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Infant feeding

Get advice and support with infant feeding from other users here.

Tiktol & others, please help! Just had an accident & can't bf my baby. Am heartbroken.

159 replies

Maria2007 · 10/01/2009 08:31

Hi Tiktok (and other bf experts), I need your help urgently!

Here's some background: I'm Maria (we've met on these threads before, I think). I'm breastfeeding my 5 & a half month old baby since birth. He's also used to taking bottles once in a while, since in the last 3 weeks we've been giving him one bottle of formula at 11. Under my current circumstances it's good that he's comfortable taking bottles.

So. Yesterday, around 4 pm, I had a bad accident. I fell on my face (onto a plate) & broke several teeth- some came out completely- and other teeth are misplaced. I will need extensive dental work. I also had big cuts all over my mouth, & was given extensive stitching at hospital (I went with an ambulance to A&E). As you can imagine the whole thing was extremely traumatic, I lost lots of blood & didn't know at first what was happening. I'm very relieved that the damage is only on my mouth & teeth, as it could have been so much worse. But it's likely there might be some reconstructive work needed in the future, let's see.

About the medications I'm taking: They gave me morphine at hospital, for the pain. And then lots of local anaesthesia for the stitching. They have now put me on 2 antibiotics (Amoclan & Amoxillin) & one strong painkiller (Diclofenac). Plus, some paracetamol as needed. I will also be doing dental work, starting today, & that too will likely require more anaesthesia & perhaps more painkillers. Hopefully all this treatment will be completed within a week or- more likely- 2 weeks.

In the meantime, I can't & won't breastfeed, not without getting advice (hence my msg here), because I'm very scared of giving all this medicine to my boy through the milk. At the same time, I don't know what to do. Last night after my return from hospital I expressed & threw the milk away (to relieve the engorgement). This morning I also expressed & threw it away. Should I express & throw it out? If so, when? My boy usually feeds every 3 hours or so. At night we give him one bottle of formula at 11 (and I express at the same time) & then we usually give him EBM at 3.30 or so- this too we started recently & it helped our baby's sleep- so he's used to bottles at night. The rest of his feeds have been direct breastfeeds. Should I express on that schedule & throw it out? Could I then continue feeding him- when this ordeal is over- perhaps EBM in bottles if he refuses the breast? (will he, most likely, refuse the breast after 1-2 weeks on bottles solely)? I was planning & hoping to keep up the bf until he's 1 year old or so, perhaps keeping up to 3 feeds a day on the breast. Is that completely wishful thinking at the moment? Should I just give up completely? I don't want to, not in this traumatic & sudden way, but I also need to rest & recover.

Any advice would be fantastic. I can't talk to a bf helpline so easily because- as you can imagine- I don't talk clearly because of my cuts in the mouth. Which is why I'm writing here. I've always got good advice here....

Thanks in advance.
maria

OP posts:
leesmum · 10/01/2009 08:35

Sorry love no advise for you on the BF but just wanted to say that i hope you recover soon from your nasty fall..that must have been horrible for you x

I'm sure someone will be on soon to help you, take care x

ChairmumMiaow · 10/01/2009 08:36

I don't know anything about the medicines - did the doctors give no advice?

In the meantime I would pump at least as often as your baby feeds, and keep it frozen, carefully labelled - then if you find out its fine to feed, you haven't wasted it.

Can your DH/mum/friend phone a BFC for you? Under the circumstances I'm sure they would speak to someone else on your behalf!

Good luck!

StealthPo09IsHere · 10/01/2009 08:37

You poor thing. I hope you recover soon.
Hope someone can advise about medications soon.

belgo · 10/01/2009 08:40

oh no! How awful for you! I really hope you recover soon and someone comes along with the correct advice regarding breastfeeding.

Lulumama · 10/01/2009 08:44

get your DH or a friend to call for you, just don;t know enough to say whether you can,but my guess would be you can continue to feed
diclofenac is often given after c.s and women feed after. also, abx often given for mastitis and women still feed, hope tiktok is here soon to give a more definitive answer

so so sorry you are going rthough such a trauma

AnarchyAunt · 10/01/2009 08:47

Look here for BfN factsheets on the safety of any meds prescribed.

