The Italian Society of Perinatal Medicine's Working Group on Breastfeeding has released a statement on the use of medication while breastfeeding, which was published in the February 2016 Issue of the Journal of Human Lactation. This group found that consistency was lacking in research-based information given to breastfeeding mothers from a wide variety of healthcare providers regarding the use of various medications.
The statement contains nine points, which are summarized here:
1. Professional advice should not be exclusively based on a precautionary principle, discouraging breastfeeding even when the lactation risk for the nursing infant is very low.
2. When asked for advice on the use of a drug during breastfeeding, clinicians may need to take some time to fully evaluate scientific evidence.
3. The risks of medication exposure should be weighed against the risks associated with breastfeeding interruption and formula feeding.
4. The amount of drug transferred into breast milk and its possible effects on the breastfed infant depend both on the pharmacokinetic characteristics of the drug and on the mother's and infant's capability to metabolize each drug.
5. To limit drug transfer from the mother to the nursing infant, the drug may be taken soon after a breastfeed.
6. If a medication contraindicated during lactation has to be taken for a limited time, the nursing mother can express milk and discard it during the treatment, and restart breastfeeding when she stops taking the drug.
7. The fear of possible negative effects on cognitive outcome of long-term exposure to medications should not represent a reason to discourage breastfeeding.
8. Multi drug therapy may increase the risk of side effects due to drug interactions.
9. In clinical practice, when giving advice on the use of medications during breastfeeding, health professionals should find and use the most authoritative sources of information.
What are some good sources for research-based information on medications while breastfeeding? Here are just a few:
1. Lactmed. This is a part of the (US) National Library of Medicine's Toxicology Data Network.
2. Medications and Mothers' Milk, 2014, by Thomas Hale, Ph.D., RPh.
3. Tetarology Information Service, available throughout Europe.
4. Infant Risk Center, open to talk to healthcare professionals Monday-Friday, 8:00-5:00 CST. 806-352-2519.
5. Breastfeeding and Human Lactation Study Center. 585-275-0088.
6. Briggs, Freeman & Jaffe's Drugs in Pregnancy and Lactation, 2014.
I hope this is helpful in supporting the continuation of breastfeeding for the mothers and infants with whom you work.
Davanzo, R., Bua, J., DeCunto, A., Farina, M. L., DePonti, F., Clavenna, A., Mandrella, S., Sagone, A., and Clementi, M. (2016). Advising mothers on the use of medications during breastfeeding: A need for a positive attitude. Journal of Human Lactation; 32(1),15.
When you visit the Site, we automatically collect certain information about your device, including information about your web browser, IP address, time zone, and some of the cookies that are installed on your device. Additionally, as you browse the Site, we collect information about the individual web pages or products that you view, what websites or search terms referred you to the Site, and information about how you interact with the Site. We refer to this automatically-collected information as Device Information."
We collect Device Information using the following technologies:
Additionally when you make a purchase or attempt to make a purchase through the Site, we collect certain information from you, including your name, billing address, shipping address, payment information (including credit card numbers), email address, and phone number. We refer to this information as "Order Information."
We use the Order Information that we collect generally to fulfill any orders placed through the Site (including processing your payment information, arranging for shipping, and providing you with invoices and/or order confirmations). Additionally, we use this Order Information to:
We use Student Access Information to provide accurate tracking to Users and Clients on completion and use of the courses, as well as for analysis on how to improve our services.
We use the Device Information that we collect to help us screen for potential risk and fraud (in particular, your IP address), and more generally to improve and optimize our Site (for example, by generating analytics about how our customers browse and interact with the Site, and to assess the success of our marketing and advertising campaigns).
We share your Personal Information with third parties to help us use your Personal Information, as described above. For example, with your employer who needs to verify your completion or progress of your studies. We also use Google Analytics to help us understand how our customers use the Site--you can read more about how Google uses your Personal Information here: https://www.google.com/intl/en/policies/privacy/. You can also opt-out of Google Analytics here: https://tools.google.com/dlpage/gaoptout.
Finally, we may also share your Personal Information to comply with applicable laws and regulations, to respond to a subpoena, search warrant or other lawful request for information we receive, or to otherwise protect our rights.
As described above, we use your Personal Information to provide you with targeted advertisements or marketing communications we believe may be of interest to you. For more information about how targeted advertising works, you can visit the Network Advertising Initiative's ("NAI") educational page at https://www.networkadvertising.org/understanding-online-advertising/how-does-it-work.
You can opt out of targeted advertising by:
Additionally, you can opt out of some of these services by visiting the Digital Advertising Alliance's opt-out portal at: http://optout.aboutads.info.
Please note that we do not alter our Site's data collection and use practices when we see a Do Not Track signal from your browser.
If you are a European resident, you have the right to access personal information we hold about you and to ask that your personal information be corrected, updated, or deleted. If you would like to exercise this right, please contact us through the contact information below.
Additionally, if you are a European resident we note that we are processing your information in order to fulfill contracts we might have with you (for example if you make an order through the Site), or otherwise to pursue our legitimate business interests listed above. Additionally, please note that your information will be transferred outside of Europe, including to Canada and the United States.
When you place an order through the Site, we will maintain your Order Information and Student Access Information for our records unless and until you ask us to delete this information. We are required to keep course completion records for at least 5 years in order to comply with certain accreditation requirements.
For more information about our privacy practices, if you have questions, or if you would like to make a complaint, please contact us by e-mail at email@example.com or by mail using the details provided below:
5890 Monkland Avenue, #16, Montreal, QC, H4A 1G2, Canada
Last Updated: September 2018