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Tue, 11 May 2010 14:39:57 -0700 |
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The Academy of Breastfeeding Medicine has a protocol entitled:
Breastfeeding and the Drug Dependant Woman
(http://www.bfmed.org/Resources/Protocols.aspx)
Besides the unfortunate typo in the title, there are some other real
problems with the protocol. For example, the recommendation that women
who receive no prenatal care should be discouraged from breastfeeding.
I think the authors meant to stipulate something about drug use, and not
simply the lack of prenatal care, which may be caused by many factors
other than drug abuse, and would not by itself be a contraindication to
breastfeeding. When lack of prenatal care is caused by economic and
social problems, one would hope that breastfeeding would be particularly
advocated, not discouraged.
Other problems include confusing legal with medical/scientific--in
France, Pepto-Bismol may be illicit, but its use in the month preceding
delivery, while not recommended, would not preclude two or more years of
breastfeeding. Medicine does not exist to serve policymakers by
supporting the changing tides of drug legality, but rather to serve the
individual by looking objectively at health risks and benefits.
I would like to talk/email with someone who is working with moms with a
history of drug abuse; someone or some organization that has their own
working parameters for testing mom, testing baby, and discouraging or
disallowing breastfeeding.
Arly Helm, MS, IBCLC
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