Jack Newman: Breastfeeding

All Purpose Nipple Ointment (APNO)

We call our nipple ointment "all purpose" since it contains ingredients that help deal with multiple causes or aggravating factors of sore nipples. "Good medicine" calls for the single "right" treatment for the "right" problem, true enough, but mothers with sore nipples don't have time to try out different treatments that may or may not work, so we have combined various treatments in one ointment.

Nipple Shields

The point is to get a baby well latched. We believe a nipple shield does not allow for this. Unfortunately, it is still true in our opinion that it is often not best practice to use a nipple shield and it is the considered opinion of our clinic and institute that nipple shields need hardly ever, if ever, be used.

Breastfeeding the Premature Baby

Too often mothers have preventable problems with breastfeeding. Many hospital routines make it difficult for mothers and babies to breastfeed successfully. When the baby is born prematurely, mothers may have even more difficulty with breastfeeding, and this is unfortunate because premature babies need breastmilk and breastfeeding even more than healthy full term babies.

AntiDepressants during pregnancy

I recently read the entry regarding antidepressants and breastfeeding, which was tremendously helpful. I am not pregnant yet, but I will begin trying soon. I am currently on 5 mg of Lexapro for anxiety (I am only 95lbs, so this dose really does help). I will need to stay on the medication during pregnancy and mostly likely beyond. I've been reading that there are certain antidepressants that are noted to be safer than others for the baby. I haven't seen anything on Lexapro. Do you know anything about this medication and its safety?

Thank you!

Fluconazole

Fluconazole (Diflucan™) is a synthetic antifungal agent that can be used for the treatment of a variety of Candida albicans and other fungal infections. For the breastfeeding mother in particular, it can be used to treat recurrent Candida infections of the nipples...

Domperidone: Stopping

When domperidone was being used for babies (and now that cisapride is off the market, it is being used again), it was common for the babies to be on the medication for several months. Since the amount of domperidone that gets into the milk is very small indeed, from the baby's point of view, there should...

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