You should have the patient sign a " permission to use photograph for educational purposes" form before taking photo. --Beth Williams On Tue, 4 Apr 1995, Alicia Dermer wrote: > Hi, everyone: In reply to the question regarding slides for presentations > on breastfeeding, I have some beautiful slides as part of an instructional > program from Georgetown University. I don't know if slides available > separately, but you might try them: Georgetown University Hospital, National > Capital Lactation Center, 3800 Reservoir Rd NW, Washington, DC 20007. One > of my LC colleagues said it sometimes works to just ask some of your patients > if they would consent to be photographed. > As for zoloft, I have no personal experience, and the UCSan Diego drug > information line had no really good data on this, but no contraindication. > Still, at least with prozac the level in breast milk has been measured at 10% > of the maternal dose; with zoloft, we don't even know whether it gets into > breast milk. The problem with drugs such as the SSRI's and other > antidepressants is that we don't know the long term effects, and that's why > the AAP committee in Jan. 1994 Pediatrics put such meds on its "use with > caution" list. With a premature baby, there is a potential concern due to > its vulnerable nervous system. This unknown risk of course has to be weighed > against the known benefits of breastfeeding to premature infants and > long term maternal and child health benefits. Since we have no way to > compare the two, there is no easy answer here. As in all difficult > situations, the parents may need to be provided with as much information as > possible and make their own decision. If this mother has been on zoloft > throughout her pregnancy, she must be aware that the baby has had seven > months of exposure, probably at higher levels than would be in her breast > milk. Good luck, Alicia. >