Patricia You are right that it really is a case by case basis. Preterm and sick babies are not in the same category as healthy term well babies. And, besides this, you will not make any friends in the nicu or with the docs if you don't take this into account. I'm sure most of us on lactnet would feel that the benefits of bf outweigh most of the risks of meds in breastmilk. However it is best to look at the pharmacokinetics of the drugs in question and also the gestational age, particular illness, etc of the neonate. You could have a discussion with the attending and ask how could some, if not all, breastfeeding or breastmilk feeding be done, around this med? Like, avoid the peak of the med, bf right before the dose, etc. If you have access to Tom Hale's med books they explain all of that and staff can come up with a very workable plan. Hope this helps. Laurie Wheeler RN MN IBCLC New Orleans Louisiana USA _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp. *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html