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Monthly Archives: February 2015

Packing Your Pump Bag – Things to think about.

Things to Think About: Wall Plug: When packing your walk plug be careful not to wrap it tightly this can causing damage to the wires. (speaking personal experience here) Battery pack: If your pump comes with a battery pack cord go ahead and put new batteries in it and toss into your breast pump bag. I put […]

ABM updates protocol on contraception and breastfeeding

Important updates on birth control about birth control please see below

Breastfeeding Medicine

The long awaited protocol revision on Contraception and Breastfeeding by Drs. Pamela Berens and Miriam Labbok is out. This revision on a crucial topic has useful information for those counseling mothers regarding contraceptive choices. One to two times a month I encounter a mother in my consultative breastfeeding practice who has been placed on some type of hormonal contraceptive and now she is struggling to make milk. In this revision there are a few new tables and a section describing in depth the individual contraceptives choices, summarizing the evidence and the associated studies. The bottom line remains: “Until more extensive well designed research exists , it would be prudent to consider hormonal contraceptive methods as potentially having some risk of decreasing the mother’s milk supply.” Options such as Lactational Amenorrhea Methods (LAM) and Natural Family Planning (NFP) and emergency contraception are discussed and associated management issues are also addressed. As…

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