Am I Morally Or Legally Obligated?

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  • Blackcat31
    • Oct 2010
    • 36124

    #91
    "On the basis of the evidence of many research studies, it’s been determined that as a group, psychotropic drugs are generally regarded as safe for use by breastfeeding moms, so their HCPs don’t need be overly concerned if a woman needs to be treated while she is breastfeeding.

    In most of these medcations, such a small amount gets in the milk that blood levels are usually too low to be measured. This is true for the majority of SSRIs (Seretonin Specific Receptor Inhibitors) like Paxil or Zoloft; TCAs (Tricyclic Antidepressents) like Elavil; and Mood Stabilizers like Valproic Acid (Depakote). Wellbutrin (Zyban) is an older antidepressant that has a different structure from SSRI and tricyclic medications. It may appear in milk, but the amount is so low that it is unlikely to cause problems in the breastfed baby

    •Very few drugs are contraindicated for nursing mothers.

    •The route of administration (your baby is always exposed through the GI tract, but drugs can enter your system several different ways: orally, intravenously, intramuscularly, topically, or through inhalation – topical medications (skin creams) and medications inhaled or applied to the eyes or nose reach the milk in lesser amounts and more slowly than other routes and are almost always safe for nursing mothers; oral medications take longer to get into the milk than IV and IM routes (the drug must first go through the mother’s GI tract before it enters the bloodstream, and the milk supply)-with IV drugs, the medications bypasses the barriers in the GI tract to enter the milk quickly and at higher levels, and with IM injections, drugs transfer quickly into the milk because the muscles have so many blood vessels, so the drug enters the bloodstream quickly."




    "The AAP (American Academy of Pediatrics) has published a statement called “The Transfer of Drugs and Other Chemicals Into Human Milk”. It has 8 Tables – Drugs That Are Contraindicated During Breastfeeding, Drugs of Abuse Contraindicated During Breastfeeding, Radioactive Compounds That Require Temporary Cessation of Breastfeeding, Drugs Whose Effect on Nursing Infants Is Unknown But May Be of Concern, Drugs That Have Been Associated With Significant Effects on Some Nursing Infants and Should Be Given to Nursing Mothers With Caution (be aware that this category includes drugs that are known to have caused one single case of diarrhea- that’s how conservative they are), Maternal Medications Usually Compatible With Breastfeeding (a long list), Food and Environmental Agents: Effect on Breastfeeding, Generic Drugs and Corresponding Trade Names, and Trade Names and Generic Equivalents. The AAP statement was revised in 2010. Because so many new drugs have come out during the past ten years, many drugs currently in use have not been reviewed by the AAP and don’t appear on this list. Here’s a link to the AAP website where you can find more detailed information about the current recommendations:" http://aappolicy.aappublications.org...rics;108/3/776

    Comment

    • frgsonmysox
      Daycare.com Member
      • Dec 2011
      • 235

      #92
      Originally posted by Willow
      R

      Not that it's necessarily worth a hill of beans because it is just my opinion but all of the newborns I fostered were exposed to either prescription or illicit drugs and all of them had tough detox periods after birth.

      Just in my experiences I don't see how enduring that exposure could be considered healthierfor them than formula feeding.
      None of my kids have ever had to detox from medications. They were closely monitored after birth to make sure they were fine, and not a single one ever went through withdrawal. I have a great team of doctors and I trust them explicitly.

      Originally posted by Crystal
      So, the first link has a list of safe meds, with none of them, shy of the codeine, being a major narcotic (even codeine isn't, really). They are over the counter type meds. It also says "Does the addition of a small amount of medication to the mother’s milk make breastfeeding more hazardous than formula feeding?" I would argue that being on a regimen of painkillers 24/7 is NOT a small amount.



      The second link doesn't even go as far as to include codeine.....and this link being the mayclinic is the one I'd trust most. And, considering it says that Naproxen (whihc can be bought over the counter) should be SHORT TERM USE only, I would wonder if a heavier narcotic should be used long-term with a breast feeding child, say a child preschool age.

      The third link provided virtually no information that I would deem relevant and caused me to get a bunch of pop ups.

      Not ONE of them say that breastfeeding while taking narcotics is SAFER than formula. Well, the third one might have but I was afraid my computer was going to crash!!!!!

