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Infant feeding

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

Unable to breastfeed newborn for 12 hours because given medication contra-indicated whilst b-feeding. Should I complain?

31 replies

Lcy · 26/06/2009 21:07

My DD was born in August by emergency c-section, after going 15 days over and being induced. Unfortunately the c-section epidural went wrong and I ended up with a post dural puncture headache. This is basically a severe migraine only relieved when lying down. I was in hospital for over a week and was unable to care for my babies physical needs (e.g. nappy et..). Despite being very ill I was determined to breast feed and learnt to feed lying down. By day five I was no better and an anesthetist prescribed medication for the headaches (same one that botched up epidural). I was not asked if I was breast feeding so I told the doctor I was and asked if the medication was ok to take whilst b-feeding. He said yes in quite an uninterested manner so when he had gone I asked the midwife to double check. She did not return and another midwife gave me my meds which I took assuming they were ok. An hour later I was feeding my baby and the first midwife came rushing in asking if I had taken the medication - apparently she had found it should not be used by b-feeding mothers. Consequently, my newborn baby had to be monitored by a paediatrician and I was unable to feed her for 12 hours (till the drugs were out of my system). I will never forget how horrific that night was - my milk had come in, my baby was screaming with hunger and rooting and I was desperate to feed her. The midwife had to take her away from me because I was so distressed and as she would not accept formula she cried/whimpered all night. Breastfeeding was the only thing that had gone well since giving birth and

I am still very upset 10 months on, I never complained to the hospital about the doctor prescribing this medication, although the impact was documented by the midwife in my notes. Do you think I should make a complaint or should I just try and let it go?

On a happy note, ten months on I am still breastfeeding my milk monster DD.

OP posts:
PortAndLemon · 26/06/2009 23:15

OK. "Very very very hungry and extremely distressed, because after five days of colostrum (supplemented by fat reserves) and the beginning of breastmilk, the baby was suddenly not getting anything at all, be that colostrum, breastmilk or formula" rather than "starving". I hope that is better.

It doesn't sound much better to me, subjectively, from the point of view of the distress involved.

Worming medication still tells you not to take it if breastfeeding, but BfN suggests that's an overreaction (I'd probably take it if I had worms, but didn't when I thought DS did given that I had no symptoms, which is a bit of a fudging things wishy-washy compromise).

juuule · 26/06/2009 23:15

The birth of my first baby was much as you describe for yours Lcy. But I was carried along on a wave of exhilaration for the first week anyway so a different situation.

Kitkatqueen my first baby was 13days overdue and my 9th was 14 days overdue. Never had any milk in the first 3 days with either.
Everyone is different, I suppose. But I suppose my experience leads me to believe that a baby that due to circumstance that doesn't bf during that time isn't doomed.

However, I do think that Lcy should complain as her baby was possibly put at risk due to her being prescribed a medication contraindicated with bf and being led to believe that it would be okay to bf while taking it. Also, in her case, she was possibly unduly distressed due to being given this medication for which there might have been a bf safe alternative or she might have rejected if she had known and there wasn't an alternative.

Grendle · 26/06/2009 23:44

Back to the OP -the BNF is notorious as being an unhelpful source of information on drugs and breastfeeding. It is very cautious and there is better evidence out there on which to decide what is and is not safe. If you can, you might want to find out what you were prescribed and check it out before you complain. Some hospitals run a birth de-briefing service where they will run through your notes with you, or of course you can request a copy of them (though in some circumstances the hospital will ask you to pay photocopying).

There is a whole other debate going on in this thread now. Perhaps if this needs to continue it might be a good idea to start a separate thread so that the OP's topic doesn't get lost .

undomesticatedgoddess · 27/06/2009 09:08

Lcy

I would go with Grendle's suggestion of the debriefing. I did this after a traumatic c section and it helped enormously. You may or may not want to make a complaint after that.

She's also right about the BNF not being very helpful as it tends to err on the side of caution.

I'm so sorry about your experience but really chuffed for you that you're still BFing.

Lcy · 27/06/2009 19:01

Thanks for all the suggestions. Will have a chat with my doctor about accessing notes - sounds like a good place to start. Don't want to complain so much or have an apology but rather highlight that what happened, the distress caused and that it was not good practice. Thanks again

OP posts:
Grendle · 27/06/2009 19:08

Last time I requested my notes I simply wrote to the hospital and they sent me a form to fill in. It was very easy.

Do let us know how you get on .

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