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Rebecca M. Cordani

School of Nursing
Quinnipiac University
Born for Recovery: The Effects of Maternal Methadone Use on Neonates 

This interrupted case study presents the story of "Jane Paul," a 27-year-old pregnant woman excited by the prospect of bringing a new life into the world. Jane had been using heroin for the past seven years, but when she learns she is pregnant, she goes to a local clinic where she is prescribed methadone to treat her addiction. After seven months of treatment, Jane delivers successfully and her baby girl is admitted to the neonatal intensive care unit (NICU). In the NICU, the baby experiences mild symptoms of neonatal abstinence syndrome (NAS) and is treated medically, but overall is stable. After nine days of treatment, monitoring, and social service involvement in the care, the baby is discharged to the grandmother's home. This case study allows nursing students to explore the nursing assessment and interventions for a maternal-child situation with the added consideration of maternal methadone use.