Where a mother receives morphine for labour pain, should the newborn be observed for a set period of time as standard? If yes, how long?The baby may be sleepy and slow to feed. I have searched all the usual databases but cannot find evidence for a standard period of time for observations. Does it just depend on whether the baby shows respiratory distress or not?
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- Responded 14 Aug 2019 · Via Twitter another factor could include the gestational maturity of the neonate! Conflict of interest declaration: None
- Responded 14 Aug 2019 · We could find no specific guidelines on the topic however in the opiate naive mother receiving opioids for pain relief in the process of child birth the answer would seem to rely on a number of factors such as: - The half life of the opioid used - The route of administration - The dose Taking the above into consideration - the further away from the birth would be more reliant on the observations at birth and within the first hour - sooner to the birth would mean a longer period of observations - particularly with opioids with longer half lives. There is a not a safe answer to this question as its multifactorial. The answer is obviously different in users of opioids as there is a potential need to monitor withdrawal in the neonate for up to 6 months post delivery. Conflict of interest declaration: None
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