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Old 16.01.2011, 13:25
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A hypothetical question

Has anyone had experience or know of anyone who has had to go into hospital for a short medium or long stay whilst having a new born baby that's breast fed? If so - do they allow you to take the baby with you? do you have to express and arrange for the baby to be looked after and fed the expressed milk at home or do you have to switch to formula?

Further to this if your stay in hospital was for an operation and you were under a GE would you not be able to breast feed due to the drugs etc..?

Thanks in advance
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Old 16.01.2011, 13:48
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Re: A hypothetical question

A friend of mine had to go to hospital for 5 days, pumped and dumped, continued nursing after. Another friend had her newborn triplets in NIC and then ped ICU for two months, she couldn't stay with them, but pumped and they got her milk, she went there twice a day with pumped milk she stored for them. This was not here, though. Good luck, if you have to go. If it is a short stay, I would want my newborn with me and nurse (unless heavy meds or sumfin incompatible, you can pump and dump in that case and feed with the aparatus attached to your breast, it is a tiny cable they suck from, I am not sure what it is called here but back home it is a standard hospital equipment for nursing moms, you can also feed with syringe in one corner of his mouth while he sucks on your pinkie, but you can't do it for long, since he might lose the proper latch technique). You can always relactate but trying to save the lactation is less effort at the end. Ask your question on breastfeeding subforums on babycenter.com, too, to see. Hope somebody can tell you that you can stay here with him while hospitalized, but also, count on having somebody else to give you a hand (hb) if you aren't able to tend to your newborn, I am not sure if the regular staff there will have time to help you (if you have to go through post op scenario, for example).
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Old 16.01.2011, 13:50
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Re: A hypothetical question

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Has anyone had experience or know of anyone who has had to go into hospital for a short medium or long stay whilst having a new born baby that's breast fed? If so - do they allow you to take the baby with you? do you have to express and arrange for the baby to be looked after and fed the expressed milk at home or do you have to switch to formula?

Further to this if your stay in hospital was for an operation and you were under a GE would you not be able to breast feed due to the drugs etc..?

Thanks in advance
I'll believe according of what I read in books that if you go under GE you can't breastfeed for a period of time after, the time the meds are out of the system. Depending if you needs pain killers after and what kind of pain killers, it might postpone the breastfeeding further. Sometimes, they may give you something that doesn't bother the breastfeeding process but if you need something very strong (like in the morphin's family) I'll believe that you shouldn't breastfeed.

Is any chance that this hypothetical hospitalisation could wait until the baby is older (like 6 months) to need less of your milk and be more independant of it?

Assuming they accept to have your baby with you in the hospital, will you be able to care for him?

If a surgery can't wait, and you don't have the time to store some milk! if this has to be done fast and that milk can't be given to the child because of the meds, I'll say to just accept it and switch to formula. No harms done, you did already a great job and you should be proud of what you did. If you can find a way to breastfeed without interfering with your health and healing process, great. But if not, keep in mind that Nicky junior needs an healthy mommy first to take care of him and faster than you think, you'll be running after him.
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Old 16.01.2011, 13:52
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Re: A hypothetical question

Thanks MC,

I don't have to go into hospital (but something has arisen which may mean I might have to) so just wanted to arm myself with some knowledge for the worst case scenario
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Old 16.01.2011, 13:57
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Re: A hypothetical question

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Thanks MC,

I don't have to go into hospital (but something has arisen which may mean I might have to) so just wanted to arm myself with some knowledge for the worst case scenario
In that case, you may want to begin a storing program in case it comes...
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Old 16.01.2011, 14:08
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Re: A hypothetical question

I had surgery which was scheduled whilst I was pregnant. It was an ovarian cyst and I delayed the surgery until bubs was around 6-8 months so I was less worried about what would happen if there were complications.

The anesthetist is the one who makes decisions regarding the medications they use, and they will be the one who is most up to date about the breastfeeding advice.

In my case, the anaesthetist told me my bubs would get a small amount of anaesthetic and painkillers, but nothing like they give newborn babies that are seriously ill and need surgery..so it was my choice whether to breastfeed and have him get a tiny dose of the medicine, with the side effect that bubs might get a bit sleepy, or to express milk to keep the supply up, but replace it with formula or milk that I had stored beforehand...

In my case, I expressed a fair bit of milk - about a litre - and stored that in the freezer in 50mL lots for a worst-case emergency.

If the hospital has a maternity section you could ask to speak to a lactation consultant and organise to borrow a hospital grade pump...

My biggest worry was not bubs - he could have expressed milk - it was for me to not get mastitis from skipping feeds!

