Hello all,

I have no experience to share about POTS and breastfeeding, but my teenage
daughter had a severe and protracted POTS following a head injury and so I
can deduce some potential issues.

Fluid intake is encouraged and so would be of particular importance with a
breastfeeding mother. A high salt diet is often recommended but this would
not influence the sodium content of the breastmilk 

https://pubmed.ncbi.nlm.nih.gov/3598727/ .  Encourage them to eat regular
meals and snacks and not skip meals. 

Given the triggers of position change-from seated or lying down, or
elevating the arms (for eg hanging out washing) they would need to take care
if the BP drop triggered dizziness or confusion, especially if holding the
baby. 

Prolonged periods of standing to hold and soothe the baby could also result
in cerebral hypo-perfusion.  

I would suggest good education to be aware of the signs and symptoms-the
tachycardia, clammy hands, diaphoresis, feeling light headed, pallor, and
taking care to sit down quickly  during these episodes, ensuring the safety
of the infant. 

Some gentle lower-leg exercises when seated and breastfeeding, or holding
the baby, may aid venous return prior to standing up, to reduce the
significant BP drops. 

Apologies if this isn't the sort of information you were seeking. 

 

Best wishes,

Meg Kingsley IBCLC 

Australia


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