Brenda, This is a very difficult situation. The neonatologist really is trying to look out for the baby. Most docs are so comfortable w/ formula they will choose it over ebm in these cases. I guess no one really knows what, if anything, the diclox in ebm would do to the baby. I think most of us lactnetters would agree that the baby will be at far greater risk of diarrhea and other illnesses w/ a 12 day cessation of breastfeeding. I would copy the info from Hale and share w/ the neo. I would emphasize that the med is 96% protein bound, molecular wt of 420 (I'm using my older Hale ref from home, but assume this info is the same in his latest edition), and the L1 rating . He may decide to 'allow' the bf. You could also offer a compromise, using the info that the drug peaks at 0.5 to 2 hrs. That is to say, the mother could express and then take her dose, and wait maybe 4 hrs to pump again, figuring out a way to express prior to her dosing. Hopefully mom has a good supply and could still supply the baby the ebm and discard or freeze the 'peak milk' for later use. Sometimes when I am trying to educate, I find it is very helpful to share the info in the preface and 'how to use this book' info of Hale's book on the pharmacokinetics i.e. protein binding, peaks, etc. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ STOP MORE SPAM with the new MSN 8 and get 2 months FREE* http://join.msn.com/?page=features/junkmail *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html