Diabetes and Breastfeeding

Another information sheet for chronic conditions in breastfeeding mothers which will eventually become a book

Diabetes and Breastfeeding factsheet

If this is useful in your work maybe you should buy Breastfeeding and Medication or A guide to breastfeeding for the medical professional

Email me at wendy@breastfeeding-and-medication.co.uk

Anxiety and Covid-19 (Coronavirus)

Currently we are all anxious – Covid-19 is changing everything so rapidly and life is uncertain in so many aspects. On the drugs in breastmilk service we are receiving lots of queries about natural remedies for anxiety – Bach flower remedy, Kalms etc – and lots of supplements believed to have powers to protect. These queries are hard to deal with. Sometimes we have anecdotal information but rarely evidence that these are compatible with breastfeeding. It is hard for us to say we don’t know but we hope you understand why we can’t help.

Other ways to deal with anxiety

  • Anxiety UK launched a You Tube on living with uncertainty – shorturl.at/qEIL8
  • Headspace has a module on anxiety which may help you ground yourself by listening to your breathing.
  • There are online CBT modules listed https://www.breastfeedingnetwork.org.uk/anxiety/ and much sensible information.
  • Talk to others and share your anxiety but don’t dwell on it. Most people will develop only mild symptoms.

If I had one thing to share it would be – stay off social media which will probably fuel your anxiety. Listen to the news but not too often. We are in this situation for the long haul sadly and anxiety is exhausting. Enjoy every moment with your baby, value the oxytocin, watch your baby and not your phone. Sadly, there is no magic wand to relieve the anxiety and what-ifs just now. Life is changing daily.  

  • Do wash your hands with soap and water often –for at least 20 seconds
  • Always wash your hands when you get home or into work or after going outside the house
  • Use hand sanitiser gel if soap and water are not available
  • Cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze or sneeze into your elbow (but change clothes as soon as possible).
  • Dispose of used tissues in the bin immediately and wash your hands afterwards
  • Avoid close contact with people who are unwell
  • If you or a member of your family develop a fever or sudden onset cough self-isolate for 14 days and take paracetamol (ibuprofen currently not recommended although evidence of risk is low self help treatment coronovirus)

Don’t touch your eyes, nose or mouth if your hands are not clean. There is no need to stop breastfeeding UNICEF and Covid 19, ABM statement on coronovirus 2019,

Keep an eye on the Public Health England information which us updated regularly.

Inflammatory bowel disease and breastfeeding – facebook live

This presentation should have been given at BfN Portsmouth study day but recorded as Facebook Live because of Coronavirus ( I am immunocompromised due to my own meds for IBD ). Hope it proves useful to share.

Inflammatory bowel disease and breastfeeding

Inflammatory bowel disease and breastfeeding

Posted by Breastfeeding and Medication on Saturday, March 14, 2020

I have attached the slides of the powerpoint below and the link to the Facebook page Breastfeeding and IBD https://www.facebook.com/groups/BreastfeedingIBD/

Inflammatory bowel disease and breastfeeding powerpoint

Naproxen and Breastfeeding

Naproxen is frequently used as an anti inflammatory and to add pain relief for instance after surgery. However, there seems to be concern about prescribing it for the breastfeeding mother. I hope this information helps.

Naproxen and Breastfeeding factsheet

If it was useful maybe you need to buy the book?

High Dose Vitamin D Supplements and Breastfeeding

The question as to the compatibility of high dose vitamin d supplements in the breastfeeding mother is a frequently asked question. We appear to monitor levels more frequently than we did in the past but research is difficult to source. I hope this information helps.

High dose vitamin d supplement for breastfeeding mothers factsheet

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 !

Oral Terbinafine and breastfeeding

Some mothers develop fungal nail infections in pregnancy and delay treatment. When breastfeeding, topical treatments are preferable. I am asked at least once a week about oral terbinafine – hard to answer with little research. Hope this information helps with shared decision making.

Oral terbinafine and breastfeeding factsheet

email wendy@breastfeeding-and-medication.co.uk

Nausea and Breastfeeding

One of the more frequently asked questions recently relates to nausea and even vomiting when breastfeeding. It may be due to norovirus, pregnancy (see https://breastfeeding-and-medication.co.uk/thoughts/suffering-from-morning-sickness-and-still-breastfeeding ) or to stop nausea from medication e.g morphine.

I hope this factsheet provides some options. The information is taken from my book Breastfeeding and Medication which provides more details and references. Maybe you need to buy a copy?

Nausea and Breastfeeding

Anxiety and breastfeeding – need to take a drug to relieve symptoms

I was very proud to have co written a fact sheet for BfN on anxiety and breastfeeding which affects so many new mothers. Beth is a CBT therapist and approached the treatment with non pharmacological methods available via IAPT and IESO (although with a waiting list sadly for most).

I looked at the relief of symptoms with long-term treatments such as SSRI drugs e.g. sertraline, citalopram, fluoxetine and paroxetine. Mothers may also be helped with propranolol to relieve palpitations and racing heart.

Recently there have been more requests from mothers with anxiety or post traumatic stress to take benzodiazepine to reduce symptoms or to treat a panic attack. Occasional use might be acceptable with monitoring of the baby for drowsiness and effective feeding. However, regular use is not encouraged – particularly of diazepam – because of its long half life and potential to accumulate in breastmilk and the baby, but also because this family of drugs is addictive with as little as 28 days treatment.

I have written this factsheet to provide as much information as possible on the use of anxiolytics diazepam, loprazolam and alparazolam during breastfeeding.

anxiolytics and breastfeeding factsheet

The information is taken from Breastfeeding and Medication which includes full references . Please consider buying the book if this information is useful

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?