Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/725
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dc.contributor.authorDimond, Reneeen
dc.contributor.authorVan Dyk, Eleanoren
dc.date.accessioned2015-06-25T04:40:25Zen
dc.date.available2015-06-25T04:40:25Zen
dc.date.issued2014en
dc.identifier.govdoc00702en
dc.identifier.urihttp://hdl.handle.net/11054/725en
dc.description.abstractObjective To promote breastfeeding friendly prescribing in a regional general hospital following a case where a mother was advised not to breastfeed as a result of pharmacological interventions required postpartum. Clinical features, case progress and outcomes JH, a 27-year-old Caucasian female (gravida 3, para 3) delivered a healthy term infant post-elective caesarean section (CS) for polyhydramnios and macrosomia. Past medical history includes rosacea, endometriosis and obesity. She was noted to be tachycardic perioperatively, which persisted post CS. Electrocardiogram showed rapid atrial fibrillation requiring 2 doses of intravenous amiodarone 150mg, following which she was advised not to breastfeed by medical staff, despite her strong desire to do so. However after clinical pharmacy review, JH elected to commence breastfeeding. She remained tachycardic despite repeat doses of intravenous metoprolol and required cardioversion at 24 hours postpartum, and commencement of bisoprolol. Transthoracic echocardiogram showed low-normal left ventricular ejection fraction for which she was to continue regular bisoprolol and perindopril. However consultation between medical staff and clinical pharmacy resulted in a change to metoprolol and enalapril to support continued breastfeeding. Interventions As a result of this case, a ‘breastfeeding mother’ alert sticker and supporting clinical practice guideline (CPG) was developed to promote breastfeeding friendly prescribing within the organisation. The sticker is to be attached to all medication charts of breastfeeding patients to act as a prompt for prescribers to consider the use of medications compatible with breastfeeding where possible. The CPG assists clinical staff with navigating references to determine suitable medications for breastfeeding mothers. Conclusion The innovation of a ‘breastfeeding mother’ alert sticker makes identification of breastfeeding status easily recognisable. Where possible a mothers desire to breastfeed should not be compromised by her need to take medications; rather choice of medication should be adjusted to enable breastfeeding to continue safely for both mother and infant.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2015-06-23T00:06:31Z No. of bitstreams: 1 ReneeDimond_SHPA presentation.pdf: 2815007 bytes, checksum: c0d733d17265882b5e1622212005edc3 (MD5)en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2015-06-25T04:40:25Z (GMT) No. of bitstreams: 1 ReneeDimond_SHPA presentation.pdf: 2815007 bytes, checksum: c0d733d17265882b5e1622212005edc3 (MD5)en
dc.description.provenanceMade available in DSpace on 2015-06-25T04:40:25Z (GMT). No. of bitstreams: 1 ReneeDimond_SHPA presentation.pdf: 2815007 bytes, checksum: c0d733d17265882b5e1622212005edc3 (MD5) Previous issue date: 2014en
dc.titlePromoting breastfeeding friendly prescribing in a baby friendly health initiative accredited hospital.en
dc.typeConferenceen
dc.type.specifiedPresentationen
dc.bibliographicCitation.conferencedateSeptember 11-14, 2014en
dc.bibliographicCitation.conferencenameThe 40th SHPA National Conference: Medicines Management 2014en
dc.bibliographicCitation.conferenceplaceDarwin, Northern Territoryen
dc.subject.healththesaurusBREASTFEEDINGen
dc.subject.healththesaurusMEDICATIONen
dc.subject.healththesaurusMEDICATION MANAGEMENTen
dc.subject.healththesaurusMOTHERSen
dc.subject.healththesaurusPOLYHYDRAMNIOSen
dc.subject.healththesaurusPREGNANCYen
dc.subject.healththesaurusREFERRAL AND CONSULTATIONen
dc.subject.healththesaurusTACHYCARDIAen
dc.subject.healththesaurusPOSTPARTUM PERIODen
dc.subject.healththesaurusCLINICAL PRACTICE GUIDELINEen
dc.date.issuedbrowse2014-01-01en
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