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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

Fcaebook Live Session 7.30pm tonight

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.

#maternalmhmatters

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.

#maternalmhmatters
#pmhphealthcareprofessionals

Maternal Mental Health Awareness Week

BfN blog may 2018

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

Ectopic Pregnancy and Breastfeeding

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.

Ectopic pregnancy and breastfeeding fact sheet

 

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

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