Originally posted by TeresaRN2b
I suppose that wasn't even my point though. My point was more that there are other alternative meds to try before telling a patient to stop breastfeeding. Also you have to way out the risks of quitting breastfeeding on a baby's health over the risk of the mother taking medication.
This is an excellent point. If one med is contraindicated in breastfeeding (there aren't really that many that *are*), there is always another that can be prescribed in its place with similar therapeutic effects. Unless we're talking chemotherapy, it is almost never in the baby's or mother's best interest to stop breastfeeding because of a prescription medication. If necessary, there are alternatives, like finding out the time it takes for the drug to be excreted by the body and when the maximum tolerable amount is in the bloodstream, and waiting for that length of time to nurse (that information is in Hale's book that I mentioned above). Often times, the body breaks down the drug within an hour or two, and it isn't even an issue as long as mom nurses right before taking the medication.
There are just too many misconceptions about breastfeeding, and we need *all* health care providers to attain more and better education about it, even the ones (like the ER docs) that think they don't need it and practice medicine with the three hours they learned about lactation in medical school.
I've been lucky that in my almost six continuous years of breastfeeding (between all three of my kids!), I've only been to the ER once, and that doctor had a wife that was nursing a toddler.
Krista, stepping off the soapbox for now