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Yearly Archives: 2023
Type 2 Diabetes and Breastfeeding
Information taken from Breastfeeding and Chronic Medical Conditions available from Amazon Type 2 diabetes develops over weeks and months rather than suddenly as type 1 diabetes does. It is estimated that 415 million people across the world are living with diabetes, approximately 1 in 11 of the world’s adult population. Type 2 diabetes is now […]
Gestational diabetes and breastfeeding
Information taken from Breastfeeding and Chronic Medical Conditions available on Amazon. Gestational Diabetes is described as impaired glucose tolerance in pregnancy. It is also increasing in prevalence due to obesity rates and now affects some 7% of pregnancies. Most women will need oral metformin to reduce blood glucose or insulin if changes in diet and […]
Accidental/occasional dose of codeine when breastfeeding
Interestingly I am getting more reports of mums who have taken codeine accidentally – having opened the wrong packet, or been given it by supportive partners or relatives and friends. They are terrified that they have to stop breastfeeding and ask for how long they need to pump and dump their milk (such a terrible […]
Oral Terbinafine and breastfeeding
Some mothers develop fungal nail infections in pregnancy and delay treatment. When breastfeeding, topical treatments are preferable. I am asked at least once a week about oral terbinafine – hard to answer with little research. Hope this information helps with shared decision making. Oral terbinafine and breastfeeding factsheet Oral Terbinafine is sometimes used to treat […]
Decongestants and breastfeeding
see also https://breastfeeding-and-medication.co.uk/fact-sheet/coughs-colds-flu-and-covid-when-breastfeeding There is research that pseudoephedrine can lower breastmilk supply after just one tablet. (Aljazaf K, Hale TW, Ilett KF, et al. Pseudoephedrine: effects on milk production in women and estimation of infant exposure via breastmilk. Br J Clin Pharmacol. 2003;56(1):18-24.) Pseudoephedrine is a decongestant ( helps to unblock your nose). It seems […]
Dihydrocodeine and breastfeeding
I keep being asked about strong analgesics in breastfeeding. Lots of people seem unaware that codeine and dihydrocodeine sound similar but do not have the same risk in breastfeeding. Although many babies dont exhibit drowsiness when exposed to codeine during breastfeeding, dihydrocodeine is preferred. This explains why: The analgesic effect of dihydrocodeine appears to be […]
Flu and covid vaccine in autumn booster programme
Many women who are breastfeeding will be offered flu vaccine, and maybe also covid boosters, shortly as the NHS expect yet another difficult season ahead. You can have both flu and covid-19 vaccines when breastfeeding as the molecules are too large to pass into breastmilk. Your nursling will however receive antibodies, which you make to […]
Flu (influenza) and Anti virals
I think we are all much more aware of the incidence of flu and its complications after the COVID pandemic. The best form of protection (although still not 100%) is flu vaccination which can be undertaken whilst breastfeeding with no risk to the baby. The symptoms of flu usually last for a week. Symptoms develop […]
Colonoscopy and Endoscopy in breastfeeding women
I am so very frustrated for breastfeeding mothers who need colonoscopies and endoscopies being told that they need to interrupt breastfeeding. I was able to engage with the national body to update national guidelines which should be released soon. Interestingly it is the same old story – we dont see breastfeeding women needing these examinations. […]
Clinically extremely vulnerable, COVID 19 infection and breastfeeding
Because I am immunocompromised myself, I am all too well aware of the information on protection from COVID 19 including the recommendations launched in December 2021 by the government on sotrovimab (Xevudy) and molnupiravir (Lagevrio) . This may affect some breastfeeding mothers e.g. those with IBD or on biologicals for other reasons . There are […]