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Subject:
From:
Larisa Walk <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 30 Oct 2013 23:51:11 +0000
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I'm not sure about the meds part of your question, but I'd first investigate why the baby is clamping down. That in itself can cause excruciating pain in the mom. Did the baby have a birth trauma? Is there a broken clavicle perhaps? Should he be looked at by a craniosacral therapist? Was a biological nurturing position attempted?

Larisa Walk, RD, IBCLC
California

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of sally etheridge
Sent: Wednesday, October 30, 2013 3:31 PM
To: [log in to unmask]
Subject: Vasospasm - medication query

I am trying to find some ideas re medication and vasospasm - 
 
The mother concerned has just had her 4th baby and breastfed all the 
previous three. This baby is now 1 month, she has encountered challenges
 from the outset with shallow latch, clamping down, infection and 
mastitis, and now has vasospasm so severe she has begun expressing to 
protect her supply while deciding on next steps. We were discussing 
nifedipine to see if it might alleviate the vasospasm while addressing 
the clamping down/attachment. She is taking an antecoagulant Dalteparin 
Sodium (so can't take ibuprofen). My questions -
could the anticoagulant be connected to the very severe vasospasm at all? (She does not suffer from Raynaud's Phenomenum)Would there be any issue in taking nifedipine while she is taking the  Fragmin? 
Thanks
Sally Etheridge, IBCLC, Leicester, UK 		 	   		  
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