Dear Doreen:
"Medications and Mothers' Milk" by Hale covers radioactive diagnostic
and therapeutic treatments, in several entries and several tables in the
back of the book -- the wide range of different agents, at varying
dosages, require the cessation of breastfeeding for different lengths of
time, At Hale's website, http://neonatal.ttuhsc.edu/lact/
there's a link to a "new table" from the Nuclear Regulatory Commission,
plus two sections of random Q&As on radioactive medications in his
"Medications Forums."
http://neonatal.ttuhsc.edu/lact/html/medications_forums.html
One useful point, picked up on Lactnet, is that the radioactivity will
dissipate from stored milk over time.
As for the low-tech lacto-engineering -- for a baby at the breast, the
mother can nurse frequently to keep the breast well drained, using lots
of massage and breast compression. For pumped milk -- pumping shortly
after a feed, or pumping frequently, once again with compression and
massage, would yield a lower volume of higher-fat milk. If the milk is
left to stand, the cream will naturally rise to the top where it can be
skimmed off and added to the other milk to enrich it.
Some Lactnet discussions have pointed out that, while such procedures
are useful for adding calories, in certain medical situations the baby
may need increased amounts of other nutrients.
Good luck to you in supporting this mother, who has such a dark cloud
hanging over the arrival of her baby.
Margaret Wills, LLLL, IBCLC
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