Hi Karen
Glad to have you with us on LACTNET.

Some thoughts on your questions:

1. BF moms undergoing general anesthesia. How soon can she go back to BF and
what are the best post-op pain meds.
What guidelines are followed at your hospital for cesarean moms?  Usually,
mom
can put baby to breast as she wakes up from general.  Post op pain meds can
be
those compatible with breastfeeding for cesarean moms - frequently T3 or
Vicodin.
What does your hospital use?

2. New Hepatitis A vaccine, recommendations for use in BF moms. Of course the
package inserts scare everyone .
3. New varavax vaccine (chicken pox) recommendations for BF moms.
MMWR General Recommendations on Immunization January 28, 1994,  "Neither
killed nor live vaccines affect the safety of breastfeeding for mothers or
infants."
Don't be fooled by the word "new".  The same principle applies.  I keep a
copy of
this entire reference beside my telephone due to the frequency of this
question.

4. Non-conventional treatments for BF moms with candida. This mom thinks hers
is systemic but has no outward signs, i.e. vaginitis or nipple pain. She
attributes infant's gas pains and fussiness all on the "candida"problem. She
wants nothing to do with nystatin or meds. Any thoughts?
Excellent reprint by Kay Hoover through LLL LC series Unit 18.  Contains many

non-traditional treatments.  Order through LLLI catalog
La Leche League, Int'l
1400 North Meacham
P.O. Box 4079
Schaumburg, IL  60168
708-519-7730

5. Who is Dr. Hale and what is his book? Sorry I missed this.
Medications in Mother's Milk, Thomas Hale, PhD,
Order through:  Pharmasoft Medical Publishing
4606 Oregon
Amarillo, TX  79109
1-800-378-1317

Hope this helps.
Jeanne Fisher
Austin, TX
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