Breastfeeding and Antidepressants – Facebook Live Session with Wendy Jones tonight at 7.30 via the Perinatal Mental Health Partnership Facebook page at https://www.facebook.com/PerinatalMHPartnershipUK/
It’s the UK Maternal Mental Health Matters Awareness Week 30th April until 6th May and our theme today is how to access support from health care professionals.
The subject of breastfeeding and anti depressants often comes up with there being lots of misinformation about what medications are safe . Wendy held a similar session during last year’s awareness week and it received 15,000 views and was a great source of information.
Do tune in at 7.30pm.
One of the main messages we want to give mums and families is to empower them with information on how to access support to help their recovery from maternal mental illness.
One of the main areas of concern from mums is if they can take antidepressants if they are breastfeeding. There are medications you can take whilst breastfeeding, so tonight, the pharmacist Wendy Jones will deliver a Facebook live session providing information
on what anti depressants can be taken.
This session will be a great source of information for mums and health care professionals.
To join the session, simply come to the PMHP Facebook page at 7.30pm.
This is my blog written for the Breastfeeding Network for maternal mental health awareness week. Perinatal mental health and its impact on breastfeeding and vice versa is becoming a specific passion of mine. So sad that women are repeatedly told you cant have medication UNLESS you stop breastfeeding. Incorrect and unhelpful
Sadly recently I have heard from several mothers who have been diagnosed with an ectopic pregnancy. They have variously been told that they cant breastfeed again for 2 months and 3 months. One distraught mother planned to pump and dump her milk for 3 months with the hope that she could return to breastfeeding later.
We should be using evidence based information sources as NICE PH11 recommended originally back in 2008. NICE Guidelines – prescribing
So here is the information based on research. A mother administered methotrexate 50 mg/m2 IM for ectopic pregnancy can breastfeed as normal after 24 hours, In the meantime she should pump and dump to maintain her supply. She should not attempt to conceive for 3 months.
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
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
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.
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.
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.
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.