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Hayfever and breastfeeeding live video and powerpoint training

This is the beginning of the hayfever season with the sun coming out so today I recorded the video about the compatibility of drugs to treat symptoms and breastfeeding

I’ve also uploaded the powerpoint which I used to present this that you can share

https://youtu.be/2bsCUFaeMMs

Hayfever and breastfeeding powerpoint

Preferred treatment

  • Non sedating antihistamine e.g cetirizine, loratadine, fexofenadine
  • Nasal sprays which act locally e.g. Beconase®, Flixonase®, Mometasone, Nasocort®, Dymista®
  • Eye Drops which act locally e.g sodium cromoglycate

Drugs which may cause drowsiness in mother and nursling may reduce supply e.g acrivastine (Benadryl ® , chlorpheniramine (Piriton ®), promethazine (Phenergan ®)

http://s895428841.websitehome.co.uk/wp-content/uploads/2021/03/hayfever.jpg

GP Presentation

Sharing a presentation which was given to GPs in the south west. Hopefully it is useful for professionals wanting to know more about prescribing for breastfeeding mothers

Entenox, safety for midwives and environmental impact

Having had the pleasure of presenting this on Matflix it has made me think a lot about the impact of entenox for midwives, for mothers and the environment.

You can access the matflix hour here

These are the slides I used

https://breastfeeding-and-medication.co.uk/wp-content/uploads/2023/04/Nitrous-oxide-Entenox-and-the-risks.pptx

Breastfeeding and Medication – can they go together?

A live video recorded for Matflix Maternity and Midwifery Forum

https://www.youtube.com/watch?v=cYMxZlQrJPc

Over Medicalising Breastfeeding

This weekend I had the great pleasure of talking to DoulaCare Ireland on the topic of over medicalising breastfeeding. Many of the stories were shared by the wonderful people who responded to my call out on the Facebook Breastfeeding and Medication page and I thank them all for their contributions.

DoulaCare Ireland have been most generous in saying that I can share the recording (unedited) made of the session. I hope you enjoy it. Questions as usual to wendy@breastfeeding-and-medication.co.uk welcome

https://us02web.zoom.us/rec/share/pcknWaF9mh-0h0Ba5dl3y0PngmXbsAHDTAPUsLRBPfXxhbih3fkPXVhkOdw9GmiW.lQu7NxXOs5dyi9dN

Passcode: UV8F&yD2 

Breastfeeding for Professionals – CPD

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

Breastfeeding for Professionals Powerpoint

Prescribing during breastfeeding for midwives

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 wendy@breastfeeding-and-medication.co.uk

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

Inflammatory Bowel Disease and Breastfeeding

Many people know that I have had Crohns disease since I was 22 years old  – that was when it was officially diagnosed but probably from 4 years before when I was 18 years old. It has had an immense effect on my life firstly medically – I have had 3 bowel resections and been on medications since the last one in 2002 which very nearly killed me. The only times when I was really fit in and well were when I was pregnant and breastfeeding which sparked my interest in becoming a breastfeeding counsellor 35 years ago. It meant I fed my second and third daughters for much longer (I became very ill soon after I weaned my first) and became passionate about supporting women to breastfeed. As a pharmacist that rolled into an interest and then passion about drugs in breastmilk.

When I regularly had contact with mums with IBD asking about their medication I decided to set up the Facebook group as a mutual support group. Mums who understood the urgency of toilet visits when out shopping, understood how debilitating it was to be in constant pain, that we could discuss anything in a private forum with others in the same situation. Coincidentally it has become a place where people ask each other about drugs and look to me to provide evidence of safety in breastfeeding – that wasn’t the original intent but an excellent spin off.

I havent set up any other specialist interest groups – this is out of my personal interest. Unsurprisingly the diagnosis and treatment of inflammatory bowel disease has taken up a lot of space in my book Breastfeeding and Medication and I am keen that professionals understand that breastfeeding protects our babies but is also something which we value above many things.

As of this morning we have 1.6K members from all over the world, climbing steeply recently January 2022).

Specialists seem to be very concerned about the safety of the drugs – which are strong admittedly and breastfeeding. But we also need to bear in mind that IBD is at least partly linked with being formula fed so we want to maintain breastfeeding and use specialist sources.

Live vaccines may be delayed or omitted – particularly the rotavirus vacc. However, this is as much to protect the mother who may contract the illness from the viral particles shed through the faeces, Exclusively breastfed babies are at low risk if contracting rotavirus in any case.

I am going to admit that I am passionate about the subject – this is the core of my life

See also Facebook live video

CONCLUSIONS: In a study of women receiving treatment for IBD and their infants, we detected low concentrations of infliximab, adalimumab, certolizumab, natalizumab, and ustekinumab in breast milk samples. We found breastfed infants of mothers on biologics, immunomodulators, or combination therapies to have similar risks of infection and rates of milestone achievement compared with non-breastfed infants or infants unexposed to these drugs. Maternal use of biologic therapy appears compatible with breastfeeding.

With the help of the Breastfeeding and IBD facebook page I wrote this article:

what would you like your healthcare tean to know about IBD and breastfeeding

Finally I have put together all the information on studies on anything to do with prescribing, procedures and vaccines for breastfeeding mums with IBD. If you have IBD take this with you to appointments. If you are a professional please make sure everyone in the team has a copy. I am happy to offer Teams Training to any group of professionals who support mums with IBD.

All you need to know about investigating and treating IBD in breastfeeding mothers factsheet

Baby Grow Book Club facebook live

I was delighted to record this on facebook live this evening after Baby Grow Book Club chose Why Mothers Medication Matters to discuss this month. Thank you Catherine for the opportinuty https://fb.watch/7URZdnIwxh/

The truth about Breastfeeding and Medication

A podcast recorded with Boobingit and pharmacist Sarah Robinson

https://boobingit.com/the-truth-about-breastfeeding-medication-with-sarah-robinson-and-dr-wendy-jones