Rob, I think you've put your finger right on the button of a very important
point, "Not to begin to rant but I ticks me off when a non pediatric
specailist tells a mom what is and isnt OK in a baby's GI tract. Especailly
if theyre WRONG."  And it really does seem logical, as you say, for a
*baby-specialist* to determine whether a drug coming through the breastmilk,
will be of any consequence for the baby.  This is what I suggest to my
clients anyway.  Fortunately (as I've said before, and I'll say again) we
have some wonderful paediatricians who seem to consistently agree that
breastmilk laced with small amounts of X drug is always a better choice than
no breastmilk at all (with *very* rare exceptions).  One of them confirms
that breastfeeding is fine and suggests that I send the references to the
prescribing doctor to save time next time. It can be a little delicate, but
so far, as long as the doctor can see something in print, he is reassured.

Of course, the warfarin/enoxaparin thing (oral vs injectable) is something
of a new variation for me. No-one has suggested that the baby cannot breastfeed!

Pamela Morrison IBCLC, Zimbabwe