      Another note to consider is that "New Research indicates"......what you don't know now, could hurt you (or your kids) later.
      did you not read the part I posted? As well, if you would have not been extremely narrow minded on the second link you will have understood that it only listed a few meds but spoke broadly about medications in general. The third link has a great list of additional resources that show that many narcotics are safe to take, and trust me - both of the ones I'm on are.

      Comment

      • frgsonmysox
        Daycare.com Member
        • Dec 2011
        • 235

        #93


        basically THE database on nursing and medications. Both of mine are safe.

        Other medications like methadone are used to treat pain quite more effectively than the ones I'm on, but the risks are higher so we don't use those. Instead I use what I'm on and **** the rest of it up.

        Comment

        • Crystal
          Advanced Daycare.com Member
          • Dec 2009
          • 4002

          #94
          I was just reading that as well BC....the thing is, in all of the tables it has listed, it has only over the counter pain meds and codeine listed as painkillers. OP is not taking those and she isn't taking psychotropic drugs,(at least from what I undertsand), she is taking heavy duty painkillers around the clock. I'd like to find some info on THAT and how it effects breastmilk.

          Comment

          • Crystal
            Advanced Daycare.com Member
            • Dec 2009
            • 4002

            #95
            Originally posted by frgsonmysox
            None of my kids have ever had to detox from medications. They were closely monitored after birth to make sure they were fine, and not a single one ever went through withdrawal. I have a great team of doctors and I trust them explicitly.



            did you not read the part I posted? As well, if you would have not been extremely narrow minded on the second link you will have understood that it only listed a few meds but spoke broadly about medications in general. The third link has a great list of additional resources that show that many narcotics are safe to take, and trust me - both of the ones I'm on are.
            Yes, I read the part you posted. Please do not call me narrow-minded - I am far from it. I am trying to understand this. I have NO IDEA how it effects breast milk. I'd like to KNOW for a FACT and even perhaps have some literature that I could provide to my DCM's who breastfeed.

            As for the third link....not taking any chances. The site seems unstable to me.

            AND....the whole point was your stating that IT IS SAFER TO BREASTFEED WHILE ON NARCOTICS THAN IT IS TO FORMULA FEED. THOSE are the "facts" you stated that are being disputed at this point. How about some links that back that up?

            Comment

            • Blackcat31
              • Oct 2010
              • 36124

              #96
              Originally posted by Crystal
              I was just reading that as well BC....the thing is, in all of the tables it has listed, it has only over the counter pain meds and codeine listed as painkillers. OP is not taking those and she isn't taking psychotropic drugs,(at least from what I undertsand), she is taking heavy duty painkillers around the clock. I'd like to find some info on THAT and how it effects breastmilk.
              I don't have a dog in this fight but I DO like information.

              From what I gather, morphine is the most common narcotic and prescribed pain killer out there and most the sites I found or came across say that taking morphine is not as dangerous as one would think when breastfeeding. As a matter of fact a common theme I am reading is that there are very few drugs that are contraindicated for breast feeding mothers.

              "Morphine is excreted into human milk in trace amounts. Adverse effects in the nursing infant are unlikely. Morphine is considered compatible with breast-feeding by the American Academy of Pediatrics"

              Comment

              • EntropyControlSpecialist
                Embracing the chaos.
                • Mar 2012
                • 7466

                #97
                Originally posted by frgsonmysox
                I have no issues with people who use formula. I even used formula before, with my oldest. I understand its need, and its great and a huge life saver for many many moms and babies. For ME it was a choice I had to make, and all of MY doctors encouraged me to nurse. I do have doctors who feel similar to how I do on things, as I hope all people do, so that may be a factor.

                I'm sorry that you too are on medications. It's not fun. It ****s to think how much our life depends on it.



                If I'm preaching to the choir, GREAT! But with nanny going after my posts, as well as others who agree with her - and lets face it Nanny is one of the most outspoken and "loudest" people on this board. So I may be wrong, there may be more AP people, but when the loud and bullyish people are the ones who are speaking the most and the loudest it doesnt' feel that way. So far there has not been a single thread that had to do with AP practices that wasn't pounced on. I was flabbergasted at how much animosity there was by telling a provider she should notify the parents before CIO.
                I just wanted to say that I lean far more towards AP (not that I do everything that is included in the AP bracket) than I do mainstream. You have my support.

                Comment

                • frgsonmysox
                  Daycare.com Member
                  • Dec 2011
                  • 235

                  #98
                  As kellymom.com is the leading breastfeeding website I'm not sure why you are so scared of looking at it.