The hospital booked me as the first surgery of the day, after an emergency, but I reacted pretty poorly to the anaesthetic - my husband brought bubs in soon as I was in recovery, I breastfed to relieve my breasts, and then I slept for about 2 hours and we were the last of the morning surgery patients to go home...best sleep I had in about 3 years

Afterwards, I only needed standard painkillers and again although a small amount goes through breastmilk, it's nothing compared to the levels a baby would get if you gave them painkillers directly...

The only person who nearly hijacked the whole process, was the admitting nurse on the day. She tried to convince me that I should tell my husband to take the baby home, and they would phone him when I was out of surgery - I knew that this would cause unnecessary time delay, and I was worried that if I did have complications no one would contact him for hours and that would forget I was lactating and I'd end up with terrible mastitis ! - so I told her 'Oh, you know, bubs will be fine, but if I don't empty my breasts properly in 4-5 hours time, I will be at risk of getting mastitis

It was a little unsettling for her to pressure me at that moment, after going through so many steps and preparations - but I stood my ground, and the hospital were great in the end, the anaesthetist and the surgeon were completely on board with the whole thing, and totally appreciative of the stress of having a small baby and needing surgery.

Sorry to rave on...once the medication is low enough for you to regain consciousness, then it's not going to harm your baby...and breastfeeding for us wasn't interrupted at all!

If you need more specific information about drugs and what goes through breastmilk, and finding out about the risks, then your first expert would be the anaesthetist, or a specialised 'medicines in pregnancy and breastfeeding' service...usually staffed by pharmacists... I can help you find this info, feel free to PM me about it...

A lot of people will talk about 'pump and dump' but your breasts don't 'store' medicine - you pump if bubs is not there to prevent engorgement and keep your body going with making breastmilk, and you have to 'dump' this milk if the levels of drugs are not considered safe... but the level of the drug will be usually the same or lower than what is in your bloodstream, and after that the bubs eats it and for most medication their stomach reduces even more and the actual amount of drug that passes to the baby will be very low...some things don't even get that far!

hope that makes sense...and good luck...it's stressful but it's possible to get through quite serious surgery and end up still breastfeeding the baby...and for me I was not prepared to give up many months of breastfeeding (ie, weaning early), just for 3-4 days of being sick...
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Old 16.01.2011, 14:27
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Re: A hypothetical question

Swisspea, I have a lot of respect for your strong will to breastfeed no matter what, or who. I think you are a strong woman who knows what she wants, good for you.

But I do not agree with breastfeeding whilt on medications (not all) Some are fine and won't pass throw the milk, but I, personnally wouldn't breastfeed if my baby gets a piece of those strong meds.

Many doctors are advising to not breastfeed if you take some specifics meds and I would listen to them. Having your baby going under surgery and needing them is one thing, but giving them to my baby throw my milk, no way!
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Old 16.01.2011, 14:38
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Re: A hypothetical question

As MC says, you can pump and store the breast milk so that:
- your baby can be taken care of while you're away
- your milk does not stop

But I really would not breastfeed after a GE or during or after antibiotics or other meds. They do fare very well of a mix between breast and formula. There's the hypoallergenic BEBA HA (Nestlé) that's easier to digest for sensitive babies.

Do hope you are well.
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Old 16.01.2011, 14:45
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Re: A hypothetical question

Nothing to be alarmed about, it's just something that I need to go and get checked out and if it is what I think it may be then I might have to have a procedure, but I have to actually get my arse to the doctors first to get it checked out and it might not be at all what I am thinking it might be

I was just mulling over the situation if I had to and wondered in these cases what breast feeding mothers do - so thank you for all your advice
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Old 16.01.2011, 16:39
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Re: A hypothetical question

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..but I have to actually get my arse to the doctors first to get it checked out ..
Hope your arse is ok butt troubles are kinda normal at labor..

Anyways. I do agree with swisspea with the fact that it is usually not a trouble for the bub, if you really are determined, all the latch and nipple confusion to me seemed a problem of mom's nerves, if anything. So, if you believe yourself, don't let yourself give up, are calm and consistent, he should be ok re-learning. It is more about you not losing the lactation level you have now. I would be cautious about meds in milk, since they do pass. Some certainly do. I wouldn't worry too much about atbs (they make baby friendly atbs), local anesthesia and low levels of painmeds, I would worry about hormonal treatments, steroids, GA, IV administered stuff, uhm...heavy duty painkillers or high doses of anything. I stayed away from painkillers, everyone thought I was nuts since Csec sucks re. pain. I worried about these hardcore meds since my doctor toxicologist family heavily warned me, there are things that are a lot more absorbed by baby's stomach lining than ours, I think it is 80% more absorbing than us, up until 1yr since, the defense mechanisms aren't fully functioning yet and the liver and other filtering systems are not fully developed. It is said that we do absorb most of the damage (toxins, heavy metals, even sun damage) when we are tiny.

