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Subject:
From:
"Stearns, Crystal" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 20 Jun 2001 09:21:41 -0500
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Hi,
There is a wonderful article on "Effects of Antimanic Mood-Stabilizing Drugs
on Fetuses, Neonates, and Nursing Infants" at
http://pediatrics.medscape.com/SMA/SMJ/2001/v94.n03/smj9403..../pnt-smj9403.
07.masu.htm
This articles addresses Neurotin.
What I have found in my practice is it all depends on the doctors the client
is seeing.  I have a Bi-Polar patient that I am working with and her OB
specialist and her Psychiatrist have allowed her to take Klonoipin and
Wellbutrin all during her pregnancy and now while breastfeeding.  The
literature that I reviewed talked about the possibility of apnea 6-12 hours
post delivery. I had informed the OB nurses of such and it did happen, so
now the baby is on a apnea monitor.  The parents were never told of any of
these possible problems.  So this is just the other side of the coin where
some of us have doctors who say no to everything and other say yes to almost
anything. Both sides of the same coin can have it own problems.
What's a LC to do?  She goes back to school to become a Psychiatric-Mental
Health Nurse Practitioner!
Crystal Stearns RNC, MS, IBCLC
Mercy Memorial Health Center
Ardmore, OK  73401

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