                  Comment

                  • Country Kids
                    Nature Lover
                    • Mar 2011
                    • 5051

                    #99
                    Interesting Read:

                    Each day is a fresh start
                    Never look back on regrets
                    Live life to the fullest
                    We only get one shot at this!!

                    Comment

                    • frgsonmysox
                      Daycare.com Member
                      • Dec 2011
                      • 235

                      Originally posted by Blackcat31
                      I don't have a dog in this fight but I DO like information.

                      From what I gather, morphine is the most common narcotic and prescribed pain killer out there and most the sites I found or came across say that taking morphine is not as dangerous as one would think when breastfeeding. As a matter of fact a common theme I am reading is that there are very few drugs that are contraindicated for breast feeding mothers.

                      "Morphine is excreted into human milk in trace amounts. Adverse effects in the nursing infant are unlikely. Morphine is considered compatible with breast-feeding by the American Academy of Pediatrics"
                      Yes, Morphine is one of the safest meds to take, narcotic wise, while nursing.

                      Also, for long term usage PURE narcotics are far more safer to use. I am actually unable to take any meds mixed with tylenol, motrin, or naproxen. Those three meds do more damage to organs than pure narcotics do.

                      Comment

                      • frgsonmysox
                        Daycare.com Member
                        • Dec 2011
                        • 235

                        Originally posted by Country Kids
                        I would not trust this article. It has morphine listed as oxycontin. Morphine and oxycontin are not the same.

                        Comment

                        • AmyLeigh
                          Daycare.com Member
                          • Oct 2011
                          • 868

                          Originally posted by frgsonmysox
                          I answered your question. I didn't start taking these particular medications (and yes, they are heavy duty narcotics) without talking to multiple doctors, IBCLCs, and my childs pediatrician. Every single one of them agreed - the amount that enters my breastmilk is so minute, that it's STILL healthier and more nutritious than formula (which is full of a lot worse things than a minute dose of narcotics). I worked extremely closely with my OB, MFM, and pain doctor during each of my pregnancies to minimize risk and exposure to the baby, and never once had any of my babies born "addicted".
                          Ladies, please read before you get all worked up. She said that her doctors, LCs and pediatrician all agreed that the small amount of meds in the breastmilk did not negate the nutritive superiority to formula. Unless anyone here has done the same or more formal medical education and studies on this, I doubt we have a right to question it.

                          Comment

                          • frgsonmysox
                            Daycare.com Member
                            • Dec 2011
                            • 235

                            Originally posted by AmyLeigh
                            Ladies, please read before you get all worked up. She said that her doctors, LCs and pediatrician all agreed that the small amount of meds in the breastmilk did not negate the nutritive superiority to formula. Unless anyone here has done the same or more formal medical education and studies on this, I doubt we have a right to question it.
                            Thank you A different mother in my shoes may have chosen a different path. It doesn't make either of us wrong. My doctors are all perfectly fine with me nursing, not a single one has ever encouraged me to stop.

                            Comment

                            • Crystal
                              Advanced Daycare.com Member
                              • Dec 2009
                              • 4002

                              Originally posted by frgsonmysox
                              As kellymom.com is the leading breastfeeding website I'm not sure why you are so scared of looking at it.

                              http://kellymom.com/bf/can-i-breastf...ved-meds/#Pain
                              I opened it and started getting multiple pop ups and that is WITH a pop up blocker. :confused:

                              Comment

                              • Crystal
                                Advanced Daycare.com Member
                                • Dec 2009
                                • 4002

                                Originally posted by Blackcat31
                                I don't have a dog in this fight but I DO like information.

                                From what I gather, morphine is the most common narcotic and prescribed pain killer out there and most the sites I found or came across say that taking morphine is not as dangerous as one would think when breastfeeding. As a matter of fact a common theme I am reading is that there are very few drugs that are contraindicated for breast feeding mothers.

                                "Morphine is excreted into human milk in trace amounts. Adverse effects in the nursing infant are unlikely. Morphine is considered compatible with breast-feeding by the American Academy of Pediatrics"
                                I am finding the same common theme. EXCEPT I am not seeing very many prescribed narcotics listed and all of them that I have seen indicate it is best to not take any narcotics at all while breast feeding (obviously) so it causes me to further question why it would be considered more safe to breastfeed while using arcotics than it would be to formula feed.

                                It just seems odd to me.

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