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How does the MIR Program work?

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To learn more about Mothers in Recovery: Phone: (603) 354-5440

Your care team will consist of an OB/GYN physician, a clinical psychologist, and a nurse care coordinator. In addition, all of our staff in the OB/GYN department have received training related to the special needs of women affected by opioid dependency.

You will receive your prenatal care and education by an OB/GYN within a group setting, as well as participate in group counseling led by a psychologist, alongside other pregnant women who are committed to recovery from opioid use disorders.

Prescriptions for buprenorphine are provided at the end of each weekly session. In the final weeks of pregnancy and/or if you develop any complications of pregnancy (high blood pressure, diabetes, etc.), additional visits will be done on a 1:1 basis in our office.

Ingredients for success with the MIR Program

There are some basic requirements for your treatment and care to be successful. Three of these are:

  • Honest, open communication between you and your care team
  • Your commitment to participate in all scheduled appointments, on-time refill requests, and weekly witnessed urine drug screens to monitor compliance
  • Your care team’s commitment to protect your privacy and the confidentiality of your substance use disorder treatment.
Postpartum support for you and your baby

Special Care Techniques for neonatal abstinence syndrome (NAS} When MIR babies are born, they are screened for NAS, which can occur when a baby is exposed to drugs while in the womb, then goes through withdrawal after birth. The Women’s Health Center at CMC/DH partners with the parents so they understand how to comfort affected newborns.

Group therapy and medical management continue postpartum. These important components of support for new moms who are also new in their recovery focuses not only on day-by-day recovery from substance use disorders but also on being a mom, alongside others who can relate.

Connecting with additional community services. The MIR Program also connects new mothers in recovery with community services for home-based case management, parenting support, and home-visit nursing care.

Breastfeeding support. MIR moms can breastfeed if they test to have no other drugs in their system beside their prescription. In addition to proven health benefits, breastfeeding can lessen signs of withdrawal in the baby.

Because NAS babies have increased caloric needs, breastfeeding moms often must supplement with formula so their newborns don’t lose weight. For MIR participants who want to breastfeed exclusively, the program will soon offer a supply of safe, donated breast milk through the Mother’s Milk Bank of New England.

A collaborative team approach to supporting mom and baby

The Women’s Health Center uses a patient-centered approach with all our patients, combining quality services with compassionate support and education. This collaborative care model is the basis of the Mother in Recovery Program.

Amanda Hitchings, PsyD

Dr. Hitchings practices clinical psychology in the Women’s Health Center with a focus on integrated behavioral health in women’s health, pediatrics, and pain medicine. Additional interests include weight management, trauma, anxiety, and depression.

Mindy Glasschroeder, BSN, RNC-OB, CBC

As the Clinical Leader in the family centered Women & Children’s Health Unit (WACHU), Mindy manages the daily activities of providing quality, compassionate care for patients across the generations on the Unit. Additionally, she provides clinical and education support for WACHU nurses.

Autumn Vergo, CMN

As a certified nurse-midwife, Autumn provides care for women throughout their life—performing annual exams, guiding them through pregnancy and birth, and addressing healthcare needs relating to contraception, nutrition, bone health, and menopause. She works with obstetricians, gynecologists, nurses, partnering with patients to determine the best treatment and birthing options for each individual.

Mark Horton, MD

Dr. Horton provides individualized treatment plans of comprehensive care for patients to adequately and safely control pain and discomfort and to achieve the highest level of function and optimal quality of life.  Options can include many approaches, such as physical therapy and electrical stimulation, dietary counseling, nerve blocks, medications, and more.

Rebecca Cleveland, RN, BSN and Linda Hakala, RN

As prenatal care coordinators, Becky and Linda provide education to prenatal patients as well coordination of care and referrals.  They are trained co-facilitators for Centering Pregnancy groups, including the Mothers in Recovery.