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Date: | Sun, 5 Mar 2000 01:22:20 EST |
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> I'm not trying to be a pain in the tookus but point out that these
> events in and of themselves can lead a mom to believe she has a drop in
> supply. It doesn't necessarily have to mean the depo brought it on. I
> do believe for some women the depo is enough to make a drop happen just
> not every or even most moms.
>
I agree, but if I were discussing using BCP's with a mom who's BF
relationship had some or all of these characteristics I would be quite
concerned with her supply. I would probably recommend that she use an
alternative method of Birth control for at least a few months. ( I realize
that in and of themselves these characterisitcs can lead to poor supply-it
just seems to me that I am getting the calls within a few weeks of the start
of the BCP's.)
Alternatively, if she still wanted to use the pills, I would cautiously
prescribe them and I would certainly discuss how to increase her supply in
preparation for a possible drop and/or how to restore her nursing supply
should there be a decrease.
Encouraging providers to make an assessment of BF characteristics BEFORE
giving BCP's and to provide anticipatory guidance beforehand was the only
intent of this posting. This is not something that I am finding is done,
when I mention that the BCP' s could affect supply I typically get a response
such as, "Oh, they can!? or Oh, but they are not supposed to!"
Chris Betzold MSN NP CLE
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