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Subject:
From:
Rachel Myr <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 2 Feb 2001 22:32:32 +0100
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I'll give this a shot, though it isn't my area of most expertise.

As I understand ipecac, it is meant to provoke vomiting, and so I wonder if
any of it even gets absorbed.  I don't even know what we call it here so
can't look it up in my local reference book to see what the advice is here.
There certainly wouldn't be advice about BF during long term ipecac therapy
in any case!  I don't have Hale (there, it's out! I don't have it!) so can't
look there either.  I assume you have access to it yourself.

Since women can BF during famines, during epidemics, and during all kinds of
stress over which they have no control, I wouldn't worry about the milk.
Women with eating disorders are EXCELLENT at control, and perhaps some
information about which nutrients mother is likely to lack if she is purging
by vomiting would enable her to supplement with tablets or caps that she
wouldn't feel obliged to throw up afterwards.  And if she is BF and not
peeing at least every 3 hours, she probably needs more fluids herself.
Water is great.

It might also be worth it to have a non-judgmental conversation about normal
feeding behavior/schedules in babies, so mother can be freed of worry about
creating a bulimic child.  A cluster feeder could really cause anxiety, I
bet.  She is to be commended for providing such excellent food for the baby.
Too bad she can't begrudge herself the same pleasure.

We have all probably had lots of mothers with eating disorders, far more
than we know.  Like I said, control is a key word here.  This lady obviously
feels safe disclosing to you.  Pat yourself on the back for that and good
luck.
Rachel Myr
Kristiansand

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