This article addresses the management of pregnant women participating in a methadone maintenance program. An approach to management of the labor of a woman on a methadone maintenance program is described along with a summary of what to anticipate at delivery and postpartum, and options for management of the infant who manifests symptoms of the neonatal abstinence syndrome.
Associate Professor of Pediatrics and OB-GYN, Attending Neonatologist, Department of Pediatrics, Children's Hospital Medical Center, The University Hospital, Inc., Cincinnati, Ohio
Submitted for publication: November 3, 2000
Accepted for publication: February 1, 2001