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Medications in Breastfeeding

Elizabeth Lavery, MD and Neda Frayha, MD
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17:46
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No me gusta!

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Are you stumped by prescribing medications to nursing mothers? Do you know about pumping and dumping? Neda sits down with Dr. Elizabeth Lavery to discuss the use of medications in breastfeeding women so we can feel empowered to prescribe in this population.

 

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Spencer J. -

THANK YOU for addressing a topic that is near and dear to my heart! I was a breastfeeding peer counselor for 10+ years, first with La Leche League and then Breastfeeding USA. As a family physician taking care of moms and babies, I highly recommend these breastfeeding support meetings for breastfeeding moms - and LLL leaders and Breastfeeding USA counselors can often share resources and empower moms to push back if they're being told to "pump and dump." Moms can also access "Mommy Meds," another app from the Infant Risk folks, but designed for moms and free to download. Infant Risk also has a hotline where physicians can call to ask more nuanced questions about breastfeeding and medications - (806) 352-2519 (open from 8 AM to 5PM Central Standard Time). They may have real-time information for you, or they may need to get back to you.

I'm glad you also spoke about pumping, and the big bugaboo for working moms - day care providers overfeeding and asking for more and more breastmilk bottles - sometimes giving most of a day's average breastmilk consumption in 8 hours -- that's not sustainable for most breastfeeding moms. I'd love to hear a segment that delves into pumping a bit more, both working and pumping and exclusive pumping.

Another sometimes controversial topic would be tongue ties and the effect on breastfeeding - I can suggest some good resources if you would like to interview any of the "gurus" in the field.

One last topic (another issue I'm passionate about) would be the misinformation about breastfeeding and diagnostics - e.g. mammogram. I was pregnant, breastfeeding, or both for 11 years (from age 38 to 49) -- I was told at various times by radiologist and techs that I couldn't have a mammogram while breastfeeding -- false!

Thanks again for this excellent segment!
E. Spencer Joslin, MD, FAAFP

Neda F., MD -

Thanks so much for your thoughts and wonderful teachings! We're grateful to learn from you, and will add your suggestions to our mailbag list. -- Neda

Amarachi O. -

Such a great lecture as always. Thanks for the resources. However, I just noticed the LactaMed app is retired!! Anyone know if it has resurfaced with a new name?

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Hippo Primary Care RAP Written Summary June 2020 967 KB - PDF

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