The trouble with FF is that it flows like crazy (kid gets his feet up and quits on working, forgets how to suck with force) and it is sweet. Supersweet, to make the artificial stuff be liked by relatively finicky newborn's taste buds. What is also dangerous is the fact, that nursing is a combo of many factors : mom's smell, the smell of milk, sweat, the smell of comfort and warmth connected with the smell of skin, right at their nose. So once you remove them further, they forget the conditioning through other senses. Cosleeping will definitely help if wanting to relactate or reteach your kid to nurse. So, even if you pump to dump and feed your child something else while you are waiting to be clean, I would want my child with me, in my bed.
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Old 16.01.2011, 16:50
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Re: A hypothetical question

I had to go in for an emergency operation with no warning when my daughter was about four weeks. I had no time to store any milk. My daughter had formula for a day or two, and then continued to breastfeed. My husband and baby stayed in a room with me. This was in Australia, though.

As for the drugs, I had to have some very strong antibiotics, but I continued to breastfeed, after talking to some breastfeeding counsellors and a few doctors.
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Old 16.01.2011, 16:55
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Re: A hypothetical question

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Hope your arse is ok butt troubles are kinda normal at labor..
haha

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Old 16.01.2011, 17:13
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Re: A hypothetical question

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Many doctors are advising to not breastfeed if you take some specifics meds and I would listen to them. Having your baby going under surgery and needing them is one thing, but giving them to my baby throw my milk, no way!
In my case the anaesthetist chose medication which would not cause any harm to my breastfed baby, and my surgeon prescribed painkillers that would also be OK for breastfeeding.

A friend of mine (Chemist) was telling me that there are two main types of anaesthetic used - the older type really knocks you out (opoids), and stays in your system for longer. The newer type is they use for epidurals or spinal blocks. These days it's used for c-sections too because it's lighter and less dangerous for the baby...it's the same drug that they use for spinal blocks where the mum is conscious during the c-section, and for epidurals where you can't feel pain but you can still move your body.
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Old 16.01.2011, 18:10
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Re: A hypothetical question

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In my case the anaesthetist chose medication which would not cause any harm to my breastfed baby, and my surgeon prescribed painkillers that would also be OK for breastfeeding.

A friend of mine (Chemist) was telling me that there are two main types of anaesthetic used - the older type really knocks you out (opoids), and stays in your system for longer. The newer type is they use for epidurals or spinal blocks. These days it's used for c-sections too because it's lighter and less dangerous for the baby...it's the same drug that they use for spinal blocks where the mum is conscious during the c-section, and for epidurals where you can't feel pain but you can still move your body.
Nice to know! Because in all the surgery I had (I got a few....) All of them was with strong morphins and the alike. The kind to knock you out for days!
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Old 17.01.2011, 14:14
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Sorry, I haven't read every word of previous posts as just typing on my phone, so apologies if not relevant, but is there any chance the op could be carried out under local or spinal anaesthesia?

I had to have an op that would normally have been done under general, but had just found out I was pregnant (ca. 6 weeks at the time) so rather risk anything happening to the foetus they agreed to do it under spinal (like an epidural) as they didn't think it could wait til after the pregnancy either. It wasn't very pleasant for me, being awake through the op (actually I was pretty distressed) but rather that than unnecessary risk to the pregnancy.

I know that doesn't help with the physically being in hospital part, but might help with quicker post-op recovery and the drugs in your milk problem?
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Old 17.01.2011, 14:30
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Re: A hypothetical question

Thanks Jot, yes i suppose if an op is needed thats definitely an option, didn't think of that route!

Just to reiterate I don't need an op (that I know of yet), it was just something I was thinking about if there was to be a situation where I needed one

Hopefully it wont be the case
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Old 17.01.2011, 15:55
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Re: A hypothetical question

At the end of the day, as with anything to do with lil 'uns, just remember to stay flexible. Whatever you decide on, remember that bubs may decide to go a totally different way - and you can't foresee how you will feel post-surgery
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Old 19.01.2011, 18:12
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Re: A hypothetical question

Well my hypothetical question has turned into a reality situation. Awaiting final details but will need an op within next 2 weeks. Thanks for all the advice on here it's helped me try and figure out a plan of action on the feeding front.
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Old 19.01.2011, 18:24
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Re: A hypothetical question

I wish you the best of luck and a fast healing process. Do you have an idea how long you'll stay in the hospital? You should call them as soon as possible to organise and see what kind of arrangement you can do for you and your little boy.

Will you have someone who will help you outside of the hospital (beside hubby)?
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Old 19.01.2011, 18:26
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Re: A hypothetical question

Just hubby Nil but I am sure he can cope

I think i'll be in for 2 nights, will know more tomorrow. My doc said he will inform nurses to help me with the feeding etc.. expressing and stuff and he's advised I would need to pump and dump only twice while drugs in system but to be safe i might leave it a bit longer
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