Hi Dr. Hale,
I was wondering if you could clarify something for me. Are there general guidelines we can give mothers who are undergoing surgery but want to breastfeed afterwards? I am still running into a lot of resistance from anesth. who states moms need to pump and dump anywhere up to 48hrs. post op. (even after a lap-chole) The rationale I am being given is "the inter-operative loading dose of narcotics was 'high'....If mom is awake and alert enough to care for her baby is the narcotic load still that high? and what is defined as high....I tried to find the article you referenced at the Vancouver conference but have been unable to find it. I just returned to day from another pharm. talk on breastfeeding and they would not answer the question - said it was up to anesth. to decide...
I was wondering if you could clarify something for me. Are there general guidelines we can give mothers who are undergoing surgery but want to breastfeed afterwards? I am still running into a lot of resistance from anesth. who states moms need to pump and dump anywhere up to 48hrs. post op. (even after a lap-chole) The rationale I am being given is "the inter-operative loading dose of narcotics was 'high'....If mom is awake and alert enough to care for her baby is the narcotic load still that high? and what is defined as high....I tried to find the article you referenced at the Vancouver conference but have been unable to find it. I just returned to day from another pharm. talk on breastfeeding and they would not answer the question - said it was up to anesth. to decide...
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