References

Hale TW, Krutsch K: Springer Publications; 2022

Johnson BAmherst: HRD Press; 1996

Jølving LR, Nielsen J, Kesmodel US, Nielsen RG, BeckNielsen SS, Nørgård BM Prevalence of maternal chronic diseases during pregnancy - a nationwide population based study from 1989 to 2013. Acta Obstet Gynecol Scand. 2016; 95:(11)1295-1304 https://doi.org/10.1111/aogs.13007

Jones W, Brown D The Pharmacist's Contribution to Primary Care Support for Lactating Mothers Requiring Medication. J Soc Admin Ph. 2000; 17:(2)88-98

Jones W: Routledge; 2018

Jones W How to advise women on the safe use of medicines while breastfeeding. Pharmaceutical Journal. 2021; https://pharmaceutical-journal.com/article/ld/how-to-advise-women-on-the-safe-use-of-medicines-while-breastfeeding

National Institute for Health and Care Excellence. 2014. https://www.nice.org.uk/guidance/ph11 (accessed 17 November 2022)

Pinheiro E, Bogen DL, Hoxha D, Ciolino JD, Wisner KL Sertraline and breastfeeding: review and meta-analysis. Arch Womens Ment Health. 2015; 18:(2)139-146 https://doi.org/10.1007/s00737-015-0499-y

Renfrew M, Hall D Enabling women to breast feed. BMJ. 2008; 337 https://doi.org/10.1136/bmj.a1570

Rodieux F, Wilbaux M, van den Anker JN, Pfister M Effect of kidney function on drug kinetics and dosing in neonates, infants, and children. Clin Pharmacokinet. 2015; 54:(12)1183-1204 https://doi.org/10.1007/s40262-015-0298-7

Schirm E, Schwagermann MP, Tobi H, de Jong-van den Berg LT Drug use during breastfeeding. A survey from the Netherlands. Eur J Clin Nutr. 2004; 58:(2)386-390 https://doi.org/10.1038/sj.ejcn.1601799

Scime NV, Metcalfe A, Nettel-Aguirre A, Tough SC, Chaput KH Association of prenatal medical risk with breastfeeding outcomes up to 12 months in the All Our Families community-based birth cohort. Int Breastfeed J. 2021; 16:(1) https://doi.org/10.1186/s13006-021-00413-0

Tschiderer L, Seekircher L, Kunutsor SK, Peters SAE, O'Keeffe LM, Willeit P Breastfeeding Is Associated With a Reduced Maternal Cardiovascular Risk: Systematic Review and Meta-Analysis Involving Data From 8 Studies and 1 192 700 Parous Women. J Am Heart Assoc. 2022; 11:(2) https://doi.org/10.1161/JAHA.121.022746

Victora CG, Bahl R, Barros AJ Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016; 387:(10017)475-490 https://doi.org/10.1016/S0140-6736(15)01024-7

Breastfeeding and medication for long-term conditions

02 December 2022
Volume 33 · Issue 12

Abstract

Women taking medication for long-term conditions who are breastfeeding require special consideration. Wendy Jones provides an overview of the key issues when prescribing medication for this group of patients

As the number of women with chronic conditions increases, so does the number of women who will be breastfeeding while taking medication. General practice nurses have a key role to play in identifying these patients, as they may not always volunteer this information. When prescribing to breastfeeding women it is important to be aware that some of the drug that she takes is likely to pass to the baby via breastmilk. Prescibers need to be aware of sources they can use to find more information on this topic, so that they can help patients to make informed decisions and keep the mother and baby dyad at the centre of the consultation.

In each general practice there will be women who have a chronic medical condition but who are also breastfeeding their baby. However, we may not know who they are. Contacts with mothers have shown that they may forget to tell their health practitioners. This has been particularly true with increasing numbers of video calls. It is also anecdotally true, according to social media groups, when women are continuing to offer breastfeeds alongside appropriate solid foods to older toddlers and children. Some women may wish to avoid conversations when they anticipate possible criticism, even though this concern may have no foundation at all. How we, as healthcare professionals, have fed our own babies, if we had them, may influence our feelings. Nevertheless, breastfeeding is a health promotion issue and not just a matter of providing milk for babies (Renfrew and Hall, 2008). None of us can know everything, but we can take opportunities to increase our knowledge in areas which are important to families but in which we lack experience.

Register now to continue reading

Thank you for visiting Practice Nursing and reading some of our peer-reviewed resources for general practice nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month