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Lactation Information and Discussion <[log in to unmask]>
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From:
"Vanderstoep, Doreen" <[log in to unmask]>
Date:
Thu, 27 Jul 2006 12:30:56 -0400
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Lactation Information and Discussion <[log in to unmask]>
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Good Morning all:  I am looking for some help from all the lactnet
pioneers and policy changers.  I have been reported to my manager by our
hospital radiology department for daring to question their INSTRUCTIONS
to a breastfeeding mother to pump and dump for 48 hrs.  She had received
omnipaque(nonionic radiographic contrast medium) for a CT scan.  When
she told me her INSTRUCTIONS, I gave her the information that we had so
that she could make and informed decision.  The information was from
Jack Newman, Tom Hale(rated an L2), and the ACR bulletin from Oct. 2001.
I also made a copy of the ACR information available to the radiology
department.  They are upset because they have a POLICY, based on the
information that comes directly from the manufacturer of the contrast
media.  Even though they are all "fully conversant with the most current
literature on breast feeding and that less than 1% of the injected
contrast media is excreted in the breast milk, we must adhere to the
recommendations of the pharmaceutical vendor and err on the side of
caution"  Since they respect the position of the nurses in the
breastfeeding clinic and will not contradict our position, they ask that
we do the same.  In their words, we have dealt with this several times
in the past and they have communicated their position.  There is to be a
follow up discussion of this.  I know I have my manager's support, esp.
since we working toward baby-friendly.  I would like to really work on
changing this policy.  Since the above information has not had any
impact, I am thinking that maybe the practises in other hospitals could
help.  So my question is, does anyone have access to their hospital
policy/guidelines re:breastfeeding after contrast media and  willing to
share this?  My fax # is 905-681-4900.  It would be greatly appreciated.
As well, any helpful hints as to what to bring to the meeting?  I always
think of the brilliant things to say afterwards.  TIA, Doreen
Vanderstoep, RN, IBCLC

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