| Titre : | ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017 (2017) |
| Auteurs : | Academy of Breastfeeding Medicine, Auteur ; Sarah Reece-Stremtan, Auteur ; Matilde Campos, Auteur ; Lauren Kokajko, Auteur |
| Type de document : | Article : texte imprimé |
| Dans : | Breastfeeding Medicine (Vol 12, n°9, Novembre 2017) |
| Article en page(s) : | pp. 500-506 |
| Note générale : | "A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols, free from commercial interest or influence, for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient." [Note de l'éditeur] |
| Langues: | Anglais |
| Catégories : | Analgésique ; Anesthésie ; Anesthésique ; Antalgique ; Anti inflammatoire ; Chirurgie (Spécialité) ; Composition du lait ; Douleur ; Hospitalisation ; Médicament ; Période postnatale ; Période prénatale ; Prise en charge de la douleur ; Protocole ; Recommandation ; Thérapeutique médicamenteuse ; Thérapeutique médicamenteuse de la mère ; Toxique |
| Note de contenu : | "There is little rigorous information in the scientific literature about anesthesia or procedural sedation in breastfeeding mothers. Recommendations in this area typically focus on pharmacologic properties of anesthetic agents, limited studies of milk levels, and rare infant effects. In addition to medication concerns, additional perioperative considerations may impact a breastfeeding dyad's continued breastfeeding success when a mother undergoes anesthesia or sedation. Despite the lack of controlled studies regarding outcomes of breastfeeding in mothers receiving anesthesia, multiple review articles conclude that most mothers may safely breastfeed immediately following anesthesia.1–8 (IV) (Quality of evidence [levels of evidence IA, IB, IIA, IIB, III, and IV] is based on levels of evidence used for the National Guidelines Clearing House and is noted in parentheses.)9 Most recommendations for breastfeeding in the perioperative setting come from expert opinion rather than from extensive studies or trials. Up-to-date information on specific medications can be found on the United States National Library of Medicine website LactMed,10 with additional resources listed in Table 1. Medication guidelines discussed in this protocol may be extended to mothers in the immediate postpartum period; however, specific considerations for this population are detailed in ABM Protocol #28, Peripartum Anesthesia and Analgesia for the Breastfeeding Mother. The focus of this protocol is on anesthesia and analgesia for breastfeeding mothers outside the postpartum period." [Présentation de l'auteur] |
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