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Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 21 Feb 1998 11:48:18 -0700
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I usually don't do "drug research" when mothers call me about medicatons.
If I can find  the medication in the sources I have, I tell them I cannot
give you medical advice but I am going to read to you from such and such
reference. If Ican't find it, I give them a list of things to discuss
with their doctor. I tell them that most doctors who recommend weaning
for a week or two , have never had a breastfed baby in their family. They
have no idea the disruptions that it would cause. Maybe mom doesn't have
a pump. Maybe baby won't take a bottle. I encourage the moms to tell the
doctor they just don't WANT to wean. I don't even go in to risks of fake
human milk. I encourage them to ask the doctor what he is worried about
the effect on baby. Are babies ever given this drug? Does the doctor know
how much drug gets into moms milk and then how much would be absorbed by
baby? A nd if this drug isn't compatible with breastfeeding is there a
suitable one that is? I have found that if moms grill the doctors in this
way, the doctor really does not have good reasons for weaning and will
often say the drug is okay without doing his own research. I don't
hesitate to tell them that the pharmacist or pediatrician may be more
knowledgable than their own doctors are.. Now there are ocassions when I
do need to do research from the APL or lactnet and I tell them my
sources. This cannot be misconstrued to be giving medical advice.
 Mary Graden  LLLL Idaho

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