Updated: Aug 2, 2021
Local Community Midwifery Team
Saltown Maternal and Child Health Centre
28 April 2016
Re:Alicia Nesbitt, aged 6 days
Thankyou for seeing Alicia Nesbitt who were diagnosed with low birth weight (2.0kg) and opioid dependence. She requires follow-up management following her discharge today.
During hospitalization, for both Alicia and Gemma heroin with drawal course was initiated and was completed without any complications. The initial weight was reported as 2.0kg . Due to erractic use of bottle feeding, decrease in appetite was observed.
In addition, fragile connection between Alicia and her mother has been experienced. Daily home visits by a community midwife arr suggested until Alicia's health condition, weight and feeding are not stable. Enivironmental safety precautions are required, updation to a social worker is necessary, if any associated risks would be present. Regular monitoring of psychological state and coping mechanism assessment is recommended. Education regarding newborn care should be provided to Gemma. Ideal weight gain of 2.3 kg has been noticed at the time of discharge.
Ms. Gemma is a victim of heroin dependence from past two years. Presently, she is a single mother and has no relationship with Alicia's father. She will be going to live with Alicia's grandmother upon discharge.
Based on the aforementioned circumstances, regular monitoring of Alicia's health condition for weight feeding and associated risks, along with expert supervision and management towards Gemma's psychosocial health would be profoundly beneficial. In case you require any additional information, please do not hesitate to contact me.
Saint Daphne Maternity Hospital.