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Lactation Information and Discussion <[log in to unmask]>
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Mon, 28 Aug 2006 08:54:48 EDT
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Has anyone got any infomation about Lyme disease in colostrum in a pregnant  
mom? A friend of mine is having a home birth with her 5th child. She 
contracted  Lyme disease while pregnant. She has been on amoxicillin therapy for the 
last 5  weeks, on the recommended doses listed in Hale. She is due next week. 
The baby  will have amox therapy after birth also as directed in Hale. 
She has been told by the Pedi specialist that she should not give the baby  
any colostrum in the first 24 hrs, then can start breastfeeding after the 
24hrs,  on the theory that any spirochete will be concentrated in the first 
colostrum.  She supposes she should pump and dump the first expressions in that 24hr  
period.
I asked her if she could start expressing now, and have her colostrum  tested 
for presence of the spirochete. (This is most likely a very specialized  
testing process and not available) I am concerned that the advice she has been  
given is not backed up by any research, but is just a supposition by the  
physician. Also what is the rationale that she would not have enough damaging  
spirochete in her colostrum at the 25hr postpartum mark, if indeed her colostrum  
is not safe for the first 24hrs? Meanwhile, she has contacted a friend who is  
scheduled for a c/s next week, and is asking her if she will express  
colostrum for donation which she will give via eyedropper the first 24hrs.  If that is 
not possible, this mom plans on  getting banked milk.
 
Lucia  Jenkins RN,IBCLC
16 Hawthorne St
Wakefield, Ma  01880
781-246-2059
cell781-507-1980
"A breast a day keeps the doctor  away."



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