Medication Consultation for Postpartum Breastfeeding
Hello doctor, I have been experiencing continuous postpartum lochia.
I was prescribed a medication called "Yinruogong" (意如宮錠), but I read online that this type of medication may affect the baby, especially since my baby is a preterm infant.
I would like to know if it is safe to breastfeed under these circumstances?
Kiki, 30~39 year old female. Ask Date: 2022/10/23
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the medication is commonly used postpartum and has minimal effects on newborns.
Thank you! Wishing you peace and health, Dr.
Chang.
Reply Date: 2022/10/23
More Info
When it comes to postpartum care and the use of medications like oxytocin (often referred to as "意如宮錠" in Mandarin), it's essential to consider both the mother's health and the safety of breastfeeding for the infant, especially in the case of a premature baby.
Oxytocin is a hormone that plays a crucial role in childbirth and breastfeeding. It is often administered to help induce labor or to manage postpartum hemorrhage by promoting uterine contractions. While oxytocin is generally considered safe for use during labor and delivery, its effects on breastfeeding can vary.
1. Breastfeeding After Induced Labor: If you have been prescribed oxytocin postpartum, it is usually safe to breastfeed. Oxytocin is naturally produced in the body during breastfeeding, and its administration does not typically interfere with the ability to produce milk or the quality of breast milk. However, it is crucial to follow your healthcare provider's advice regarding the timing of breastfeeding after receiving any medication.
2. Effects on the Baby: The concern about medications affecting a breastfeeding infant is valid. While oxytocin does pass into breast milk, the levels are generally low and not considered harmful to the baby. However, since you mentioned that your baby is a preterm infant, it is essential to consult with your pediatrician or a lactation consultant. They can provide tailored advice based on your baby's specific health needs.
3. Monitoring for Side Effects: After taking any medication, including oxytocin, it is important to monitor both yourself and your baby for any unusual symptoms. If you notice any changes in your baby's behavior, feeding patterns, or overall health, contact your healthcare provider immediately.
4. Postpartum Recovery: It's also important to address the underlying reason for the prescription of oxytocin. If you are experiencing prolonged lochia (postpartum bleeding), it may indicate that your uterus is not contracting effectively. This situation should be closely monitored by your healthcare provider to prevent complications such as infection or excessive bleeding.
5. Consulting Healthcare Providers: Always discuss any concerns you have about medications and breastfeeding with your healthcare provider. They can provide the most accurate information based on your medical history and current health status. If you have concerns about the safety of breastfeeding while on medication, do not hesitate to reach out to a lactation consultant or a pediatrician for additional support.
In summary, while oxytocin is generally safe for breastfeeding, especially in the context of postpartum recovery, it is crucial to maintain open communication with your healthcare team. They can help ensure that both you and your baby remain healthy and that your breastfeeding journey is successful.
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