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Breastfeeding after CT and MRI scans
Virtually every day I get messages from mothers and health visitors querying whether mothers can continue to breastfeed after CT and MRI scans. I was told that the national guidelines had been updated some years ago to align with RANZR guidelines . Sadly guidelines dont seem to have been updated by all radiology departments from […]
ADHD and Breastfeeding
I have shared the chapter on ADHD from my book Breastfeeding and Chronic Medical Conditions multiple times this week. Many mothers seem to be diagnosed in later life and are concerned about breastfeeding. Hope this is a useful link. More information ADHD and Breastfeeding Factsheet https://infantrisk.com/content/adhd-medications-and-breastfeeding I came off my medication to conceive and my […]
Fremanezumab (Ajovy™) and Breastfeeding
Fremanezumab is a humanised monoclonal antibody that binds to the calcitonin gene-related peptide (CGRP) ligand, inhibiting the function of CGRP at its receptor, and thereby preventing migraine attacks (BNF). It is given as a sub cutaneous injection of 225 mg once a month, alternatively 675 mg every 3 months. Fremanezumab is recommended for patients who […]
Citalopram and breastfeeding
Especially since the pandemic many more mothers have been asking about the compatibility of citalopram during breastfeeding. It has been a hard time for everyone with the incidence of anxiety and depression continuing to rise. As access to IAPT ( https://www.england.nhs.uk/mental-health/adults/iapt/) may be more difficult the prescription of medication is inevitable. Alternative CBT access may […]
Botox for medical purposes and Breastfeeding
Botox injections are used for many medical purposes including migraine, anal fissures. The amount of botox getting into milk is low based on the research on one mother who caught botulism from eating fermented salmon eggs. She continued to breastfeed. No botulinum toxin or botulism was found in the breastmilk or the baby. The doses […]
Phenylephrine and Breastfeeding
I have written extensively about the use of decongestants in the past ( https://breastfeeding-and-medication.co.uk/fact-sheet/coughs-colds-flu-and-covid-when-breastfeeding and https://www.breastfeedingnetwork.org.uk/factsheet/decongestants/) Pseudoephedrine has been shown to reduce milk supply in some women. The effect of phenylephrine on supply has not been demonstrated but use of oral decongestants is generally not advised for breastfeeding women. I have always recommended the use […]
What would women like professionals to understand? Breastfeeding an older baby whilst experiencing Hyperemesis.
PDF of this information is available at: https://breastfeeding-and-medication.co.uk/wp-content/uploads/2023/02/hyperemesis-and-breastfeeding-feb-2023-.pdf see also The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69) https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.17739?fbclid=IwAR1c5ZE0_-AocuZ1bXuZSZGB9VCLHHCy4of4JkvxmYTTPWEzMAJVzTf1gQY Thank you to everyone on the facebook group who shared their experiences and helped me to update this information. More women are now breastfeeding their babies for longer and […]
Bowel cleansing before colonoscopy and breastfeeding
Just recently I have been contacted by several mothers who were told that they cant breastfeeding during the 24 hour period of bowel prep prior to a colonoscopy or for 24 hours following the procedure under sedation. This is not supported by research and understanding of the pharmacokinetics of the drugs used. It is also […]
Constipation, laxatives and breastfeeding
Having nursed my husband post-op this week the topic of laxatives is at the fore front of my mind particularly after opioid analgesics! But also very relevant post birth particularly after a c section or instrumental delivery What is constipation: It’s likely to be constipation if: The most common causes of constipation include: Constipation is […]
Levonorgestrel as emergency hormonal contraception (morning after pill) and breastfeeding
Levonelle™ (levonorgestrel), when originally marketed was licensed to be given to women during breastfeeding. However, the patient information leaflet in the packet now suggests that women should not breastfeed for 8 hours. This is not supported by research and breastfeeding can continue as normal. The tablet should be taken as soon as possible after unprotected […]