title: When the client is pregnant: information for counselors.
abstract: This article explores the issues raised by methadone maintenance during pregnancy with a focus on intervention techniques for the drug counselor. Establishing and maintaining the appropriate dose of methadone is discussed. Prenatal care issues are reviewed and the counselor is suggested as a liaison with traditional sources of prenatal care and education. Postpartum experiences in the intensive care nursery are presented and recommendations about breast feeding offered. Specific activities are suggested for the drug program.
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001942:Breast Feeding; D005193:Family Planning Services; D005260:Female; D006167:Guilt; D006556:Heroin Dependence / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D007363:Intensive Care Units, Neonatal; D008691:Methadone / Q000009:adverse effects / Q000627:therapeutic use*; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D011247:Pregnancy; D011248:Pregnancy Complications; D011295:Prenatal Care; D012306:Risk; D013375:Substance Withdrawal Syndrome / Q000209:etiology
chemical_list: D008691:Methadone