Dear Friends:

I found this abstract today and remembered that the topic has surfaced here
in the past:

"BACKGROUND: Anaphylaxis associated with breast-feeding is a rare but
potentially life-threatening event.

 CASE: This woman reported anaphylaxis with three previous pregnancies while
breast-feeding. With her fourth pregnancy she was treated with
corticosteroids and antihistamines after delivery. Despite treatment, she
developed urticaria, facial edema, and throat tightening, less severe than
prior episodes. Her symptoms resolved with epinephrine and antihistamine but
recurred with subsequent breast-feeding. On postpartum day 4 she had no
symptoms while breast-feeding.

CONCLUSION: Three cases of postpartum breast-feeding anaphylaxis have been
reported. Although the pathophysiology is unclear, it may involve the
decrease in progesterone and rise of prolactin causing mast cell
degranulation. Avoidance of nonsteroidal antiinflammatories and prophylaxis
with corticosteroids and antihistamines may offer the best protection."

 Shank et al*. *Obstet Gynecol. <javascript:AL_get(this, 'jour', 'Obstet
Gynecol.');> 2009 Aug;114(2 Pt 2):415-6

warmly,

Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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