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Date: | Thu, 9 Aug 2012 12:18:37 +0100 |
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Dear Terri
A nursing mother is supposed to have low estrogen levels - this is
how lactational amenorrhoea works!
Quite some time ago I worked with a mother who was prescribed
estrogen transdermal patches to "treat" postpartum depression. I
found that although the mother's milk supply seemed to be adequate in
quantity (baby was passing sufficient clear urine), the baby had
extended jaundice and failed to gain adequate weight. When the
estrogen patches were removed, the jaundice resolved and the baby
gained catch-up weight and then went on to do well - the mother
exclusively breastfed for the normal length of time. While I was
searching around for answers I contacted the Toxicology Department at
the University of Zimbabwe. The doctor (pharmacology) told me that
estrogen could negatively affect the protein and fat content of the
milk. He became very interested in the case and we wrote it up
together and it was published. Here is the abstract
below. Unfortunately I can't locate the full text on PubMed, but
perhaps you can??
Pamela Morrison IBCLC
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Cent Afr J Med. 1999 Mar;45(3):68-70.
Oestrogen transdermal patches for post partum depression in lactating
mothers--a case report.
Ball DE, Morrison P.
Department of Pharmacy, University of Zimbabwe, Harare, Zimbabwe.
[log in to unmask]
Oestrogen transdermal patches are now being used in the prophylaxis
and treatment of post partum depression. Oestrogens are known to have
potential adverse effects on breastfed infants. This case describes
jaundice and poor weight gain in the child of a lactating mother
prescribed oestrogen transdermal patches. There is a need for caution
in the use of this therapy in breast feeding mothers and health
professionals should be alert for problems.
PMID: 10565065 [PubMed - indexed for MEDLINE]
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Date: Wed, 8 Aug 2012 20:05:40 -0400
From: Terri Klein <[log in to unmask]>
Subject: low estrogen
Dear Lactnet readers,
I need help with this ASAP. A mom sent an email that she visited her
OB today thinking she had a vaginal infection. She was told that her
estrogen levels could be low which would have symptoms of infection.
She is breastfeeding. He wanted to order an estrogen cream since that
shouldn't interfere with her milk supply.
She looked up low estrogen symptoms in which she does not have
painful intercourse, hot flashes or the symptoms she found. She is
also very cautious about taking any medications. I am at a total loss
on this one. I have not been able to find any info in Lawrence,
Breastfeeding. Of course, I am at home and do not have access to any
of my resources. I can look up Hale when I get back to work. Please
feel free to email me privately at work address.
[log in to unmask]
Thanks,
Terri Klein RN, IBCLC, RLC
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