In a message dated 3/10/00 7:30:16 AM Mountain Standard Time,
[log in to unmask] writes:

<< One of my concerns is that in the early phases of lactation as =
 well as during weaning, the cells junctures are more permeable than in =
 any other time.  I believe this would mean that if a drug is absorbed by =
 the milk(dependent on the degree of protein binding and lipid =
 solubility) then an infant may potentially get more of a drug than at =
 any other time during l >>


this is a good question, and one that i have discussed with tom hale among
others, and tom assures me that this is not a problem because during this
time (approx. 10 days postpartum) the baby's rate of consumption is so small
as to not be a problem.

i don't know your situation, but an LC who is expected to do more than 10
minutes' work in 10 minutes is doing everyone an injustice. do they expect to
have surgery done in ten minutes there? funny, i was trying to explain the
same thing to a doctor yesterday. you can't diagnose and address a problem
and educate a mother in ten minutes. (or for free as well, as was the
situation i was in.)

of course there are going to be situations in which the mother truly didn't
understand, or doesn't want to understand (a totally different problem).
nevertheless, it is still our responsiblity to educate.

carol brussel IBCLC

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