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The Synacthen test and breastfeeding

Not a very frequently asked question but one which causes a lot of distress as many mothers are advised to interrupt or stop breastfeeding unnecessarily. Having tests is bad enough without trying to manage milk supply and a distressed baby.

Hope this information that breastfeeding can continue as normal after the test helps

The Synacthen test and breastfeeding factsheet

What do mothers want professionals to know about contraception and breastfeeding

Last year I asked on my facebook page for experience of using contraception whilst breastfeeding using a googledoc survey. I had just under 80 responses in 24 hours and here I have tried to analyse the results. Five mothers reported that their supply was affected by the use of contraception. Many more were unhappy with the information that was given before prescription of the contraceptive. Food for thought

Please see https://www.breastfeedingnetwork.org.uk/contraception/ 

for information on the contraceptives and 

https://www.breastfeedingnetwork.org.uk/ehc/ 

on emergency hormonal contraception which I wrote for BfN.

Contraception and breastfeeding. What mothers want doctors to know analysis

What do mothers want healthcare professionals to know about breast and nipple pain in lactation

I asked for feedback on this question 12 months ago about pain during breastfeeding and finally time to write it up. Reading it again makes me sad. The pain of breastfeeding for some people cannot be ignored. I hope that this facilitates a discussion amongst professionals who see breastfeeding women. It’s important for mothers, for partners and for babies and time we stopped ignoring it.

This is the data that I extracted

what do mothers want healthcare professionals to know about breast and nipple pain in lactation

Some links that may help everyonehttps://www.breastfeedingnetwork.org.uk/if-breastfeeding-hurts-05-may-2015/embed/#?secret=xbxHk33i2Fhttps://www.breastfeedingnetwork.org.uk/thrush-detailed/embed/#?secret=PiSWCix58w

A Guide To Supporting Breastfeeding For The Medical Profession, Amy Brown and Wendy Jones

What would mothers like their healthcare team to know about IBD and breastfeeding?

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.

What would mothers like their healthcare team to know about IBD and breastfeeding?

See also: https://tinyurl.com/33emh32m facebook live video

Breastfeeding and Chronic Medical Conditions, Wendy Jones

Antibiotics and Breastfeeding

Although we now try very hard to avoid prescribing antibiotics unless essentail ( because of the risk that in the future we wont have antibiotics which are as affective against all infections), sometimes they are necessary. The use of antibiotics during breastfeeding often causes disquiet because most of them cause the baby to have loose bowel motions, sometimes tummy cramps, and sometimes vomiting. Is continuing to breastfeed actually causing harm and should feeding be interupted? Do we need pre biotics and probiotics to redress the balance in the baby’s gut?

It is hard to watch a baby in distress but it is important to remember that when we breastfeed during an infection we are also passing antibodies to that infection in breastmilk to protect the baby. Breastmilk contains all the factors to redress the balance and return the baby’s gut to its normal state far better than any probiotics derived from other sources.

But the ultimate choice is that of the breastfeeding mother.

I hope that the information in this factsheet helps make that decision. Please email me if you want to discuss anything : wendy@breastfeeding-and-medication.co.uk

Antibiotics and breastfeeding factsheet

Raised cholesterol and breastfeeding

When I was working as an independent pharmacist prescriber my main role was to look at primary prevention of cardio vascular disease – identifying factors which raised the risk of people to have a heart attack or stroke in the next 10 years. I used an online calculator using various data like BMI, smoking status, blood pressure and cholesterol ( https://qrisk.org/three/). I didnt see many breastfeeding patients and we concentrated on the over 50s. But in the process I learned a lot about managing weight and encouraging a healthy diet and portion size, smoking cessation and control of cholesterol. In many cases we managed to reduce the risk with lifetyle changes.

It seems that mothers may now have their cholesterol measure and advised that it is too high. I had 20 -30 minute appoitments to encourage lifestyle change. This isnt possible for GPs with pressures on appointments so often the mothers are offered medication to reduce cholesterol. Until recently the only drug compatible with breastfeeding was cholestryamine. This is fine if there isnt a history of familial hypercholesterolaemia and a much higher risk of a cardio vascular event.

A colleague pointed me to some data on elactancia which had a very different list of references and information on cholesterol in standard artificial formula. Thus began a journey to this factsheet over the past couple of months. It isnt a recommendation, as there are currently no studies on the use of statins during breastfeeding nor the effect on the baby . However, it looks at an evidence base which can prompt discussion with clinicians. I hope it helps.

My thanks to Sam Morris and Amanda Da Costa for their knowledge and support as pharmacists and breastfeeding helpers on the BfN Drugs in Breastmilk Information Service

Raised cholesterol and breastfeeding factsheet

Bacterial vaginosis and breastfeeding

Many women are aware of the symptoms of bacterial vaginosis – an unusual vaginal discharge that has a strong fishy smell, particularly after sex. However, treatment can cause more confusion. I hope this factsheet clarifies the symptoms, self help and treatment during breastfeeding.

Bacterial vaginosis and breastfeeding factsheet

Anti platelet drugs and breastfeeding

Although it is rare for a young woman to experience a heart attack, transient ischaemic attack or stroke, it does happen. They are usually prescribed anti-platelet drugs and until recently we found difficulty in providing information. However, this is the most up to date information which I have sourced and hope it helps anyone in this most difficult position.

Anti platelet drugs and breastfeeding factsheet

World Prematurity Day

17 November 2021 World Prematurity Day. Sharing the chapter on premature birth and breastfeeding from Breastfeeding and Chronic Medical Conditions. I know there is so much more to add still and I will be writing more over the next few months

Premature Birth and Breastfeeding factsheet

Breastfeeding and Chronic Medical Conditions, Wendy Jones

Osteoporosis and breastfeeding

Following on from the data on the menopause and breastfeeding, I know many women are advised to limit the duration of breastfeeding in order to protect their own bone density. This sadly often shows a mis understanding of breastfeeding and its importance to the ongoing health of mother and child.

I hope this information taken from Breastfeeding and Chronic Medical Conditions helps

Osteoporosis and breastfeeding fact sheet

please email me wendy@breastfeeding-and-medication.co.uk if you need more information

Breastfeeding and Chronic Medical Conditions, Wendy Jones