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Prednisone breastfeeding baby side effects.“Breastfeeding Nearly Killed Me!” – How I Ended Up on Prednisone
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This article is for a young mother prescribed a drug like prednisone while breastfeeding who is not sure what to do. If this topic makes you squeamish, read the next article. Using real patient cases, we will explore principles that will help this young mother decide what to do:. While a newlywed, I heard that statement from a young mother defending her choice to bottle feed to another young woman, who would later be a member of La Leche Leaguea network of advocates for breastfeeding. This mother told us the tale of trying to breastfeed her first child and then becoming so sick with mastitis that she was hospitalized for days, unsure whether she would survive to raise her baby.
I had never heard of mastitis and had to look it up when I got home. Mastitis is an infection of the milk ducts in the breast that usually affects women in the first few weeks to months of breastfeeding. Women with mastitis experience blockage of a milk duct accompanied by swelling, redness, and heat around that spot on the breast.
If the blockage proceeds to mastitis, the rest of the body is affected with high fevers, miserable aches and joint pains similar to the flu. One weekend I was flat on my back with a degree fever, my body infected by mastitis. I called my nurse midwife for a prescription of antibiotics for this 7th round of mastitis I had endured after giving birth to four children. Slowly the fever and pain went away. As I neared the end of the course of antibiotic, the unfathomable happened: I got mastitis again, but on the other side!
I was feverish and miserable again and confused as to how the antibiotic failed to protect me from the next bout of misery, my 8th case of mastitis. My prescriber sent a new antibiotic to the pharmacy. This time near the end of the course of antibiotics, something even more surprising happened.
I noticed while readying for bed that my skin started to change. Having learned about lethal skin rashes caused by antibiotics while I was earning my Doctor of Pharmacy degree to become a pharmacist, I was immediately concerned. First my neck looked like a million red dots suddenly appeared. Those are called cherry angiomas and are harmless, and I had a few of those. But now I had so many I could not count them. By morning when I made the appointment with the dermatologist, the painless red dot rash had spread all the way down my trunk, and onto my thighs.
I even had a purpura lesion on my arm I remembered studying in school. My medical training told me I was bleeding inside.
None of us could find a medical drug reference to show that my antibiotic had caused this rash, but they told me to stop taking it which I had already done in my concern. I asked them to order a lab draw of blood clotting factors and they looked at me like I was crazy. Finally, they consented to order a CBC complete blood count to make sure my blood was okay. I dutifully took the order and succumbed to the needle in my elbow to check my blood. Two hours after that, their office assistant frantically tracked me down to tell me my platelets were super low 12, with a normal range of and I needed to be seen by my general doctor.
But as soon as the general doctor heard why, he said there was nothing he could do for me anyway, and I needed to get to the emergency room ER as soon as possible. When they drew my blood in the ER, my platelet level had dropped to 3, almost undetectably low. I was admitted into the hospital and told I had ITP and that I needed to stay for about a week — a week! I thought, how can I stay a week as a mother of four small children, one of whom relied on me for nourishment through breastmilk?
Receiving urgent care, the medical team gave me donor platelets, 60 mg of prednisone, and sleeping pills to deal with the imminent insomnia caused by the prednisone. Having been on the caregiving side in medical situations, it was foreign to be the powerless patient in a hospital. My doctor was incredibly supportive of my continuing breastfeeding. Before administering any treatment, he asked me whether I wanted to use it or not depending on how it affected my milk supply. First we discussed prednisone.
I looked it up in my free app, LactMedto see what it told me about breastfeeding while taking prednisone. No adverse effect have been reported in breastfed infants with maternal use of any corticosteroid during breastfeeding. But how could I continue breastfeeding while hospitalized? My baby had never even used a bottle! If I pumped, what would I do with the breastmilk? How would I get the breastmilk to my baby?
I just wanted it to all go away. Then in walked an angel. Actually, a nursing student shadowing the new nurse on duty. This nursing student was an older woman attending nursing school after her children grew up. Her previous career? A lactation consultant! A professional lactation consultant had randomly been assigned my room!
She was only expected to watch the real nurse in action, and instead my Angel took action. She pulled it out, set it up, and shooed everyone out of the room so I could have some privacy while the machine extracted liquid gold nourishment for my baby. Now I had two bottles of milk. She got a medical bucket and filled it with ice and placed my bottles in there to keep them cold.
The next time I needed to pump I ran into a problem: I ran out of bottles. At first the nurses tried to find a plastic bag to collect the milk, but nothing fit.
I was set. New bottles. The next logistical complication was how could I keep the milk cold and then how to get it home to my baby?
A helpful nurse took one of those pink plastic bins at the hospital and filled it with ice for me. We kept the milk in there. Then whenever someone visited me from my neighborhood, they kindly took my milk home so my baby could drink it. Finally I was released from the hospital and allowed to go home to nurse my baby. Everything went fine until…. My platelets crashed again. They had to try a higher dose of prednisone or dexamethasone to see if it would put my platelets back into the normal range.
