This is an interesting theme that is currently being discussed.
I had a mom, who happened to be a NP, 5 months pp with twins and was put on
Rifadin
and told by her pedi group to pump & dump for 3 days.
She called me the next day because she was losing her supply and could I help
her. When I got the history and looked up the drug, I had to let her know that
my source said that this drug was safe with brfdg. I called the pedi group and
asked them their source, it was the PDR!!!! They have Hale in their dept and
I'm the LC for the health centers to call on for consults and they choose to
use neither. What was very stressful to hear is the pedi say the mom had
agreed to this plan and what is the big deal to pump & dump for 3 days.
Now if something a mom is doing truely does HARM then the  baby should be
sheltered from this, BUT if the assumption is made not based on any scientific
bases, this advice is harmful to both the mother and child. Formula is not
without RISK. It is very stressful and alot of work for a mom to pump her
precious milk and throw it down the drain. As clinicians giving advise to moms
(the moms look at them as recieveing the most accurate advice) please do not
blanketly state "if you take this drug you have to stop brfdg" and this is not
true.
I see this too much and I'm stinging from the nasty way this pedi handled me,
but what is revealing is his and many others callous feelings of what moms are
going through.
Thank you for letting me release some steam.
Ann Perry RN IBCLC
Boston,Ma