Pregnancy Survey
1.
Does your program ask pregnant women to withdraw from methadone as a way of protecting the fetus from NAS?
Yes
No
2.
Are there methadone dose restrictions on pregnant women, or is there encouragement for women to put up with withdrawal, as a way of protecting the fetus?
Yes
No
3.
Does the medical staff meet with the patient regularly to discuss methadone dose?
Yes, weekly
Yes, monthly
No, not regularly
4.
In what percentage of your deliveries do you see NAS?
30% or less
30% to 50%
Above 50%
5.
 If a pregnant woman complains of withdrawal symptoms, are her methadone doses increased?
Yes, routinely
Yes, but increases are delayed
Not usually done
6.
Are methadone plasma levels used to monitor fetal methadone exposure and maternal methadone metabolism?
Yes, routinely
On occasion
Never
7.
Does your program use split doses in pregnancy?
Yes, for most patients
Sometimes
Never
8.
Does your program recommend buprenorphine as an alternative to methadone?
Yes
Sometimes
Never
9.
Is your medical staff knowledgeable about the differences between methadone and buprenorphine in risks of induction in actively addicted pregnant women?
Yes
No
Not Sure
10.
Does your program encourage new mothers on methadone to breastfeed?
Yes, always
Sometimes
Not sure
11.
Is your staff familiar with the concept of "rooming in"-not separating mother and baby at birth, and letting the mother keep the newborn "skin-to-skin"- as a way of reducing NAS?
Yes, and we recommend it
Yes, but we don't follow it
Never heard of it
12.
Please indicate your field
Methadone counselor
Physician
Administrator
Researcher
Other