Re: breastfeeding on MgSO4

From: Efrain Ramirez (eramirez@icepr.com)
Fri Mar 23 18:50:50 2001


Agree http://www.perinatology.com/exposures/druglist.htm

At Fri, 23 Mar 2001, ainsron@msn.com wrote: >
>Your pediatricians need to review the literature, it is not
>contraindicated. This is a summary from Briggs, Drugs in Pregnancy and
>Lactation:
>Breast Feeding Summary
>Magnesium salts may be encountered by nursing mothers using
>over-the-counter laxatives. A study in which 50 mothers received an
>emulsion of magnesium and liquid petrolatum or mineral oil found no
>evidence of changes or frequency of stools in nursing infants (33). In
>10 preeclamptic patients receiving magnesium sulfate, 1 g/hour IV during
>the first 24 hours after delivery, magnesium levels in breast milk were
>64 µg/mL as compared with 48 µg/mL in nontreated controls (34).
>Twenty-four hours after stopping the drug, milk levels in treated and
>nontreated patients were 38 and 32 µg/mL, respectively. By 48 hours,
>the levels were identical in the two groups. Milk:plasma ratios were
>1.9 and 2.1 in treated and nontreated patients, respectively. The
>American Academy of Pediatrics considers magnesium sulfate to be
>compatible with breast feeding (35).
>
>At Thu, 22 Mar 2001, elizabeth bary wrote:
>>
>>Thanks to everyone who responded to my earlier inquiry about the support for
>>homebirths, seems the MD's were right about that one, can't do it due to
>>liability.
>> New dilemma: Anyone know of resources supporting breastfeeding while mom
>>is on MgSO4 therapy. Our pediatricians refuse to allow it, some require a
>>24 hour waiting period after discontinuation, however one of my docs says he
>>was taught in residency that that practice has no foundation in fact. Can't
>>find references to present to Peds, anyone?
>>Beth Bary CNM
>>Jeffersonville, IN
>
>--
>Ronald E. Ainsworth, MD
>

--
"Life is neither the notes nor the silence between the notes, but the music that
 arises out of sound and silence felt as a living whole. Stop choosing...between
 chaos and order, and live at the boundary between them, where rest and action
  move together..." David Whyte




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Dec 2 04:49:49 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.