Hello Dana,
Tc99m has a 6h half life. The usual recommendation is pumping for two
half lives. There is no need to dump the milk if the mom regularly
pumps. Waiting for the milk to decay inside the refrigerator will not
harmo anything inside it and once the Tc has decayed, the milk can be
used.
Here is a link to the NRC's indications for use of radioisotopes in
breastfeeding mothers found in Dr. Hale's webpage
http://neonatal.ama.ttuhsc.edu/lact/radioactive.html
There is no indication of isolation for Tc99m, and therefore there is
no need to prevent the mother from holding her baby once the test has
been done. If she wants to be more cautious and wait for a couple of
hours before holding the baby, she might do it. But as we say in
radiation protection, this would not be a requirement, rather a
decision to minimize the potential exposure for the baby (that is
already low).
Veronica Garea, ME Nuc Engineering, PhD Engineering Physics, Nuclear
Safety Specialist
LLL Leader
>
> Date: Sat, 31 Jan 2009 18:09:33 -0800
> From: Dana Schmidt <[log in to unmask]>
> Subject: <No subject given>
>
>
> Does anyone have experience with a patient having a VQ scan and breastfeeding. This mom was readmitted to the ED with question of a pulmonary embolism.
> There is some documentation from Hale about halting breastfeeding for
> 2 days and others say mom can have no contact after exposure to 99mTc
> MAA. What do you recommend? Does mom have to pump and dump? Does she
> have to avoid contact with the baby? Thank you.
> Dana Schmidt, RN, CLC, CLE
> Certified Lactation Counselor
> Certified Lactation Educator
>
>
>
> If a multinational company developed a product that was a nutritionally balanced and delicious food, a wonder drug that both prevented and treated disease, cost almost nothing to produce and could be delivered in quantities controlled by the consumers' needs, the very announcement of their find would send their shares rocketing to the top of the stock market. The scientists who developed the product would win prizes and the wealth and influence of everyone involved would increase dramatically. Women have been producing such a miraculous substance,breastmilk, since the beginning of human existence. ~Gabrielle Palmer
>
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> ------------------------------
>
> End of LACTNET Digest - 30 Jan 2009 to 31 Jan 2009 - Special issue (#2009-100)
> ******************************************************************************
>
--
Verónica Garea
GALM Bariloche
IBFAN Bariloche - LLL Argentina
"In the long run, we shape our lives, and we shape ourselves. The
process never ends until we die. And the choices we make are
ultimately our own responsibility. /
En última instancia, le damos forma a nuestra vida y a nosotros
mismos. El proceso no termina hasta que morimos. Y las elecciones que
hacemos son en definitiva nuestra responsabilidad."
Eleanor Roosevelt
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