummys ( posting here) and babies were severely let down by a very oversubscribed under funded , system of woman and child health care... It is things such as this which REALLY need to change. The rest, I am certain, and hopeful will follow.