My name is Chi-Yong Chang. I am a nursing student at the University of
North Dakota. I am working with an expected mom for one of my
courses. She is diabetic. Also, she bottlefed her first child.
The decision to breastfeed is influence by advice and
encouragement given prenatally (Humenick, 1998). When I asked her how
she is planning to feed this baby, she told me that she can not
breastfeed because of her medications. Currently, she is taking
Lovenox and Insulin. According to the Medications and Mother’s Milk,
Insulin does not secrete into the milk. If it is secreted, the
infant’s GI tract will destroy it. Also, Lovenox transferring to the
milk is extremely unlikely (Hale, 1998). On our second meeting, I
discussed with her the benefits of breastfeeding. Then she said that
she would be on Coumadin instead of Lovenox. The American Academy of
Pediatrics approves Coumadin for use in breastfeeding mothers(Hale,
1998). On the next meeting, I am going to share with her the
advantages of breastfeeding for woman with diabetes. I have found that
the amount of insulin may decrease during breastfeeding because of
hormones release and extra energy used during milk production. Also,
breastfeeding can increase feelings of health and well-being. In
addition, studies have shown that there is reduction in baby’s risk of
developing diabetes later in life if breastfed (Mohrbacher & Stock,
1997)
Do any of you have any suggestion for me to encourage her to
breastfeed? Is there any other information that I could provide her
with?
References:
Hale. (1998). Medications and Mother’s Milk (7th ed). Amarillo, Texas:
Pharmasoft Medical Publinshing.
Mohrbacher, & Stock. (1997). The breastfeeding Answer Book (revised
ed).Schaumburg, Illinois: La Leche League International.
Humenick, Hill, & Spiegelberg. (1998). Supporting Breastfeeding: A
Successful Experience. Journal of Human Lactation 14(4), 283-285.
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