Ruth Lawence's new book quotes the AAP recommendation for the mom to pump
and dump for 12-24 hours after a 2g dose.  On the other hand, pregnant
women are given week-long courses of the oral drug without blinking an eye
(at least my sister's OB did and says it's common practice), which would
surely result in a much higher blood level in the baby at a more
vulnerable stage of development.  Lawrence goes on to say that the milk
contains 1.3% - 75% of what would be a therapeutic dose for the baby, if
the baby needed the drug.

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MaryAnn O'Hara, MD, MSt
Robert Wood Johnson Clinical Scholars Program
University of Washington
1959 NE Pacific, Rm H-220 Health Sciences Center, Box 357183
Seattle, WA 98195-7183
(office)         # 206-616-8724
(home office)      206-329-6870
(fax)              206-685-2473
e-mail: [log in to unmask]
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