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Lactation Information and Discussion

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Subject:
From:
Sam Doak <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 10 Apr 2008 15:51:37 -0500
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I recently started RN school, and have started questioning the information
given. Of course, anything birth/breastfeeding related brings up the red
flags.

I have put up with most of the nonsense, but they told our class that "all
antihistamines are contraindicated during pregnancy and breastfeeding."
These include Claratin/loratadine, cetirazine/Zyrtec,  Allegra/fexofenadine.
None beyond an L2, and at least 2 approved by the AAP.

I was a good girl, didn't question it in class, but emailed the instructors,
giving them my sources, and telling them it is incorrect information. My
main question was, how do I deal with this incorrect information, I realize
I have to answer the incorrect answer on the test, but would our school's
incorrect information be counted as correct or incorrect on the board exams?

Here was my instructor's reply (and she was an IBCLC until last year): 

"I think as a general rule, most antihistamines are not recommended for
breastfeeding mothers because of their drying effects. This information is
also confirmed by our OB text. In pregnancy, antihistamines may contribute
to dehydration which can cause preterm labor. I know Dr Hale is the expert
on Lactation & medications but I don't think NCLEX uses his text as a source
for exam questions. I hope this helps with some of the confusion."

When I saw them in class the next day, I thanked them for their help, but
reminded them that they were giving the wrong information to a group of
nurses who would be out in the real world, in one year, spreading the wrong
information.

I am really not looking forward to when this particular instructor teaches
our ob class, and instructs us to give babies water for jaundice. Remember,
this is a former IBCLC. Again, is this just poor information coming out of
this nursing school, or is this a real question on the nursing boards?

Sam Doak
Who knew she'd be banging her head against the walls... But in the first
week??

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