newman wrote:
>
> She does not have to wait for the drugs to "clear from her system".
> When will surgeons and anaesthetists ever take the trouble to learn
> about breastfeeding?  How much of any drug that they will be giving
> will still be in the milk, or the blood for that matter, after 24
> hours.  No need to stop at all.  Nurse as soon as the mother is up to
> it.  The decision, incidentally, is up to the mother.
>
> Until physicians take the trouble to learn something about
> breastfeeding, they have *no* right to say anything about it.  Any
> nursing mother looking for information is better off, in general,
> asking my 14 year old son.

Were I to guess, I'd guess they're concerned about any neuroleptic
agents (benzodiazopenes, in general, especiall with narcotic
potentiation) they might have employed.  Especially if you're dealing
with an older anesthetist, who's preferences run to diazepam, with the
long half-life and the fat redistribution, and fairly long secondary
redistribution, I can see their concerns.

I'll not quibble over whose decision it is, however.  From what I've
gleaned reading over my wife's shoulder here,the amount of durg or
metabolite generally passed to the breastmilk is small, which should
negate most concerns.

IF the conern is for the "fat-bound" inhaled agents, someone needs to go
back to school and relearn how fast they are lost in respiration.  That
they aren't water soluble is a blessing in that they _can_ be rapidly
eliminated rather than excreted.

Regards,
Gerry Creager
from his wife's account
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