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Lactation Information and Discussion

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Subject:
From:
Drmarske <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 6 Dec 1997 02:07:05 EST
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Hello,
     I am an internist who strongly advocates breastfeeding and gives out info
to all my pregnant patients encouraging breastfeeding.  Today I encountered a
patient who is 14 weeks gestation who has a long hx of dysthymia and was on
Zoloft prior to pregnancy and discontinued when trying to get pregnant.  Now
she knows she would feel better if she could go back on Zoloft or Paxil while
pregnant and was happy to know that she could breastfeed while on one of these
drugs.  Does anyone have any experience with pregnant woman on Zoloft or Paxil
and the fetal outcome?  Most books I have state that the evidence is
inconclusive if these are safe during pregnancy.  One study mentioned delayed
ossification of the bones on Zoloft.  This was the book called Drugs in
Pregnancy and Lactation by Yaffe.  I would like something I could give to the
couple and the OB to read before prescribing either one of these drugs.
     There was a person recently looking for a Human Milk Bank that Accepts
Donated Milk.  I recently organized the donation of 9.5 liters of breastmilk
to the Mother's Milk Bank at Valley Medical Center, San Jose, CA phone
408-998-4550.  I hope this helps anyone interested in receiving or donating
human milk for those in need.
     Thank you to anyone who replys to this post.  This would make a world of
difference in this couples life at least for the next 6 months of her
pregnancy.

                                                                 CPT Cynthia
S. Marske, DO
                                                                  Internal
Medicine
                                                                  Weed Army
Community Hospital
                                                                   Fort Irwin,
CA 92310

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