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Transfer of drugs and other chemicals into human milk

TLDR
Nicotine, psychotropic drugs, and silicone implants are 3 important topics reviewed in this statement that are important to protect nursing infants from untoward effects of maternal medication but also to allow effective pharmacologic treatment of breastfeeding mothers.
Abstract
The American Academy of Pediatrics places emphasis on increasing breastfeeding in the United States. A common reason for the cessation of breastfeeding is the use of medication by the nursing mother and advice by her physician to stop nursing. Such advice may not be warranted. This statement is intended to supply the pediatrician, obstetrician, and family physician with data, if known, concerning the excretion of drugs into human milk. Most drugs likely to be prescribed to the nursing mother should have no effect on milk supply or on infant well-being. This information is important not only to protect nursing infants from untoward effects of maternal medication but also to allow effective pharmacologic treatment of breastfeeding mothers. Nicotine, psychotropic drugs, and silicone implants are 3 important topics reviewed in this statement.

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Citations
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Journal ArticleDOI

Breastfeeding and the Use of Human Milk

TL;DR: Pediatricians play a critical role in their practices and communities as advocates of breastfeeding and thus should be knowledgeable about the health risks of not breastfeeding, the economic benefits to society of breastfeeding, and the techniques for managing and supporting the breastfeeding dyad.
Journal ArticleDOI

The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients

Maria Rosa Costanzo, +56 more
TL;DR: Institutional Affiliations Chair Costanzo MR: Midwest Heart Foundation, Lombard Illinois, USA Task Force 1 Dipchand A: Hospital for Sick Children, Toronto Ontario, Canada; Starling R: Cleveland Clinic Foundation, Cleveland, Ohio, USA; Starlings R: University of Chicago, Chicago, Illinois,USA; Chan M: university of Alberta, Edmonton, Alberta, Canada ; Desai S: Inova Fairfax Hospital, Fairfax, Virginia, USA.
Book

Drugs in Pregnancy and Lactation

TL;DR: Drugs in pregnancy and lactation , Drugs in pregnancyand lactation, and more details are published.
Journal ArticleDOI

Coffee and Health: A Review of Recent Human Research

TL;DR: Current available evidence suggests that it may be prudent for pregnant women to limit coffee consumption to 3 cups/d providing no more than 300 mg/d of caffeine to exclude any increased probability of spontaneous abortion or impaired fetal growth, and there is little evidence that coffee consumption increases the risk of cancer.
References
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Journal ArticleDOI

A Syndrome of Methylmalonic Aciduria, Homocystinuria, Megaloblastic Anemia and Neurologic Abnormalities in a Vitamin B12-Deficient Breast-Fed Infant of a Strict Vegetarian

TL;DR: A six-month-old infant with severe megaloblastic anemia, coma and hyperpigmentation of the extremities was found to have methylmalonic aciduria and homocystinuria, and the importance of educating strict vegetarians about the deficiency of vitamin B12 in their diets was emphasized.
Journal ArticleDOI

Estimates of US children exposed to alcohol abuse and dependence in the family.

TL;DR: There is a need for approaches that integrate systems of services to enhance the lives of children exposed to alcohol abuse or alcohol dependence in the family.
Journal ArticleDOI

Secretion of methotrexate into human milk.

TL;DR: The kinetics of the MTX secretion process correspond to those which would be anticipated for a weak organic acid transferred from plasma to milk by passive diffusion of the nonionized form.
Journal ArticleDOI

May mothers given warfarin breast-feed their infants?

TL;DR: It is concluded that nursing mothers given warfarin may safely breast-feed their infants.
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