YOUR CHOICE Lactation Consultancy and Breastfeeding Education in South Hedland, Western Australia | Medical centre
YOUR CHOICE Lactation Consultancy and Breastfeeding Education
Locality: South Hedland, Western Australia
Phone: +61 438 307 496
Address: Centennial Loop South Hedland, WA, Australia
Website:
Likes: 233
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09.01.2022 To all my clients over the past few years thankyou for allowing me to be part of your journey. Unfortunately I'm not able to continue to offer this service due to taking a new full time role as of next week. Working full time and being a mum of 3 young kids means all my extra time needs to be spent with them. Please remember the Maternity ward is a wonderful resource, along with Child Health Nurses, ABA and the group running from Well women's when Ann returns in March/ April. Again thankyou and I wish you well in your continuing journeys.
07.01.2022 It’s Medication Monday! Today I’m talking about anesthesia and post-operative medications. Are they safe during lactation? ... Please raise your hand if you’ve had any kind of surgical intervention while lactating and have been told you have to pump and dump for 12-24 hours. Many providers get this WRONG, because they aren’t using their clinical common sense. I’m not going to discuss individual medications today. Instead, I’m going to explain WHY they’re safe and provide resources to support this. First is the obvious reason - similar, if not the same, medications will be used if infants/toddlers need surgery. If an infant/toddler can receive a medication directly, a lactating individual is safe to take it. The dose that passes through breastmilk is much smaller than any dose an infant/toddler would receive directly. Second - not all anesthesia and post-operative pain medications are orally bioavailable. Orally bioavailable means a medication has to be able to withstand the digestive tract, be absorbed, be processed by the liver, AND still be able to have a clinical effect. An infant/toddler takes the medication by mouth, because the medication is in breastmilk and the infant/toddler takes the breastmilk by mouth. In certain cases, the medication will be destroyed by the infant/toddler’s stomach acid and have no clinical effect. Third - most medications have short half-lives. A half-life is how long it takes for a medication’s concentration in the blood to decrease by 50%. Many clinical effects of a medication are gone after the first half-life, and it takes 5 half-lives for a medication to leave your body. Enough time will have passed by the time you are awake and alert enough to breastfeed, pump, or hand express. So NO, you don’t need to pump and dump after anesthesia and post-operative medications. Feed your baby. I’ve posted a handy graphic* below, as well as a handful of references and resources in the comments. If you’re having surgery any time soon or work with patients in a surgical setting, you NEED to save these! *Updated 7/26/19. The graphic that originally appeared is in the journal article in the comments. I created a new graphic to put the emphasis on breastmilk and not the method of how its given (breast/bottle/otherwise). I also added a couple other medications. Thank you to those who expressed concern about the original graphic and provided thoughtful suggestions.
03.01.2022 Enough milk to go around! Here is one more picture of breastfeeding triplets! This is Chenoa breastfeeding her babies. She is not only famous around the Sunshine Coast for birthing her triplets naturally but she is also exclusively breastfeeding :)
01.01.2022 https://kellymom.com//bf-ba/importance-responsive-feeding/
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