I am posting for a colleague teaching breastfeeding at a tertiary hospital.
The professor caring for these patients suppresses lactation as part of postpartum management. He bases this practice on postulated evidence found in this link.
https://onlinelibrary.wiley.com/doi/full/10.1093/eurjhf/hfq120
"On the basis of the postulated negative effects of prolactin subfragments described above, breastfeeding is not advised in patients with suspected PPCM, even if this practice is not fully evidence‐based. Several ACE‐inhibitors (captopril, enalapril, and quinapril) have been adequately tested and can be used in breastfeeding women."
We are hoping someone with experience in this area can enlighten us?
Many thanks.
Jean Ridler RN RM IBCLC
Cape Town, South Africa
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