I believe that I read you should keep records for 3 years — I remember thinking it was similar to tax documents, which made sense to me. Peggy Koen, SNJ, USA
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On Sunday, August 23, 2020, 11:58 PM, LACTNET automatic digest system <[log in to unmask]> wrote:
There are 3 messages totaling 108 lines in this issue.
Topics of the day:
1. serotonin
2. serotonin articles
3. keeping paper records
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Date: Sun, 23 Aug 2020 09:25:32 -0400
From: Nikki Lee <[log in to unmask]>
Subject: serotonin
Dear Lactnet Friends:
Yes, Eithne...goats and cows.
We need strong human research.
warmly,
--
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC, RYT
Reviews Editor,* Clinical Lactation*
www.nikkileehealth.com
Pronouns: she/her/hers
*Communications are confidential and meant only for whom they are
addressed.*
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------------------------------
Date: Sun, 23 Aug 2020 14:34:48 +0000
From: Patricia Young <[log in to unmask]>
Subject: serotonin articles
I sorted the psychotrophic/antidepressant articles out and divided SSRI & serotonin articles out .
one article (2000) observed decrease in milk supply that was adjusted by increased fluids & increased frequency of feeds. The same article reported a marked increase in milk supply in one mom who stopped med.Marshall's 2014 article is very complete about serotonin & BFing and says mothers may need help with initiating lactation.
another article (2005)observed neonatal signs in mom who took SSRIs in last 3rd of pregnancy.
2013 article in BF Med reported on NAS sx in babies when mom was on SSRIs during pg. and a preterm infant who had significant problems2015 article (Orsolini & Bellantuono). "Serotonin reuptake inhibitors and breastfeeding: a systematic review" stated that Literature review clearly indicates paroxetine & sertraline should be the preferred as first line treatment in nursing women who need antidepressant tx.and another 2015 said basically the same.
2013 & 2011 case reports were on hyperlactation
Almost all of the articles found amounts of SSRIs in moms milk to be acceptable/low. Most of the articles agreed that there aren't enough studies.
Which brings us back to -if mom needs antidepressants in pp period she also needs Support, SSRIs in moms milk is low generally, baby needs observation for any glitches, and SSRIs in last 3 mo of pg is presently questionable.
I thought it was reassuring that milk levels are low. And I will do some searching for the 100+ references on one of the review articles. Pat in SNJ
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Date: Sun, 23 Aug 2020 15:12:42 -0400
From: "Amy Slotten, RN, IBCLC" <[log in to unmask]>
Subject: keeping paper records
I am doing a deep clean of my office and my life. How long are we legally supposed to keep paper records of private practice visits? Of course, I will shred them when it is okay to get rid of them.
Thanks
Amy Slotten
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End of LACTNET Digest - 22 Aug 2020 to 23 Aug 2020 (#2020-148)
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