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AD.29. Rinu Shajan - Alicia Nesbitt


28 April 2016

Community Midwifery Team

Saltown maternal and cold health centre


Dear sir/madam,

Re: Alicia Nesbitt

DOB: 22 April 2016

I am writing to you regarding Alicia Nesbitt, 6 days old baby,who require followup care from your service. She has being diagnosed with low birth weight and opioid dependence. She is now ready for discharge.

At birth, Alicia weighed 2.0kg and today she withered 2.3 kg. She is consuming bottle feeding eradically.By observation, she seems to have decreased appetite. Alicia's mother Gemma has been heroin dependent over 2 years and recently worked as a sex worker. Presently, both mother and baby completed heroin withdrawal without complication. The drug and alcohol team are involved in managing her ongoing addiction.

However, Gemma is not maintaining a good bonding with her child even though she is not having a good relationship with Alicia's farther due to domestic abuse. Because of that social services were involved and approved that Alicia is been discharge along with her mother Gemma to live with maternal grandmother.

It would be greatly appreciated, if you could visit Alicia daily until her weight and feeding habits become stabilised. Along with that make sure that the baby is in safe environment and also monitor Gemma's psychological state and liaise with drug and alcohol team to provide support for Gemma to decrease the risk of heroin use. And educate the mother and grandmother about infant care.

If you have any queries, please do not hesitate to contact me.

Your's sincerely,


Saint Daphne Maternity Hospital


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