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As most people are aware, opioids have gotten a lot of attention recently due to their addictive potential and harmful outcomes in overdose. It’s true that opioids are a dangerous medication, but that doesn’t mean they don’t have a place in patient care. The stigma that has surfaced surrounding the discussion of opioids has created a barrier to discussing important questions.
It is recommended by the American Academy of Pediatrics that babies be breastfed exclusively until about 6 months. At 6 months, a baby’s needs, particularly for certain micronutrients, exceed what can be provided by breast milk alone. Thus, complementary solid foods should begin to “complement” a baby’s breast milk-based diet at that time.
Many parents would like their children to develop taste preferences for a wide variety of foods, particularly healthy foods like vegetables. Food taste and flavor play a large role in food choices and preferences, and both biological and environmental factors influence taste preference in infants.
Monoclonal antibodies are molecules created in a lab to function like antibodies of the immune system and are important in the treatment of organ transplant, chronic inflammatory diseases like rheumatoid arthritis and inflammatory bowel disease, neurological diseases like multiple sclerosis, and certain cancers.
Clomiphene is a common drug that women use to help stimulate ovulation. Clomiphene increases the chance that eggs will be released from a woman’s ovaries by stimulating the secretion of several hormones used to regulate their reproductive cycle. It works primarily on the estrogen receptors in the hypothalamus of the brain.
The fast-acting nasal spray esketamine, marketed as SpravatoTM, was recently approved by the Food and Drug Administration (FDA) to treat depression in individuals whose depression has been resistant to at least two medications.
As cold and flu season swings into full effect, runny noses, coughing, and body aches leave many breastfeeding mothers wondering whether some quick relief from over-the-counter medications could negatively impact their breastfeeding baby. Research shows that some cold and flu medications are better than others when it comes to breastfeeding.
Zika virus is a flavivirus transmitted by the Aedes mosquitoes. Only 20% of adults infected will have clinical manifestations such as low-grade fevers, itchy rash, joint pain in the hands and feet, and eye inflammation. Current outbreaks are in the Americas, Caribbean, and Pacific, but cases have been seen around the world.
Nexplanon has become a very popular contraceptive method in recent years because it lasts for 3 years and you do not have to take a pill every day. While the idea of an implant under the skin is daunting, many still prefer it over IUD insertion or taking oral contraceptive pills every day.
When looking at the research for IUD insertion, we first must ask “what type of IUD are you interested in?”. Copper IUDs (ParaGuard), do not release any hormones and thus do not affect breast milk production. The copper IUDs last for 10-12 years depending on your age and are made of a polyethylene frame with fine copper wire wrapped around it.
Legalization of recreational cannabis use in several states has caused growing unease in the medical community regarding the health risks associated with this drug, especially in pregnant and breastfeeding women. Although cannabis is one of the most widely used phytocannabinoid drugs in the world, understanding of the long-term neurobehavioral effect of cannabis use, particularly in the...
A large European study below, further supports our suggestions for some years that the use of antidepressants during pregnancy does not harm the infant’s intellectual capacity later on.
About the InfantRisk Center Team
Thomas Hale, Ph.D., R.Ph., is a professor of pediatrics and associate dean of research at Texas Tech University Health Sciences Center and acting executive director of the InfantRisk Center. Hale is considered one of the foremost expert in the field of perinatal pharmacology and the use of medications by pregnant and breastfeeding mothers.
The vision of the InfantRisk Center is to create a new body of drug information concerning the safety of medications and their use during pregnancy and lactation. Additionally, the center will expand, enhance and disseminate knowledge regarding the use of medications and other environmental chemicals by pregnant and breastfeeding women worldwide.
Christine D. Garner, PhD, RD, completed her doctorate Nutrition at Cornell University, where she was an NIH Doctoral Trainee in Maternal and Child Nutrition. She was trained as a Registered Dietitian at the University of California San Francisco, where she also worked for several years as a Pediatric Clinical Dietitian.
Garner’s interests involve maternal and child health from a nutritional perspective. The majority of her research has centered on maternal obesity and breastfeeding, and she has used a combination of statistical and qualitative methods to investigate research questions pertaining to these topics.
Kathleen A Rewers-Felkins is a Research Associate in the Department of Pediatrics at Texas Tech University School of Medicine. She received her Bachelors of Science from Loyola University Chicago and completed her Masters of Science at University of Houston. She has worked for Harrington Cancer Center, including a clinical trial as well as in several TT research labs, involved with cell culture, bacterial culture, PCR assays, animal work and liquid chromatography/mass spectrophotometry.
