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How to make an informed decision about drugs that you might be taking while planning a pregnancy

drugs in pregnancy 2

 

Medication taken during pregnancy loss

Sadly dreams dont always come true and babies are lost during pregnancy. If that happens and you are still breastfeeding a toddler do you have to stop? Lots of information here I wrote for www.essentialparent.com. Extracts taken from Why Mothers Medication Matters

www.essentialparent.com/lesson/medication-taken-during-pregnancy-loss-16879/?continuity=1008

Lupus, hydroxychloroquine and breastfeeding

It seems that many more women with chronic illnesses are having babies and breastfeeding. I have

included a chapter in the second edition of Breastfeeding and Medication on this. This fact sheet on lupus and hydroxychloroquine whilst breastfeeding is taken from the book, due to be published May 2018

Lupus and hydroxychloroquine and bf

Tranexamic acid to treat heavy periods experienced by breastfeeding mothers

One of the advantages of breastfeeding is that for many it may be months or even years before menstrual bleeding returns regularly. However, some mothers do experience heavy flow which needs to be treated. Tranexamic acid is usually the drug of choice at a dose of 1 g 3 times a day for up to 4 days, to be initiated when menstruation has started; maximum 4 g per day (BNF 2018). Mothers can continue to breastfeed as normal. There is one reported case of restless in the baby in a study of 21 mothers but in general it seems anecdotally, to cause few problems.

tranexamic acid and bf

Breastfeeding and labarynthitis/vertigo

I am frequently asked about taking prochlorperazine (Buccastem® or Stemetil ®) to treat nausea due to labarynthitis, vertigo or dizziness. It is a drug I would be happy to prescribe and have used it myself as have my two breastfeeding daughters. It seems a frequently asked question when the air pressure changes rapidly.

prochlorperazine and bf

 

Pain relief when breastfeeding

It is not acceptable to leave any mother in pain because she is breastfeeding nor to suggest that she could have more effective pain relief if she stopped breastfeeding.

I’m often asked about the safety of opioids during breastfeeding so this is a really interesting study

Despite opioids being used first line in emergency settings to treat severe acute extremity pain, there is limited evidence available to inform this practice.

In a study in JAMA (7 November 2017), researchers randomly assigned 416 patients in the emergency department with moderate-to-severe acute extremity pain to one of the following groups: 400mg ibuprofen/1000mg paracetamol; 5mg oxycodone/325mg paracetamol; 5mg hydrocodone/300mg paracetamol; or 30mg codeine/300mg paracetamol[1].

https://jamanetwork.com/journals/jama/article-abstract/2661581?redirect=true

 

https://breastfeedingnetwork.org.uk/wp-content/dibm/analgesics%20and%20breastfeeding.pdf

Pee and Poo Chart

During my presentation to LLL Ireland I was asked where was it possible to obtain a copy of the pee and poo chart I mentioned. This is from my book The importance of Dads and Grandmas to the Breastfeeding Mum. Hope it helps Mums, Dads and Grandparents keep track of adequate breastfeeds and output to ensure the baby is getting enough milk.

If there are not as many pees and poos you need to call for help from an expert in breastfeeding sooner rather than later to check the attachment is as good as it can be and baby is taking milk.

 

A diary of pees and poos taken from

Webinar on Breastfeeding and Medication

We recorded these talks as live for the LLL Ireland conference to which I was unable to travel due to the weather but hope that means more people can share the information

La Leche League of Ireland

Online version of the LLL of Ireland 2018 conference featuring Drs. Wendy Jones and Kathleen Kendall-Tackett.

Posted by Kathy Kendall-Tackett on Saturday, March 3, 2018

 

webinar on the importance of others to the breastfeeding mum

La Leche League of Ireland

Online version of the LLL of Ireland 2018 conference featuring Drs. Wendy Jones and Kathleen Kendall-Tackett.

Posted by Kathy Kendall-Tackett on Saturday, March 3, 2018

Low dose aspirin and breastfeeding

low dose aspirin and breastfeeding