FSN 301 Lecture Notes - Lecture 11: Low Milk Supply, Chemotherapy, Lactation
2 Jan 2018
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Common breastfeeding conditions infection engorgement plugged duct letdown failure- hormone responsible is oxytocin hyperactive letdown/hyperlactation: mastitis (women gets fever, chills, treated with antibiotics, should continue breastfeeding) Low milk supply- galactagogues: medicine/herb that may increase milk supply. Aap committee on drugs publishes guidelines for practitioners: drugs that are contraindicated: antineoplastic agents, radioactive isotopes, drugs of abuse, drugs that suppress lactation. Table 7. 3 minimizing the effect of maternal medication (page 199: avoid long-acting forms, schedule the dose carefully, evaluate the infant, choose the drug with the least excretion into the milk. Passes quickly to breast milk, and effects on infant are related to the amount consumed. Level of alcohol in breast milk matches the maternal plasma level at the time of the infant feeding. Levels are 1. 5 to 3 times higher in breast milk than mother"s blood: half-life of nicotine is 95 minutes, so best to delay feeding as long as possible after smoking, research needed on e-cigarettes, marijuana.
