Christine M. Betzold MSN NP IBCLC UCI Assistant Clinical Professor
Christine M. Betzold MSN NP IBCLC
UCI Assistant Clinical Professor
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Risks vs. Benefits
Resources: AAP and Hale
Pharmacodynamics
Infant and Maternal Risks
Breastfeeding Management
Key Points
Questions?
1Risk(s)
of the medication and 2Feeding Formula to the infant
vs
3Benefit(s)
of the medication and of 4Breastfeeding for the Mother
First: How do we determine the risk of the medication?
Avoid Using
1. Manufacturing Data!
Recommended
1.
NIH site:
2. PDR!
2.
The AAP 2013 statement
3. Most Pharmacists!
3.
Medications in Mothers¡¯
Milk (Hale)
4.
Infant Risk App (Iphone or
Android)
(Sorry)
AAP Medication Ratings
1. Maternal Medication usually Compatible with Breastfeeding.
2. Drugs for Which the Effect on Nursing Infants Is Unknown but May
Be of Concern.
3. Drugs That Have Been Associated With Significant Effects on Some
Nursing Infants and Should Be Given to Nursing Mothers With
Caution.
4. Radioactive Compounds That Require Temporary Cessation of
Breastfeeding.
5. Drugs of Abuse for Which Adverse Effects on the Infant During
Breastfeeding Have Been Reported.
6. Cytotoxic Drugs That May Interfere With Cellular Metabolism of the
Nursing Infant.
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