I work in a large hospital (above 7000 births/year) and there are a
dozen of us (LC's) working there . We all work different hours, so there
is a 12 hour
Coverage daily. We do a lot of "hands-on" because the people we see are
having difficulty. In other words, they have been trying for 12-24
hours, with the help of the nurse and breastfeeding is not happening.
Once we get a single feeding, even if we did all the work, baby seems
more interested and then we can just give verbal instruction and hints.
That is my comment on the "hands-on" issue.
My question relates to the drug Prozac. We do encourage mothers taking
Prozac to talk to their physician about switching to a different drug
with a shorter half-life(eg. Zoloft, Paxil). If they stop taking Prozac,
how soon is it safe to breastfeed? I ask this because several of my
colleagues have the mothers pump for several days and dump the milk. In
the meantime the babies are receiving bottles and formula. I , on the
other hand, while encouraging them to switch drugs, get the babies
breastfeeding, d/t my belief that breastmilk, even with Prozac residual
is still better than formula. What do you all think?
Cheryl Muller, RNC. IBCLC

             ***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html