It's a case study! Something a little bit different in our discussion with Dr. Nice, our pharmacist expert. Alyssa had connected with a mom-to-be Courtni who was inducing lactation with very quick and abundant milk production. She wanted to figure out what Courtni was doing so that she could learn from Courtni's experience to help other parents. (We at Sweet Pea are always trying to learn more about how to support the nursing success of non-birthing parents!) ... but Alyssa could not find anything in Courtni's approach that was different than other parents she had worked with. She did observe, however, that Courtni was taking several medications for her own health issues. Alyssa wondered if these medications or the health conditions underlying them could be the secret to Courtni's outcomes. She went to her friend, Dr. Nice for the answers...
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As it turns out, breastfeeding is not just "A Womanly Art." Steph shares an incredible story about a same-sex male couple she worked with who both nursed their baby, exclusively providing human milk for baby's first 6 months. How does this work? Creativity, support, milk expressed by baby's gestational carrier, and a tiny feeding tube at the father's nipple. Steph gives us the details of this amazing nursing relationship and how to support any LGBTQIA family interested in breastfeeding/chestfeeding/nursing.
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For breastfeeding parents, safely taking medications - whether they are for the parent's health or for increasing milk production - can be complex. It is a delicate balance between the parent's health, the safety of the milk for the baby, and the importance of breastfeeding. It involves communication between the parent's health care providers, the baby's health care providers, and the pharmacist who can help to put it all together. Here our friend and pharmacist with a ton of experience with lactation, Dr. Frank Nice has more answers.
In the US, it is natural that we have a lot of concerns about the safety and side effects of domperidone. Our Food & Drug Administration has not yet approved this medication (see episode #4 for more on that) so parents are generally obtaining it without a doctor's or certified nurse midwife's prescription*. That also means that the pharmacist is not able to oversee use of domperidone and how it plays out with other medications that the nursing parent is taking. That is our unfortunate reality today. With this in mind, it is essential that parents and lactation professionals understand and take responsibility for possible contraindications and side effects associated with domperidone. We are extremely fortunate once again to bend the hear of one of the most expert resources on safety and use of pharmaceuticals while breastfeeding, Dr. Frank Nice.
about their co-nursing experience, and with Katie about inducing lactation! It has been a joy-filled road for them with a few bumps along the way ... including concerns with safety of medications, not always supportive healthcare providers, sore nipples, middle of the night challenges, and a bout of baby preferring one mom for bedtime nursing. With creativity, communication and resourcefulness these two moms have navigated these challenges and now that baby is 10 months old they look back (and forward) to their nursing experiences with much gratitude.