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A while ago, in my previous working life I was a smoking cessation counsellor. I’m sure that there are many who tried to quit as a New Year’s Resolution or are considering a pregnancy and want to quit now or who now find themselves pregnant . I reworked a presentation I gave in Blackpool a few years ago so that it is aimed at women but could also help those helping mothers to quit smoking. Let me know if I can help firstname.lastname@example.org
See also the impact of paternal smoking on breastfeeding https://insightplus.mja.com.au/2023/40/the-impact-of-paternal-smoking-on-breastfeeding
As with most professionals, my own included, dentistry seems to lack education on breastfeeding as part of undergraduate training if questions sent to this page exemplify a wider issue. I have tried to provide information for CPD inline with that written for other healthcare professionals.
I have developed this powerpoint presentation on the pharmacokinetics of drugs which dentists may use or prescribe for CPD information in an effort to break down the barriers of continuation of breastfeeding.
I am happy to answer individual questions or training. Please contact email@example.com
- Breastfeeding mothers can have local anaesthetic injections with/without adrenaline and continue to breastfeed as normal
- Breastfeeding mothers can take analgesics for dental pain and continue to breastfeed as normal
- Breastfeeding mothers can have antibiotics and continue to breastfeed as normal
- Breastfeeding mothers can use mouthwashes, gels and liquids for mouth ulcers ( e.g. Anbesol®, Bonjela®, Medijel®, Rinstead®, Iglu®, Orajel®) and fluoride toothpastes e.g. Durophat® and continue to breastfeed as normal
- Breastfeeding mothers can have dental sedation for procedures and continue to breastfeed as normal.
- White fillings: In some parts of the UK white fillings are recommended in pregnancy and lactation following an EU Directive (July 2018) but have to be paid for by the patient rather than being part of free NHS treatment. The information states that “These restrictions on the use of dental amalgam aim to help reduce environmental mercury pollution and are not a result of any safety concerns about amalgam fillings for dental patients.”
- Tooth Whitening: There appears to be no information available on the use of tooth whitening agents during lactation. Whilst it is unlikely that any significant transfer of the agents used into breastmilk will take place, if it can be delayed until breastfeeding has finished naturally, that would be preferable but there are many questions from mothers about to get married who dont want to wait. Unless the products spill from the bath in which the liquid is placed, resulting in burns to the mother’s mouth absorption into breastmilk is unlikely.
In a report Public Health England have made recommendations on dental health and breastfeeding. Full information can be accessed at : www.gov.uk/government/publications/breastfeeding-and-dental-health/breastfeeding-and-dental-health#breastfeeding-and-dental-health
- dental teams should continue to support and encourage mothers to breastfeed
- not being breastfed is associated with an increased risk of infectious morbidity (for example gastroenteritis, respiratory infections, middle-ear infections)
- breastfeeding up to 12 months of age is associated with a decreased risk of tooth decay
- breast milk is the only food or drink babies need for around the first 6 months of their life, first formula milk is the only suitable alternative to breast milk
- bottle-fed babies should be introduced to drinking from a free-flow cup from the age of 6 months and bottle feeding should be discouraged from 12 months old
- only breast or formula milk or cooled, boiled water should be given in bottles
- only milk or water should be drunk between meals and adding sugar to foods or drinks should be avoided
Recent systematic reviews such as that by Tham and others (2015)6 included studies where children were breastfed beyond 12 months. When infants are no longer exclusively breast or formula fed, confounding factors, such as the consumption of potentially cariogenic drinks and foods and tooth brushing practices (with fluoride toothpaste), need to be taken into account when investigating the impact of infant feeding practices on caries development. Tham and others (2015) noted that several of the studies did not consider these factors and concluded that with regard to associations between breastfeeding over 12 months and dental caries “further research with careful control of pertinent confounding factors is needed to elucidate this issue and better inform infant feeding guidelines”. Good quality evidence on breastfeeding and oral health is an area with significant methodological challenges which have been outlined by Peres and others (2018)7.
Of course I would also have to highlight that dental procedures, including sedation, local and general anaesthetic and use of antibiotics and analgesics need not interrupt breastfeeding
Back long ago before books and training material, let alone the website, I wrote a training pack for professionals with support from Roberta Roulstone from Peterborough Hospital. She inspired me to share my knowledge and changed my life. Another person who helped with the IT was Sarah Saunby a very great friend who I miss seeing.
This is an up to date version of that training which I have been picking up and putting down for a while. I hope it helps professionals to protect and support breastfeeding whilst adding to their own CPD.
For once I got round to recording it! But have included a link to the powerpoint as some links got covered up in my recording
I had been asked to talk to midwives for an update today but sadly due to timing wasnt bale to do so. But having saved the day I decided to record the talk anyway
Happy to answer any questions firstname.lastname@example.org
This is the handout of the presentation https://breastfeeding-and-medication.co.uk/wp-content/uploads/2022/05/Prescribing-during-breastfeeding-midwives-2022.pdf
and the link to the YouTube video which includes my presentation https://youtu.be/L3b43BgeiR8
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.
See also: https://tinyurl.com/33emh32m facebook live video
This is a presentation based on one I deliver to second year pharmacy undergraduate students at Portsmouth University. Hope that it forms the basis of knowledge of why pharmacists should promote and support breastfeeding. Any queries please email me email@example.com . I’m always open to lecturing opportunities
If you find this useful, how about buying the book?
these learning outcomes are aimed at pharmacy students but provide a valuable CPD tool for qualified pharmacists. Please note the link to training materials on this page
still time to register and listen
I have decided to stop travelling around as much to deliver presentations at conferences. Just feeling a little too jaded and yes I will admit old. But have decided instead to share the contents via this website in the hope that it can spread good practice further and more easily. Happy to answer any questions if you email firstname.lastname@example.org
If you find it useful maybe you would like to buy my book – on Amazon shorturl.at/kpuyI
I am aware that most pharmacists do not receive any training on breastfeeding during their undergraduate studies. My own PhD studies showed that most of us gained our knowledge from our own personal experiences. As breastfeeding is acknowledged as a major public health area I have begun to prepare some training material for professionals – starting with my own. This is intended to provide a basic understanding of how pharmacists and their staff can help to support new mothers as part of their everyday working practice. More detailed presentations will follow on drugs in breastmilk. If you find this useful and want to know more please buy a copy of Breastfeeding and Medication