So sorry to hear whats happened and wish you a good recovery.

Isaidno · 10/01/2009 08:49

I'm not an expert, but I think lulumama is right and those antibiotics are ok to breastfeed with. Get someone to call the doctor or nhs direct to give you a definite answer.

flaminhell · 10/01/2009 08:52

Def ring NHS direct they will get a doc to ring you back, there must be something, what about your health visitor can you get in touch out of hours. So sorry you are hurt sounds horrendous, best of luck.

AnarchyAunt · 10/01/2009 08:52

Also if anybody can call for you (dp/friend?) with a list of drugs and dosages they can give more specific advice on their Drugline - 0844 412 4665. Its run by a pharmacist.

moondog · 10/01/2009 08:53

Maria! Poor poor girl!

ninja · 10/01/2009 08:53

Just checked here diclofenic fine with bf.

this one suggest amoxycillin

this is useful about all kinds of medication.

Sounds like you're possibly fine to bf, but hopefully someone more knowledgeable will come along

AnarchyAunt · 10/01/2009 08:56

TBH I'd be cautious with doctor or NHS direct as they don't necessarily have the latest info and also may not be that knowledgeable about/committed to continuing BF under such circumstances.

BfN are experts in drug safety when BF and really will be able to give the latest and most accurate information.

And yes to what ChairmumMiaow said - freeze not dump 'cos it'd be heartbreaking if you find it was ok but down the sink!

fanjoforthemammaries7850 · 10/01/2009 08:58

I took these medications while bf, and was told I could in hospital!

EldonAve · 10/01/2009 09:02

Sorry only skimmed the thread
Have you called any of the BF telephone lines?

HappyPSYCHOnewYear · 10/01/2009 09:16

I am not an expert in any field, so cannot advise you what to do, but after I had my last son and I was very poorly, and needed probably about the same as what you are saying to need to take now.

basically, they missed half my placenta, and it took them 10 days to find and admit their mistake (they kept telling me that the pain I was in and accociated(sp?) problems were due to him being my fifth).

anyhoo........I needed in the end three ops to get rid of all the broken down (by then) placenta and infection, I was on very strong painkillers, antibiotics, of course all the anaesthetics in my system, morphine, plus after the first one I went into anaphylactic due to reacting to antiemetics and they had to rescusitate me, with whatever drugs they use for that.

suffice to say, I was very poorly, I was full of differing drugs, and I was also breastfeeding a newborn!

Apart from the first 24hrs after the first op (and that was the op I reacted in), I was told that it was safe to breastfeed. I didn;t after the first op as I had so much in my system plus I was too ill (I was in high care and DH was staying with me with the baby to 'keep me aware I needed to be well' IYGWIM).

all the drugs given to me were said to be safe for BF.............and so I did.

now, when DS2 was 7wks old, he ended up in hospital with a liver problem, which completely terrified me as I was sure it was down to me continuing breastfeeding thru all the drugs etc. something they assured me was not the reason. I DID end up having to stop breastfeesing tho as he had other issues, but they promised me that it was not related to all the probs in me early on.....something I hold on to.

what I want to say is, for me, I was told it was ok to breastfeed......you really should check tho, as it may depend on the exact amount of drugs you are being given. My docs did know I was breastfeeding from the start, as it was all down to pregnancy/birth probs anyway and I kept telling them (it was very important and something I banged on about in my haze of postnatal hormones!). I don;t know if they specifically gave me strengths that they knew were safe......or even if the advice has changed since then (he is now 6yr).

lots of sympathy for the accident tho......sounds horrid.

Aitch · 10/01/2009 09:20

oh maria, what a horrible accident! you poor thing. sending you good wishes for a speedy recovery, glad it''s looking like you have a choice whether to stop feeding or not.

tiktok · 10/01/2009 09:28

Maria, so sorry to hear about your horrible accident.

I am in a rush so cannot look the drugs up for you now, but you have already been given some good links....from experience I know it is almost never safer to suspend breastfeeding than to continue bf when you have prescription drugs in your system.

