If you have any thoughts on this, please reply to me privately as well as
to the list, as I am still regretfully no-mail.

I searched the archives and came up with lots and lots of phrases about LCs
being "well versed in..." this and that :-).  Also a couple posts actually
about the anesthetic Versed, but only w/r to surgery well after the milk
has come in.

This is the drug that our anesthetist uses for moms having either a tubal
ligation during their postpartum hospital stay (about a day after
delivery), or for a manual extraction of the placenta.

I have been discussing Hale with the MDs and anesthetist.  Basically our
question is whether it's likely to be okay to go ahead and let the baby
nurse on the mother's return from the OR, say 1-3 hours after the
procedure, on the grounds that the amount the baby will get via colostrum
is very small.  (This is an advance over what sparked our discussions in
the first place, which was a "pump and dump" recommendation for a
tubal.)  Does anyone have experience with babies nursing less than 3-4
hours after Versed administration, *before* their milk comes in?

A post I did find in my search asked whether the mother might ever be back
from the OR before the 4 hours were up.  In my experience so far, it can be
around 3 hours for a tubal but it was only around 1 hour for the manual
extraction of the placenta done today, and that baby was very wishful to
have mom back, to keep trying out this fascinating new nursing activity.

Incidentally, I find it handy to have a copy of Hale's book (with a
co-author) _Clinical Therapy in Breastfeeding Patients_.  He has a few more
details about Versed in there, and in that book it looks as if the time
when levels are undetectable in milk is closer to 3 hours than 4.

Plus, that book is invaluable on contraception and breastfeeding.

All the best and thanks in advance,
Elise

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