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Breastfeeding Moms Breastfeeding Moms

getting sedated

Posted by on Apr. 24, 2013 at 6:19 PM
  • 5 Replies
So next Thursday I'm having some dental work done and I will be put to sleep for it ( I am extremely scared and hyperventilate ) so I'm worried about breast feeding after. I'm thinking I won't be able to nuse for awhile. So does anyone have any ideas how long I'll have to pump and dump? Also I have plenty of milk already stored but she fights the bottles, so if I can't nurse is there any good tips on getting her to take a bottle of breast milk a little easier? I'm really scared about this but I have to get this work done.
by on Apr. 24, 2013 at 6:19 PM
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K8wizzo
by Kate on Apr. 24, 2013 at 6:23 PM
1 mom liked this

You don't need to pump and dump at all.  As soon as you are alert enough to hold baby, you are safe to nurse. 

Dental Work and Breastfeeding

JULY 29, 2011. Posted in: ILLNESS, SURGERY & MEDICAL PROCEDURES,MOM'S HEALTH

(x-rays, local anesthesia, sedation and more)

By Kelly Bonyata, IBCLC

Both x-rays and novocaine (and other drugs used for local anesthesia, such as bupivacaine andlidocaine) are considered to be compatible with breastfeeding.

Most medications used for oral and IV sedation are considered compatible with breastfeeding.

Nitrous oxide (laughing gas) sedation is also considered to be compatible with breastfeeding. It is virtually insoluble in the bloodstream, which means it goes from your brain to your lungs to the room air immediately after you stop breathing it in. Per Hale, “it is rapidly eliminated from the body due to rapid exchange with nitrogen via the pulmonary alveoli (within minutes). A rapid recovery generally occurs within 3-5 minutes… Ingestion of nitrous oxide orally via milk is unlikely.” See Conscious Sedation for more information.

A mother who has wisdom tooth surgery should not need to interrupt breastfeeding at all (except during the surgery, of course). To minimize baby’s exposure (and increase mom’s comfort), mom can nurse just before she goes in for the procedure. There is no need to wait on breastfeeding afterwards or to pump and dump — mom can nurse as soon as she feels alert enough to hold baby. See Breastfeeding when mom has surgery for more information on breastfeeding and general anesthesia.

There are many pain medications compatible with breastfeeding. See Pain medications and breastfeeding for more information.

Additional information

@ other websites

Research

Giuliani M, Grossi GB, Pileri M, Lajolo C, Casparrini G. Could local anesthesia while breast-feeding be harmful to infants? J Pediatr Gastroenterol Nutr 2001 Feb;32(2):142-4. Conclusion: “This study suggests that even if a nursing mother undergoes dental treatment with local anesthesia using lidocaine without adrenaline, she can safely continue breastfeeding.”

Ortega D, Viviand X, Lorec AM, Gamerre M, Martin C, Bruguerolle B. Excretion of lidocaine and bupivacaine in breast milk following epidural anesthesia for cesarean delivery. Acta Anaesthesiol Scand 1999 Apr;43(4):394-7. Conclusion: “This study documents the magnitude of excreted lidocaine, bupivacaine and PPX in breast milk, and indicates that the use of both lidocaine and bupivacaine for epidural anaesthesia is safe with regard to breast-feeding.”

Lebedevs TH, Wojnar-Horton RE, Yapp P, Roberts MJ, Dusci LJ, Hackett LP, Ilett K. Excretion of lignocaine and its metabolite monoethylglycinexylidide in breast milk following its use in a dental procedure. A case reportJ Clin Periodontol 1993 Sep;20(8):606-8. “Nursing mothers receiving lignocaine for standard dental procedures can be advised that continuation

carranzasfaith
by on Apr. 24, 2013 at 6:26 PM
2 moms liked this
Oh wow thank you, that makes me very happy. :)
aehanrahan
by Group Mod - Amy on Apr. 24, 2013 at 8:06 PM
Kate gave you the best information on this! You can nurse as soon as you can safely hold your baby.
Posted on CafeMom Mobile
mamabens
by Miranda on Apr. 24, 2013 at 9:06 PM

As soon as you are awake enough to hold her you can nurse. No need to pump and dump

mostlymaydays
by Group Mod-Stacy on Apr. 24, 2013 at 9:34 PM

And don't worry if the dentist tells you otherwise. The information posted above is accurate and well-researched. Breastfeeding patients make up such a tiny minority of a dentist's patients so they are not researching all this stuff in their free time. Often they are repeating the same advice they've been giving for 40 years, that they heard another dentist say, who said it for 40 years himself. I weaned my first earlier than I wanted because when I had my wisdom teeth out they told me I couldn't breastfeed on Vicodin, which now 13 years later, I know is totally inaccurate advice. It is easier to say "well, pump and dump for 3 days" or "just switch to formula" because they aren't seeking current research, they are used to the CYA (cover your @ss) mentality regarding liability, and they often just don't see the difference between breastfeeding and formula and don't think it's a big deal. 

Quoting carranzasfaith:

Oh wow thank you, that makes me very happy. :)


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