so proud and delighted to have worked with Lisa, Carmella and Jane over the past year to have this published in the BMJ today. To find out different practices across the world has been fascinating but I so hope this informs clinical practice
not a comon conditioon and easy to feel you are alone . Hope this helps. It’s a chapter from my book Breastfeeding and Chronic Medical Conditions
The next and most personal blog about what what mothers want their professionals to know. Thank you to the members of the facebook page https://www.facebook.com/groups/BreastfeedingIBD for their views.
This article was published in the Pharmaceutical Journal June 2021 https://pharmaceutical-journal.com/article/ld/how-to-advise-women-on-the-safe-use-of-medicines-while-breastfeeding but I feel is too important not to be readily available for professionals. It should be part of the what mothers want professionals to know about breastfeeding series. So I have adapted it slightly to be in a pdf format so it can be used more easily
If you use this information please do consider buying Breastfeeding and Medication
I’ve made no secret of the fact that I developed Crohns disease identified back in 1976 when I was just 22 years of age. It has had a massive impact on my life – lots of hospital admissions, 3 bowel resections, lots of medication. It indirectly led to me developing peripheral vascualr disease so that at one time I could only walk 40 yards without pain. It also was responsible for a malignant melanoma which luckily was caught before it spread. It has also affected my liver and spleen so as you can understand it is a big part of my life. But on the positive side it was what caused my passion for breastfeeding as I was nevr fitter than when I was pregant or breastfeeding.
I have attempted to pull all the information on diagnosis, treatment, live vaccines etc into one place into this rather large factsheet (almost a book) which I hope will help professionals support mums using evidence based information.
I have already recorded a video presentation as a facebook live https://breastfeeding-and-medication.co.uk/live-video-2/inflammatory-bowel-disease-and-breastfeeding-facebook-live but am happy if you want me to present to a team – professionals, mothers with IBD. Just message me firstname.lastname@example.org
There is also a facebook page https://www.facebook.com/groups/BreastfeedingIBD with 1.4k members from all round the world.
Hope this helps everyone to use the evidence from research to support breastfeeding mums with IBD. It is a disease I wouldnt wish on my worst enemy and it is hard to deal with when you have young children. Be kind and supportive! #dontsaystoplookitup
Mothers have been reporting that they have been advised to interrupt breastfeeding or even stop altogether in order to have skin and patch allergy testing. This doesn’t seem based on evidence but possibly without national guidelines.
The allergens do not pass into the blood stream let alone breastmilk so there is no reason to interrupt breastfeeding.
Should you react severely to an allergen test and require administration of an antihistamine, an adrenaline injection (e.g. EpiPen) or a steroid that does not stop you breastfeeding as normal
Adrenaline/epinephrine injection e/g/ EpiPen ™. Ingredient present in milk but unlikely to be harmful as poor oral bioavailability . Half life 2 minutes so all gone from the body in 10 minutes.
Antihistamine – https://www.breastfeedingnetwork.org.uk/antihistamines/ Prednisolone – https://www.breastfeedingnetwork.org.uk/prednisolone/