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Perinatal & Postpartum Care

Pain Management in L&D
Postpartum Care
Breastfeeding
Developmental Concerns
Developmental Assessment
Developmental Interventions
Fetal Alcohol Spectrum Disorder

Supported by an unrestricted educational grant from
The Lawson Foundation

Breastfeeding

 

Medical Issues

Safety

Hepatitis B

Safe, no risk

Hepatitis C

Safe, HCV RNA detected in breast milk

HIV

Absolute CONTRAINDICATION

 

Substance Issues

Safety

Active Heavy Alcohol or Drug Use (Cocaine, Marijuana)

o       Relative CONTRAINDICATION to breastfeeding due to infant toxicity

o       Abstinence recommended while breastfeeding

Occasional Moderate Alcohol or Drug Use

o       All agents are detected in breast milk

o       Abstinence recommended while breastfeeding

o       Alcohol may decrease let-down reflex and suppress lactation; delay nursing for 1-2 hours per drink to minimize infant exposure

o       Stimulants: advise women not to breastfeed within 3 days of using (pump and dump)

o       Marijuana: may cause lethargy and poor feeding in infants

Methadone

o       Safe no risk

Buprenorphine

o       Safe, limited data available

Refer to individual substances for more detailed information

 

 

This site last edited: June 2008