Do you want to buy a copy of one of my books? They are all available on Amazon which is probably easiest. Or direct from the publishers Routledge, Pinter and Martin, or Praeclarus Press. I’m not going to available as much in the future to answer questions so maybe now is the time to buy the books so you have answers 24/7 365 days a year.
Fibromyalgia is incredibly difficult to deal with when you have a baby. The most effective intervention is CBT. Please read this factsheet which is a chapter from my book Breastfeeding and chronic medical conditions available on amazon.
With the developing COVID situation more mothers are struggling to sleep and being prescribed mirtazapine for anxiety and depression associated with poor sleep. This is the information I used in Breastfeeding and Medication.
For more information Mirtazapine and Breastfeeding Factsheet
or maybe buy the book
Currently there seem to be many questions about treatment of ADHD and breastfeeding. I’m sharing the chapter from my book Breastfeeding and Chronic Medical Conditions which I hope helps
For more information :
and maybe you would like to but the book available on Amazon
The rise in the statistics on COVID seems to be exacerbating symptoms of depression for many, many people. I can totally identify with that because I am immunocompromised myself due to medication and have very much gone back into Shield mode.
Many of the queries I have had in the last week relate to mothers who need to begin, increase or change their antidepressant medication but are being advised to stop breastfeeding to do so. There is evidence that stopping breastfeeding in itself lowers mood – you have a baby who wants to be breastfed and is fighting the change, you loose oxytocin, you become engorged – it isnt as easy as “stop now” might sound.
This is the chapter on depression from my new book Breastfeeding and chronic medical conditions. I hope the chapter helps in itself but maybe you would like to buy it and learn more about how drugs get into milk.
I will of course answer any queries you have firstname.lastname@example.org
I’m very proud to announce the arrival of book 5 “Breastfeeding and Chronic Medical Conditions”. It is an accumulation of the knowledge which I have gained over the past 25 years in supporting breastfeeding mothers and answering their questions.
It has been my “brain dump” so that hopefully I can move forward gradually to spending more time with my family than answering questions. The latter has rather taken over my life now. COVID has made me think about my priorities but lockdown gave me the opportunity to write this whilst I was shielding,
I hope that it helps mothers and professionals make risk benefit decisions on how to help mums with chronic conditions manage their lives and breastfeeding.
My book is available in paperback or kindle format on Amazon https://www.amazon.co.uk/Breastfeeding-Chronic-Medical-Conditions-Wendy-ebook/dp/B08HWZRVVT/ref=sr_1_1?dchild=1&keywords=breastfeeding+and+chronic+medical&qid=1600085418&sr=8-1
This is one section of the new book that I am currently working on and should hopefully be available in kindle format shortly
I am so very tired of breastfeeding mothers who need colonoscopies and endoscopies being told that they need to interrupt breastfeeding. I am currently trying to engage with the national body to update national guidelines. Interestingly it is the same old story – we dont see breastfeeding women needing these examinations. So how come I do?
This is the evidence that I have put together and am desperate to share with clinicians.
This week I posted a link to a recently published paper which concluded that poor pain relief after a C section affected breastfeeding. https://consultqd.clevelandclinic.org/following-cesarean-delivery-postoperative-pain-affects-likelihood-of-in-hospital-breastfeeding/
I was saddened that we even had to think that pain would not be managed well for any mother, let alone when she was trying to initiate breastfeeding. It isn’t always easy to life a baby from a cot side crib when you have had surgery, let alone try to position a baby to achieve the perfect latch.
What surprised and horrified me was the mother’s who replied that they hadnt been given good pain relief when in hospital. They mentioned:
- not being told that more than paracetamol was available
- being offered only paracetamol and ibuprofen even when they needed more
- being forgotten on medication rounds,
- being discharged without sufficient pain relief.
This just isnt good enough and I would hope that everyone to whom this applies contacts the ward directly or through PALS that pain management plans are essential.
Pain relief which should be given to a breastfeeding mum in my opinion:
- In theatre a non steroidal anti inflammatory eg diclofenac as a suppository
- On the ward there should be available oramorph (subject to extensive first pass metabolism so little in milk)
- Regular use of an NSAID – ibuprofen, diclofenac or naproxen (low levels in milk) plus paracetamol
- Codeine is no longer recommended but dihydrocodeine can be offered (https://breastfeeding-and-medication.co.uk/thoughts/dihydrocodeine-and-breastfeeding)
- Discharge packs should include the NSAID offered in hospital plus limited number of dihydrocodeine and if necessary oramorph. This may challenge the formulary in the hospital but can be overcome simply with care and thought for the patient.
NO WOMAN SHOULD BE LEFT IN PAIN BECAUSE SHE IS BREASTFEEDING
I have been working with a small team of anaesthetists for some time to develop guidelines so that breastfeeding mothers can have surgery, pain relief etc and continue to breastfeed as normal. The guideline also recommends support for the mother in terms of pumps, information and her baby nearby – not necessarily in that order.
As we begin World Breastfeeding Week 2020 I am proud to share this guideline and infographic
this is the background to why I am so passionate about breastfeeding and drugs in breastmilk