Links you can check out for yourself also include

toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT

(www.ukmicentral.nhs.uk/drugpreg/guide.htm

NICE also have guideance for HCPs which states quite clearly that prescription drugs is not a reason to suspend bf:

"Health professionals should discuss the benefits and risks associated
with the prescribed medication and encourage the mother to continue
breastfeeding, if reasonable to do so. In most cases, it should be possible to
identify a suitable medication which is safe to take during breastfeeding by
analysing pharmokinetic and study data. Appendix 5 of the ?British national
formulary? should only be used as a guide as it does not contain quantitative data
on which to base individual decisions."

and later:
"Health professionals should recognise that there may be adverse
health consequences for both mother and baby if the mother does not breastfeed.
They should also recognise that it may not be easy for the mother to stop
breastfeeding abruptly ? and that it is difficult to reverse. "

You can read the NICE stuff for yourself here:

www.nice.org.uk/guidance/index.jsp?action=byID&o=11943

NHS Direct, your GP, and the docs involved in your treatment may not have a clue about any of this - and do not take what they say as gospel!

tiktok · 10/01/2009 09:30

Note: I am not a doctor or a pharmacist but a breastfeeding counsellor. I am sharing information with you here so you can inform yourself - not giving any opinion on the drugs. But I hear from mothers all the time on here and in RL who have been told they have to stop or suspend bf - and on further investiatigation, this is just not necessary.

NotQuiteCockney · 10/01/2009 09:33

Diclofenac is deffo ok while breastfeeding, I've taken it a bunch of time for muscular/skeletal problems.

I'm pretty sure your antibiotics are fine - they normally are. Your DS is not a newborn, these are probably antibiotics they give to babies, anyway ...

cluckyagain · 10/01/2009 09:36

Just agreeing with diclofenac - its Voltarol(tradename) and the lovely suppository(sp?) which the midwives shove up your nether regions after birth.......highly suspect that totally fine therefore!! Poor you - hope it all heals superfast.

NotQuiteCockney · 10/01/2009 09:38

Oh, I thought the suppository was more of an opiate than Voltarol?

I've had it post-CS, but as pills, not (I think?) suppository. (It's funny, at least with me, they just went and did it, didn't ask, didn't tell me, just shoved something up my (admittedly entirely numb) arse.)

JollyPirate · 10/01/2009 09:44

Oh Maria - you poor girl. Hope you recover soon - what a dreadful accident. Can only echo Tiktoks advice above. Also as lulumama says Diclofenic is routinely given to Mum's post caesarean section and antibiotics are used too. From what you've said I am certain you can continue breastfeeding safely - just have a read around for yourself on the internet so that you can reassure yourself it will be fine.

Get better soon.

pooka · 10/01/2009 09:44

Oh poor you Maria - sounds horrendous.

The path of least resistance, and the easiest path, would be to carry on breastfeeding as you were or at least as near as possible in terms of appointments and so on. Express where necessary but don't dump seems to be the advice wrt the medication you've been given.

I'm just thinking that the alternative is going to be much harder to deal with - i.e. expressing to maintain supply while bottlefeeding as opposed to breastfeeding where possible with bottle feeds given when you are unavailable to feed.

Having the point of view that you are still breastfeeding rather than stopping for a fortnight will make it easier to gradually get back to the former position of mostly breastfeeding with the odd bottle here and there.

In terms of you getting rest and time to recover, when you are at home could you take to your bed and let someone (dh/family/whoever you've got lined up to help care for your ds) bring him to you for feeds and then take him away afterwards? I presume that you've got some help lined up? If you haven't got help lined up, transferring for a fortnight or so to bottlefeeding while expressing to maintain supply would seem more effort and exhausting than continuing to breastfeed as you were already.

I do hope that you feel better soon. I'm still wincing at the thought of it, what rotten luck

MadamAnt · 10/01/2009 09:53

Oh you poor thing. Just wanted to echo the advice already given, and offer heartfelt sympathies.

Roskva · 10/01/2009 09:59

Oh, poor you.

I was prescribed amoxicillin (sp?) when pg and diclofenac after both c sections when I was bf, so those are OK. Don't know about the other drugs.

You could email la leche league, a breast feeding support service, for advice.

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