I am a LC in a small Canadin hospital. I thought that we were quite progressive until this happened: A mother was admitted to our psychiatric unit with a diagnosis of post partum psychosis. Her baby is 8 weeks old and has been thriving quite well on breastmilk. ( second baby, first was breastfed for 13 months, and mom enjoyed this.) Mom initially refused medication, but finally consented to paxil. She was planning to pimp her milk while hospitalized HOWEVER her psychiatrist gave an order that she was to stop pumping or she would not treat her. Mom isn;t thinking rationally and wants to please everyone so she has consented to wean from the pump. ( the initial instructions were to simply not let her pump, but I was able to convince them of the harm that this might do). Her Dr. has now put her on resperidone ( risk factor C ) and refuses to discuss things further. So much for family centered care. Does anyone have any comments or suggestions? I feel like I am letting this mother down when she has indicated that she wished that she could continue to breastfeed. I would like her to even be able to" pump and dump" until she is well and can resume breastfeeding but this is out of the question as fas as Dr. is concerned. Marilyn Norton RN IBCLC from Charlottetown, Prince Edward Island ( home of Anne of Green Gables and the "Fixed Link") 0