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Articles and content related to breastfeeding.

Increased Risk of Pyloric Stenosis with Formula Feeding with Bottles.

Pyloric stenosis (PS), also known as infantile hypertrophic pyloric stenosis, is caused by hypertrophy of smooth musc

Use of Methylergonovine in Breastfeeding Mothers

In 2003, a report was published which reviewed the poisoning of newborns by the inadvertent use of intramuscular or o

Revisiting the Benefits of Breastfeeding

Breastfeeding appears to protect infants from infection.

A Review of Codeine Safety and Regulations for the Breastfeeding Mother

The importance of managing maternal postpartum pain is widely recognized.

Breastfeeding Anaphylaxis

Anaphylaxis is a severe, systemic allergic reaction that can be potentially life threatening.

Safe Use of Birth Control While Breastfeeding

Most women who breastfeed exclusively stop having menstrual periods.This is known as lactational amenorrhea and during lactational amenorrhea, the potential for ovulation is reduced. Subsequently, the chances of conception during this period decrease to approximately 0.5-2%, moreover, there is still a risk of pregnancy. Many women fear that because they are breastfeeding they cannot use any form of contraception. However, the use of contraception should not prevent a mother from breastfeeding.

Although most contraceptive methods are probably safe and should not put the infant at risk, some contraceptives can adversely affect milk supply and therefore should not be used by breastfeeding mothers.  These include all estrogen containing products such as oral contraceptives, vaginal rings (i.e NuvaRing) and transdermal patches (Climara).  We have no way to predict the outcome of breastfeeding once estrogen-containing birth control products are started.  Some mothers may do fine and others can completely dry up. Therefore, if estrogen containing contraception is chosen, it is advised that women use the lowest estrogen dosage appropriate and monitor their milk supply.  Mothers who have problems with milk production and those who are breastfeeding an older child (one year old or more) should be especially cautious. 

Progesterone only pills are preferred as they are less likely to decrease milk supply.  Some women, however, are sensitive to even progesterone only medications and therefore it is recommended they use the progesterone pills first rather than obtaining an injection of high dose progesterone (i.e Depo-Provera).  This injection lasts 3 months and cannot be reversed once administered.  If a breastfeeding mom does not have problems with milk supply after using progesterone only pills, then she can obtain the injection. 

Barrier methods of birth control include diaphragms, condoms (male and female), spermicides, diaphragms, and cervical caps.  These methods of contraception have no effect on milk production and therefore can be used without any concerns.  However, their efficacy is inferior to other alternatives. 

Finally, Intrauterine devices  (IUD’s) should be used with caution.  IUD’s can be hormonal or non-hormonal such as the copper containing type. The hormonal type contains progesterone.  Progesterone doses in the IUD’s are low, however the impact of these blood levels on lactation have not been well investigated. Progestin containing IUD’s such as Mirena have been found to decrease milk supply in some women.

For more information on birth control and breastfeeding, contact the InfantRisk Center at (806)352-2519.

Safely Managing Pain During Lactation

Pain is the most common reason that patients seek medical attention.

Breastfeeding in Mothers with E. Coli Infections

In the USA and many other countries, the predominant enterohemorrhagic E. coli subtype associated with disease is E.

Potassium Iodide for Radiation Exposure

Potassium iodide was approved by the Food and Drug Administration(FDA) in 1982 for thyroid protect

Influenza Season Recommendations for Pregnant and Breastfeeding Mothers

Vaccines

Pregnant Patients

The American College of Gynecolo

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