Neonatal Nurse Practitioner Practice Exam

What is considered safe supervised use for a breastfeeding mother on methadone?

1. It is contraindicated during breastfeeding

2. It is potentially harmful to the infant

3. It is considered safe

The correct answer is: It is considered safe

Methadone is a medication often used in the treatment of opioid dependence and chronic pain management. For breastfeeding mothers who are on a stable dose of methadone, research has indicated that it is generally considered safe for them to continue breastfeeding. This is because methadone is a long-acting opioid that usually results in lower concentrations in breast milk compared to other opioids. When mothers are on a stable dosage, the levels of methadone that an infant would be exposed to through breast milk are minimal and not typically associated with adverse effects. In fact, the benefits of breastfeeding, such as nutritional and immunological support, can outweigh the potential risks posed by low levels of methadone in breast milk. Considering the context, care providers monitor both the mother and infant throughout the breastfeeding process to ensure safety. Regular assessments help to manage any potential concerns, thereby fostering a healthy breastfeeding relationship even when the mother is on medication like methadone. Therefore, it is accurate to assert that supervised use of methadone is considered safe for breastfeeding mothers under proper management practices.