Ob/Gyn Medical News about Breast Feeding Codeine

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Taxane-based combinations as adjuvant chemotherapy of early breast cancer: a meta-analysis of randomized trials

3. Gene expression signatures, clinicopathological features, and individualized therapy in breast cancer

4. 2008 Exclusive Survey—Earnings: Good news for primary care income

5. Paclitaxel plus bevacizumab versus paclitaxel alone for metastatic breast cancer

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Guidelines for maternal codeine use during breastfeeding
Canadian Family Physician, 11/13/09

Madadi P et al. – Codeine is widely used for postpartum pain, mostly in combination with acetaminophen. Tylenol No. 3 is the most common codeine–acetaminophen combination in clinical use. Recent research from Motherisk suggests that codeine might not be safe for all breastfed infants, as in a minority of cases it might cause CNS depression and apnea. A minority of mothers might convert more codeine to morphine in their bodies, putting their babies at risk of side effects or even death. Infants appear to be more sensitive to the effects of narcotic opioids, such as morphine, than older children or adults...As the postpartum length of hospital stay has decreased in Canada, the onus for providing a safe and effective analgesic for maternal outpatient use has increased. The strategy of replacing codeine with another opioid analgesic is troublesome in the absence of safety data and clinical experience. However, if codeine is to remain the first–line treatment of postpartum pain, practitioners, as well as patients, should be educated on its risks.

Next >>
Urgent Termination of Pregnancy in Pre-eclampsia and Panel of...