Rosellina posts about a mother who is taking this medication subcutaneously
every day, and is now ten days post partum.  I'm not familiar with that name
but it sounds like a low-molecular weight heparin, which is absolutely,
perfectly safe to use while breastfeeding.  We use LMW heparin for mothers
with coagulation disturbances, for varying lengths of time and routinely for
5 days for all mothers who've had cesareans.  Heparin must be given by
injection because it doesn't last through the stomach otherwise.  All of us
have heparin in our bodies, because we make it ourselves.  Any extra heparin
in the mother's milk would be unable to affect the baby, just as the
naturally occurring heparin in her body doesn't harm the baby.
There should be a reference book available telling the pharmacokinetics of
this drug (and all others now in use in Italy) where the parents could see
how this drug behaves when taken orally.  If it is indeed heparin then there
is no concern whatsoever about its safety while breastfeeding.
Rachel Myr
Kristiansand, Norway

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