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Subject:
From:
Kathleen Huggins <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 10 Jun 2009 23:21:27 -0700
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Hello to all!  I have just had a very frightening case that I wish to 
share.  A wonderful first time mother came to me just a couple of 
days after her cesarean birth needing assistance with tender nipples. 
Her darling husband accompanied her.  She seemed to be doing well but 
this last week-end at about 2 weeks post partum she called me 
concerned about symptoms of crying and anxiety, certain she must be 
suffering from post partum depression.  We spoke about medications 
that she and her doctor might consider.

She phoned me today, just four days since our last conversation.  She 
was happy to tell me that her symptoms were now gone.  She announced 
that she had not been suffering from a post partum psychiatric event 
but withdrawal from the two courses of narcotics she took for post-op 
pain.  Her husband, a psychiatrist, noticed that she was sweating 
profusely, her eyes were dilated, and she had sudden onset of 
diarrhea.  He put this all together with the non-stop crying and 
sleeping difficulty.

Dad spoke with a colleague and they decided to use a medication to 
help resolve her withdrawal symptoms that worked very well and within 
hours.  He is considering writing his wife's case up for some journal 
and I hope he does.  In the meantime I can't help but wonder how many 
mothers experience this and how many times it ends up in a 
misdiagnosis of post partum depression and/or anxiety disorder.  Mom 
now feels badly that she took the medication for so many days when in 
retrospect her post-op pain might have be managed just as well with 
an OTC anti-inflammatory med.

Do any of you think you have ever seen this before?


P.S.
Yippee!  Now moms can purchase PIS at Bed, Bath, and Beyond as well 
as BabiesRUs, and Target!  Maybe the pump manufacturer knows how many 
moms need to pump in the bathroom!
-- 
Kathleen Huggins

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