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Subject:
From:
"Liz Cook, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 26 Jun 1997 22:55:16 -0400
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I really need some HELP, especially with specific pharmacology information.
 Suddenly (today) our anesthesia dept. has become concerned that  moms given
general anesthesia (C-sections, tubals) should not breastfeed until the drug
clears their system due to potential transfer of the drug to breastmilk.
 They claim that they have had a long-standing policy that infants of mom'
who have had general anesthesia should delay breastfeeding for 24-36 hours.
 NOW, they are willing to delay AS LITTLE as 12 hours!  I'm not willing to
accept this without seeking further information.  Of course the infant's
overall safety is important, but I have no information to base concern on.
 Can anyone provide specifics?  I have contacted our Director of Peds who is
extremely pro-breastfeeding, but have not heard back yet.  I am sure that
there will be quite a discussion between services and must get as much
information as possible.

Also, have had an encounter with another pharmacist re: Toradol, which she
felt was a poor choice for mom as well as nursing newborn.  She said that
there was more recent information (than '96 Hale) that gave her grounds for
concern.  Can anyone help clarify this?  I have read everything I can from
'96 Hale, Briggs, Lawrence etc.  I understand the basics of factors that
influence drug transfer to mother's milk.
I'm feeling at a loss lately!

Can anyone refer me to additional sources for info?  What is your opinion of
information given out by the Poison Control?  Our pharmacists seem to think
they know all about lactation too.  How can I judge the best opinion?  We've
made sooo much progress the last 5 years and I hate to see us regress!

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