Home » Thoughts

Category Archives: Thoughts

Thank you Alison Thewliss MP

I’m feeling over awed by the fact that the amazing MP Alison Thewliss put down an early day motion about my Points of Light award https://www.parliament.uk/edm/2017-19/1307 …

I’m emotional and inspired Thank you @alisonthewliss from the bottom of my heart

Propranolol and breastfeeding

I’m trying to build fact sheets on the drugs I am most frequently asked about. One that comes up frequently is propranolol to prevent migraines, to relieve anxiety and to remove symptoms of over active thyroid. Propranoolol can be used by breastfeeding mothers so long as they are not asthmatic.

propranolol and bf

CBD Oil and breastfeeding

Lots of people seem to be interested in using CBD oil for chronic pain and/ or for anxiety. Sadly there is no research on the amount that passes through into breastmilk so I am unable to say whether it is safe for a breastfeeding mother to take or not at this time

Breastfeeding and anaesthetic

On a daily basis mothers are being told that they have to stop breastfeeding if they have a general anaesthetic. No consideration seems to be given to the risks of not breastfeeding it feels, nor that women breastfeed as normal after a caesarian section (although I admit this is less common than under a spinal block). There is no evidence in any of the papers I have found that says anything other than that a lactating woman can resume feeding as soon as she is awake and alert following the operation. If she is drowsy she needs to consider the risks of co sleeping.

 

I have drawn up a table from the recommendations in the 2 expert sources Lactmed and Hale in the safety of the commonly used drugs for anaesthesia and post operative pain relief. I hope this helps mothers and professionals to work together to protect, promote and support breastfeeding as long as mother and baby wish.

Hoping this helps some of the difficulties experienced by mothers who are already stressed at the idea of needing surgery.

breastfeeding and anaesthesia 2

BfN Conference October 2018

Hoping to see lots of you at the BfN Conference in Birmingham on October 6 2018

 

Bfn AGM 2018

Breastfeeding and Thrush

So many contacts recently about thrush and breastfeeding I have decided to record a presentation I have made many times over the years. I will in a few days record one with detailed prescribing information for doctors and pharmacists . A copy of the slides will go onto my website www.breastfeeding-and-medication.co.uk. Hope this helps everyone. I have found it necessary to leave several social media groups for my own sanity after reading threads where non evidence based practice seems to get perpetuated. This is my view after looking at thrush and breastfeeding for the last 20 years.

Posted by Breastfeeding and Medication on Friday, July 20, 2018

Medicalising Sore Nipples – thrush and breastfeeding July 2018

Change the conversation about medicines and breastfeeding

I spend on average 4 full hours across every day providing info to mums told they HAVE to stop breastfeeding to take medicines. Do more people know about the drugs in breastmilk service or are professionals less willing to take risks so stopping breastfeeding seen as best option? How can we change the conversation ?

Where does it make sense to tell mothers stop breastfeeding to take medicines when we have specialist support texts and services? Breastfeeding has HUGE advantages for mums, babies and the economy. We need to listen, support and provide evidence based info for all mums breastfeeding  and formula feeding not rely on manufacturers

There are economic savings for the health economy.  Renfrew (2012) provided a detailed cost analysis of potential savings, reductions in hospital admissions and GP appointments:

Assuming a moderate increase in breastfeeding rates, if 45% of women exclusively breastfed for four months, and if 75% of babies in neonatal units were breastfed at discharge, every year there could be an estimated:

  • 3,285 fewer gastrointestinal infection-related hospital admissions and 10,637 fewer GP consultations, with over £3.6 million saved in treatment costs annually
  • 5,916 fewer lower respiratory tract infection related hospital admissions and 22,248 fewer GP consultations, with around £6.7 million saved in treatment costs annually
  • 21,045 fewer acute otitis media (AOM) related GP consultations, with over £750,000 saved in treatment costs annually
  • 361 fewer cases of NEC, with over £6 million saved in treatment costs annually.

In total, over £17 million could be gained annually by avoiding the costs of treating four acute diseases in infants. Increasing breastfeeding prevalence further would result in even greater cost savings”

In addition, if half those mothers who currently do not breastfeed were to breastfeed for up to 18 months in their lifetime, for each annual cohort of around 313,000 first-time mothers there could be:

  • 865 fewer breast cancer cases with cost savings to the health service of over £21 million, 512 breast cancer-related quality adjusted life years (QALYs) would be gained, equating to a value of over £10 million.

This could result in an incremental benefit of more than £31 million, over the lifetime of each annual cohort of first-time mothers.

BfN drugs in breastmilk helpline

Most people know of my involvement with BfN Drugline. This is a poster designed to be used publicly to spread awareness of the service

Treating babies with reflux and GORD

It seems form social media that many babies are now being diagnosed and treated for reflux (GORD). Before labelling a baby as having a medical condition it is often useful to seek input from a breastfeeding expert and consideration of the position the baby is in after a breastfeed. Not all babies who throw up need treatment!

reflux and breastfeeding

This fact sheet covers the medication used to treat reflux and GORD in babies and the preparation of PPI drugs for babies

treating babies with reflux or GORD

Breastfeeding and Medication 2 nd Edition

Routledge offering a discount on the second edition of my book. Useful for healthcare professionals who care about supporting breastfeeding or peer supporters who get the questions or parents who want to be informed by the evidence