A normal dose would have probably left my milk supply intact. But this super high dose shocked my system. Prednisone shut down my milk-making factory. I completely dried up. At that point, I had gone through so much physically and emotionally to keep my baby breastfed, I wanted to continue to do so. But there was nothing to give.
No milk would come out, no matter what. I made the heartwrenching decision to quit breastfeeding my baby since there was no milk left. I consulted with my midwife, prayed about it, and finally decided that it was time to stop. Eventually we found a tolerable formula, but it took a while. And now I could no longer do that. Just as soon as my baby started to tolerate the formula, an ironic thing happened. Several days later, guess what?
I needed to heal from this ordeal, and my baby needed to finish the transition. I learned a lot about myself and about how other mothers feel. Which brings me back to the first principle…. You are being redirected to our trusted and authorized Nutranize product website. The Nutranize website is designed, constructed and endorsed by Dr. Megan Milne, the Prednisone Pharmacist. Please grant us just a few seconds to get you there. What to do when prescribed a new drug while breastfeeding This article is for a young mother prescribed a drug like prednisone while breastfeeding who is not sure what to do.
Principle 1: Never judge another woman for her choice to breastfeed or bottle feed. We have no idea why a woman might choose one way to nourish her child over the other. I had no idea how much this story foreshadowed my own life. Ten Years Later… One weekend I was flat on my back with a degree fever, my body infected by mastitis. Round Two As I neared the end of the course of antibiotic, the unfathomable happened: I got mastitis again, but on the other side!
Red Dot Rash First my neck looked like a million red dots suddenly appeared. A painless red, flat rash which spread from my neck down to my ankles, shown here on my knee; called petechiae. A painless bruise on my thigh not from injury but from internal bleeding; called ecchymoses. Low Platelets Two hours after that, their office assistant frantically tracked me down to tell me my platelets were super low 12, with a normal range of and I needed to be seen by my general doctor.
Hospitalization While Breastfeeding Receiving urgent care, the medical team gave me donor platelets, 60 mg of prednisone, and sleeping pills to deal with the imminent insomnia caused by the prednisone.
Principle 2: Medical providers should support breastfeeding whenever possible.
localhost › books › NBK No adverse effect have been reported in breastfed infants with maternal use of any corticosteroid during breastfeeding. With high maternal doses. According to the National Library of Medicine, there's no evidence that taking prednisone while breastfeeding causes harm to the baby. However, there's a chance. Prednisolone passes into breast milk in small amounts. It has been used for many years in breastfeeding women without side effects in their babies. So far, prednisone therapy has not been associated with any short-term or long-term complications in babies. But the mother can develop side. So if you are taking steroids at the time of delivery be sure to let your health care team know as your baby may need a tapering course of steroids after birth. New bottles. The Nutranize website is designed, constructed and endorsed by Dr. Less is known about budesonide, but a small study of eight pregnant women did not find an increased risk of adverse outcomes. I was admitted into the hospital and told I had ITP and that I needed to stay for about a week — a week!This information can also be viewed as a PDF by clicking here. The information provided is taken from various reference sources. It is provided as a guideline. No responsibility can be taken by the author or the Breastfeeding Network for the way in which the information is used.
Clinical decisions remain the responsibility of medical and breastfeeding practitioners. The data presented here is intended to provide some immediate information but cannot replace input from professionals.
Prednisolone is a corticosteroid used to treat a variety of conditions including asthma, inflammatory bowel disease, allergic reaction and rheumatoid disease. It can be life-saving. Sometimes it is used as a short course of 40mg eight tablets of 5mg taken once daily but may also be used long term at gradually reducing doses in chronic conditions. Prednisolone is extensively bound to plasma proteins and passes into breastmilk in small quantities.
Maternal doses of prednisolone up to 40 mg produce low levels in milk and would not be expected to cause any adverse effects in breastfed infants Greenberger et al. High-dose steroids more than 40 mg are rarely necessary long term and so can be used in breastfeeding. The maximum level in breastmilk occurs one hour after dosage. Even at a maternal dose of 80 mg the maximum level of drug in breastmilk was recorded by Ost was microgramme per litre. Prednisolone is licensed at a dose of 2 mg per kilogramme to a maximum of 60 mg in children over the age of 2 years.
With prolonged high doses over 40 mg monitoring of the infant for growth may be advisable but no reports of problems have been reported in the literature and this may be only a theoretical problem Committee on Safety of Medicines, Medicines ControlnAgency This recommendation refers to direct levels administered to the child and not to the level being taken by a breastfeeding mother.
The benefit of treatment with corticosteroids during pregnancy and breastfeeding outweighs the risk to the baby. The BNF states that prednisolone appears in small amounts in breastmilk but maternal doses of up to 40 mg daily are unlikely to cause systemic effects in the infant; infants should be monitored for adrenal suppression if the mothers are taking a higher dose.
Prednisolone can be taken by a breastfeeding mother in doses up to 40mg a day to treat asthma, rheumatoid arthritis, inflammatory bowel disease or for an allergic reaction. This website uses cookies to improve your experience but you can opt-out if you wish. Close Privacy Overview This website uses cookies to improve your experience while you navigate through the website.
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