Home » Thoughts (Page 3)
Category Archives: Thoughts
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 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.
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
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
I’ve been searching back through my files and finally found a link to a training webinar I delivered for GPs in 2016. Hope maybe it is useful for education. Always happy to deliver a training session for expenses and a small fee
Recently lots of mums have been asking about medication to help with severe morning sickness/hyperemesis when still breastfeeding an older child. You can take medication and no you dont have to stop to “protect” the unborn baby. Eat good nutritious snacks – promise I wont mention ginger!