I had surgery on my ankle many years ago under an epidural anaesthetic, and it worked very well. I was worried about being awake for it (they had to put in metal plates and screws) but the anaesthetist did a great job of talking to me and keeping me distracted through the whole process. And my recovery was so quick - as soon as the surgery was done and the epidural wore off I felt back to normal. The nurses commented on it as well, and I would definitely use that approach again.
Teresa Pitman
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Sent: Monday, April 3, 2017 12:01 AM
Subject: LACTNET Digest - 1 Apr 2017 to 2 Apr 2017 (#2017-94)
There are 3 messages totaling 91 lines in this issue.
Topics of the day:
1. General or spinal anaesthesia? (2)
2. IBMP
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Date: Sun, 2 Apr 2017 12:01:34 -0400
From: Sonya Myles <[log in to unmask]>
Subject: General or spinal anaesthesia?
Hi there
I have been contacted by a mom who needs to have foot surgery. Her baby is 9 months old and is breastfeeding 5 or so times per day. They have offered mom a choice between general and spinal for the procedure. While she doesn't really want to be awake for the surgery, she does want to do what will impact breastfeeding the least. Does anyone have any input?
thanks,
Sonya
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Date: Sun, 2 Apr 2017 16:27:10 +0000
From: Ingrid Tilstra <[log in to unmask]>
Subject: Re: General or spinal anaesthesia?
In addition to any effects of the anesthesia , this mom may want to consider time away from her baby.
ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother is available online http://www.bfmed.org/Media/Files/Protocols/Protocol_15_revised_2012.pdf
Among other things, it says:
Mothers with normal term or older infants can generally resume breastfeeding as soon as they are awake [following general anesthetic], stable, and alert. Resumption of normal mentation is a hallmark that these medications have redistributed from the plasma compartment (and thus generally the milk compartment) and entered adipose and muscle tissue where they are slowly released.
Ingrid Tilstra
LLLL, IBCLC
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Date: Sun, 2 Apr 2017 19:50:38 +0200
From: Jean Ridler <[log in to unmask]>
Subject: IBMP
I am trying to find out more information about IBMP (Institute for Biomedical and Pharmaceutical Research). I believe they have a connection to Prolacta? Can anyone throw some light on this company - its ethics etc?
Jean Ridler RN RM IBCLC
Cape Town, South Africa
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End of LACTNET Digest - 1 Apr 2017 to 2 Apr 2017 (#2017-94)
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