The Local Community Midwifery Team
Saltown Maternal and Child Health Centre
28 April 2016
Re: Alicia Nesbitt, D.O.B: 22 April 2016
This letter is being written to refer Alicia Nesbitt 6-year-old newborn and his mother, who has been treated for opioid dependence, requires assistance and follow-up from your facility following the discharge.
Alicia mother Ms Gemma is single, who separated from husband ascribed to physical violence during pregnancy; however, her mother is very cooperative. Perhaps, the department of social services allowed them to be discharged as long as they live with her mother. She has had heroin dependence for the last two years and worked as a sex worker.
Alicia, who born with two kilogram body weight. Irregularity formula feeding due to poor appetite was observed. Lack of mother-baby bonding noted as evidenced by constant encouragement to care for her newborn.
Based on the aforementioned circumstances, regular visits are highly beneficial for Alicia until the satisfactory body weight and feeding. Education to mother and maternal mother regarding infant care would be extremely adviced. Ensure to notify in case any risk observed along with safeguard of environment. Monitoring of psychological state is note-worthy. Encourage to involve integrated support to Ms Gemma for decrease risk of heroin addiction.
If any additional information is required, do not hesitate to contact me.
The Maternity Ward
Saint Daphne Maternity Hospital