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Pain relief when breastfeeding

It is not acceptable to leave any mother in pain because she is breastfeeding nor to suggest that she could have more effective pain relief if she stopped breastfeeding.

I’m often asked about the safety of opioids during breastfeeding so this is a really interesting study

Despite opioids being used first line in emergency settings to treat severe acute extremity pain, there is limited evidence available to inform this practice.

In a study in JAMA (7 November 2017), researchers randomly assigned 416 patients in the emergency department with moderate-to-severe acute extremity pain to one of the following groups: 400mg ibuprofen/1000mg paracetamol; 5mg oxycodone/325mg paracetamol; 5mg hydrocodone/300mg paracetamol; or 30mg codeine/300mg paracetamol[1].

https://jamanetwork.com/journals/jama/article-abstract/2661581?redirect=true

I have written this powerpoint presentation which I hope explains the analgesic ladder and helps professionals to understand the compatibility of analgesics and breastfeeding

  • Paracetamol or NSAID
  • Paracetamol + NSAID
  • Paracetamol+NSAID+Opioid (at the lowest possible dose for the shortest possible time co prescribed with a laxative)

Non steroidal anti inflammatory drugs

Opioids 

https://breastfeeding-and-medication.co.uk/thoughts/breastfeeding-and-codeine 

https://breastfeeding-and-medication.co.uk/fact-sheet/accidental-dose-of-codeine-when-breastfeeding

 

Analgesics and breastfeeding Powerpoint 

see also https://www.breastfeedingnetwork.org.uk/analgesics/

https://breastfeeding-and-medication.co.uk/fact-sheet/dihydrocodeine-and-breastfeeding

https://breastfeeding-and-medication.co.uk/thoughts/breastfeeding-and-codeine

https://breastfeeding-and-medication.co.uk/fact-sheet/breastfeeding-and-neuropathic-pain-gabapentin-and-pregabalin

https://breastfeeding-and-medication.co.uk/fact-sheet/migraine-treatment-and-breastfeeding

https://breastfeeding-and-medication.co.uk/fact-sheet/breastfeeding-and-pain-relief-for-acute-back-injury

Procedures and Investigations in Breastfeeding Mothers

Having an investigation or a procedure when breastfeeding causes anxiety but when a mother is told to interrupt breastfeeding the consequences are much greater.

This is a powerpoint presentation based on one I gave in Rotterdam in 2019 which I hope helps CPD and again will be recorded when I find enough hours in my day

Procedures and Investigations during breastfeeding powerpoint presentation

You Tube

I’ve have been adding presentations on YouTube so that they are available for professional CPD whenever you are free and also to help families where the written word is less accessible. Forgive my my tech skills arent perfect ( but I’m learning) . More videos to come. If there is one you would like to request mail me wendy@breastfeeding-and-medication.co.uk

Breastfeeding and Medication You Tube https://www.youtube.com/channel/UCxvkXp8oV-zMqcpWTsnULow

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

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

Lack of stools / constipation in a breastfed baby

Constipation in the neonate is a topic apparently rarely discussed in medical sources and may be seen as the domain of the health visitor or midwife. However, many “constipated” babies may be seen by their GP and be the cause of concern for their parents.

This factsheet is designed to provide information for parents and their professionals on what is normal with regard to baby poo and where interventions are required be that referral to breastfeeding expert or medical treatment.

Lack of stool/constipation in the breastfed baby

Perinatal Mental Health in pregnancy and breastfeeding

I saved this presentation to share during UK Maternal Mental Health Awareness Week which is this week. It is a presentation which I have on my last study day on my birthday this year. I hope it covers many of the things I have tried to pass on over the years.

I also post it today in honour of my daughter who is a CBT therapist and has helped me learn so much along my own journey into understanding mental health. She gave birth to a gorgeous, if tiny, little girl this morning – my sixth grandchild who I cannot see in person during this crazy, demanding time in our lives. I think the COVID-19 pandemic has played with the minds of many of us.

I hope this presentation helps with CPD and I am happy to answer any questions via email wendy@breastfeeding-and-medication.co uk.

Mental health in pregnancy and breastfeeding powerpoint

If it is useful there are 2 books you might find valuable.

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

Pharmacokinetics and Passage of Drugs into Breastmilk

This is a set of slides I use in many of my current presentations. It also forms the backbone of most decision making. I hope it helps increase your education. If you wish please email me wendy@breastfeeding-and-medication.co.uk

Pharmacokinetics of the passage of drugs into breastmilk training powerpoint

If you found this useful, maybe you need to buy the book – a good investment !

Pharmacists and breastfeeding training powerpoint

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 wendy@breastfeeding-and-medication.co.uk . I’m always open to lecturing opportunities

Pharmacists and breastfeeding training powerpoint

If you find this useful, how about buying the book?

Candida (thrush) on the breast of breastfeeding mother training powerpoint

This is the presentation I have given most frequently since I co-authored the first thrush leaflet back in around 1999. I hope this helps some of the mis information eg it can be on one breast, thrush means painful feeds, all white tongues in babies are thrush

If you have any questions pleas email wendy@breastfeeding-and-medication.co.uk

Thrush and breastfeeding training powerpoint

Mastitis and Breastfeeding

This is one of the presentations I have given most frequently over the last 20 years since I co wrote the first leaflet for BfN. One of the most common complications of breastfeeding but so little understood. I hope this helps the onging learning of professionals, peer supporters and all those supporting breastfeeding.

Breastfeeding and Mastitis Training