Amanda Griffin MD graduated from University of Nebraska Medical Center and completed her residency training in Pediatrics from Texas Tech University School of Medicine. Her practice includes direct patient care as well as supervision and education of residents and students in the outpatient clinic, newborn nursery, and inpatient ward. She also serves the same roles in a clinic for children with special healthcare needs.
Dr. Griffin also helped establish and presently supervised a breastfeeding clinic in the Department of Pediatrics. She supervises a Board Certified Lactation Consultant and helped expand the access of our patients to lactation services in our community. She is a Pediatric hospitalist and admits and cares for inpatients of private pediatricians in Amarillo.
Rachel Anderson MD is an assistant professor of pediatrics. She graduated from Texas Tech University School of Medicine in 2013 and completed her Pediatric residency at TTUHSC Amarillo in 2016. She has interests in Foster Care, breastfeeding, child abuse and neglect, and other disorders in pediatrics.
Sandra Lovato, RN is a Registered Nurse and telephone advisor for the InfantRisk Center. She received her ADN from the Amarillo College of School of Nursing in May of 2008. She began working at the InfantRisk Center in November of 2013 as a Senior Adviser for Dr. Hale. Since she began working under Dr. Hale, she has learned a lot about the effects of medications and their passage into breastmilk. She is glad to be a part of such a valuable and important resource for pregnant and breastfeeding mothers and seeks to help mothers have a long, healthy breastfeeding relationship with their child.
Teresa Baker, MD. graduated from the University of Texas Southwestern and completed her residency training at Parkland Health and Hospital System in Dallas, TX. She is Board Certified by the American Board of Obstetrics and Gynecology and is a Fellow of the American College of Obstetricians and Gynecologists.
Dr. Baker has a combined private and academic OB/GYN practice with the University Physicians at Texas Tech Health Sciences Center in Amarillo. She is interested in teen pregnancy, postpartum depression, and promoting preventive medicine for the women of the Texas Panhandle, as well as Resident and Student education and serves as the Residency Director.
Palika Datta Ph.D. is a Research Assistant Professor in the Department of Pediatrics at Texas Tech University School of Medicine. She completed her Ph.D. in All India Institute of Medical Sciences. Dr. Datta did postdoctoral work at TTUHSC School of Pharmacy before joining the InfantRisk Center 4 years ago. She has broad experience in conventional biochemistry and molecular biology techniques. Liquid chromatography mass spectrometry, Microarray, Protein expression, purification in mammalian and bacterial cell culture system. Dr. Datta runs and supervises our highly sophisticated clinical pharmacology laboratories.
Dr. Mubariz Naqvi, MD is a long-time member of the Department of Pediatrics. He is Professor of Pediatrics and is a board certified neonatologist. Dr. Naqvi has spent many years supporting the use of human milk in his premature infants. He is a member of the Critical Care Committee, Neonatal Transport Committee, Pediatric Residency Committee, Chair of Education Research Sub-committee, and numerous other hospital and educational committees. Dr. Naqvi is Board Certified by American Academy of Pediatrics with a subspecialty Board of in Subspecialty Board of Neonatal/Perinatal Medicine.
Todd Bell, MD. is an Associate Professor in the Department of Pediatrics although he is double boarded in Pediatrics and Internal Medicine. He received his MD from the University of Arkansas School of Medicine cum laude in 2001. He completed a combined general internal medicine and general pediatrics residency in Durham, North Carolina at Duke University Medical Center. Dr. Bell has extensive research experience, particularly in influenza, infectious diseases, and dysautonomia.
Jonathan Craddock is a Full Stack Web Developer and Mobile app developer for the InfantRisk Center. He received his degree in Computer Information Sciences from Amarillo College in 2010 and began working with Dr. Hale and the IRC early in 2012. He develops and maintains the InfantRisk Center websites, apps, and other applications and systems critical to Dr. Hale's research and data.
Alicia Gill, RN is a Registered Nurse and telephone advisor for the Infant Risk Center. She graduated the Vocational Nursing Program from Clarendon College in 2007. Then she received her ADN from Amarillo College in 2010. She began working at the Infant Risk Center in June of 2019 as a Senior Advisor for Dr. Hale. She has learned a lot about the effects of medications and their passage into breastmilk. She is excited to be a part of an important and valuable research center for pregnant and breast feeding moms.