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Subject:
From:
"Mazgelis, Elaine" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 22 Jan 2019 12:15:55 -0500
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Wow!! Thanks, Nikki !! What a powerful interview and this interview /
research really opens up the field of thought for me re cannabis use and
parenting.
Thank you!

Elaine Mazgelis, RD, IBCLC
WIC Nutritionist/Breastfeeding Coordinator
Cambridge-Somerville WIC Program
366 Broadway
Somerville, MA 02145
ph 617-575-5330 or 617-665-3750
fax 617-665-3770

"Always be kind, for everyone you meet is fighting a difficult battle."



> ----------------------------------------------------------------------
>
> Date:    Sat, 19 Jan 2019 10:02:23 -0500
> From:    Nikki Lee <[log in to unmask]>
> Subject: Thoughts about cannabis
>
> Dear Lactnet Friends:
>
> I have reactions to all the comments about THC and cannabis and
> breastfeeding.. . .if you take the word THC out of the studies and
> substitute 'nicotine', you will find the similar physiologic impacts.
>
> But there isn't the flap over tobacco because it has been part of the
> landscape for a long time.  We are used to it. That bothers me and seems
> unfair.
>
> Our clients need our love and best information. We grown-ups make our own
> decisions.
>
> And it is also interesting that the Dreher research is completely ignored
> in the discussion about cannabis.
>
> http://cifas.us/doctor-melanie-dreher-reefer-researcher/
>
> warmly,
> --
> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC, RYT
> Reviews Editor,* Clinical Lactation*
> www.nikkileehealth.com
> *Communications are confidential and meant only for whom they are
> addressed.*
>
>              ***********************************************
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> ------------------------------
>
> Date:    Sat, 19 Jan 2019 15:27:00 +0000
> From:    ANNE R EGLASH <[log in to unmask]>
> Subject: THC and working with breastfeeding mothers
>
> Hi Liz,
> Thanks for your reply on the question of working with moms who are using
> THC.
> I think this is an intriguing question.
> Yes, of course I provide medical care for anyone, whether it is
> resuscitation from an overdose, an infected arm from shooting up, etc.
>
> But, what if I know that mom is under the influence of something when she
> comes to her appointment, and she wants help with latch?
> If I have a strong suspicion that mom has heroin on board, or is drunk,
> and she comes in for her lactation appointment, complaining of latch
> issues, I would change the appointment to the topic of substance use and
> breastfeeding, and possibly advise mom to not breastfeed at that visit but
> to stop at a store and give formula. Now, of course, if she is not fit to
> drive and I have concerns about her care of the infant, then I would call
> for help.
> So, what if the LC, knowing that mom is under the influence of something,
> helps mom latch the baby anyway, but does not talk to the mom about risks
> associated with substance use and breastfeeding. And then something has
> happened to the baby within the next day?
>
> Thanks,
> Anne
>
>
> Anne Eglash MD, IBCLC, FABM
> Clinical Professor, Dept of Family and Community Medicine
> University of Wisconsin School of Medicine and Public Health
> Director, UW Lactation Services
> Medical Director, Mothers Milk Bank of the Western Great Lakes
> Founder and President of The Institute for the Advancement of
> Breastfeeding and Lactation Education (IABLE)
> www.lacted.org
>
>
>
> Date:    Fri, 18 Jan 2019 10:08:48 -0500
> From:    Elizabeth Brooks <[log in to unmask]>
> Subject: Re: Positive THC
>
> The question is posed: "Are there any legal ramifications for an IBCLC
> that helps a mother breastfeed who tests positive for THC and/or another
> illicit drug ?"
>
> The short answer is: Only if you **sold** the illegal drug to the patient,
> in a state that criminalizes its use.
>
> The longer answer asks us to use a smidge of common sense.  Healthcare
> providers take their patients as they find them. If they have substances in
> their system that shouldn't be there, we have to deal.  Imagine what would
> happen if we failed to treat every opioid overdose that arrived in the
> Emergency Room, or drunk driving victim, or accidentally-poisoned child
> because they didn't know those pills in their big brothers' pockets were
> bought on the street.
>
> There is considerable debate now, in Lactation Land, about cannabis use ...
> since many states in the USA are de-criminalizing social use.  And THC
> (the get-high ingredient) acts differently than CBD (with no psychotropic
> effects on the user).  Research in the area has historically been scant,
> and poor.  Newer research cautiously suggests that the impact on the baby
> of ingesting milk of a THC user is not as grave as we once surmised BUT the
> studies have been on small groups, are on smoked THC only -- we know bupkus
> about ingested cannabis -- and no one is willing yet to give cannabis a
> full thumbs up.
>
> This should be approached like **any** risk-benefit discussion with
> **any** patient we work with.  We counsel folks not to smoke cigarettes,
> not to over-indulge in alcohol, not to eat bad-for-you foods if obesity or
> diabetes or heart disease is an issue.  We counsel folks to use a car seat
> when driving kids, to cover up electric outlets, to move poisonous cleaners
> out of reach.  And all day every day people don't heed the advice.  And
> that is the nature of autonomy.   In the states where it is
> de-criminalized, health care providers are (generally) telling parents not
> to use THC and BF -- but leaving the decision in the parents' hands of who
> they will feed their baby.
>
> We don't "punish" folks for these failures of self-care by withholding
> best-practices health care, and we are not "responsible" for their
> actions/conduct.
>
> Liz Brooks, JD, IBCLC, FILCA
> Wyndmoor, PA, USA
> Director, Human Milk Banking Assn of North America (2015-19) "IBCLCs
> empower women and save babies' lives!"-Ursuline Singleton
>
>              ***********************************************
>
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> ------------------------------
>
> End of LACTNET Digest - 18 Jan 2019 to 19 Jan 2019 (#2019-15)
> *************************************************************
>

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