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Drying Milk, Drying Tears: Lactation in the Face of Loss

Drying Milk, Drying Tears: Lactation in the Face of Loss. HRPP/NICP Annual Meeting May 3, 2013. Randie Shapiro Kreifels, BS, IBCLC Breastfeeding Coordinator Arizona Department of Health Services 602.364.3316 Randie.kreifels@azdhs.gov. My Inspiration. Where do we start?.

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Drying Milk, Drying Tears: Lactation in the Face of Loss

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  1. Drying Milk, Drying Tears:Lactation in the Face of Loss HRPP/NICP Annual Meeting May 3, 2013

  2. Randie Shapiro Kreifels, BS, IBCLC Breastfeeding Coordinator Arizona Department of Health Services 602.364.3316 Randie.kreifels@azdhs.gov

  3. My Inspiration

  4. Where do we start? • 2001-Palliative care protocol published in the Journal of Neonatology. • 10-step protocol to ease suffering of babies and mothers alike • Lactation not addressed

  5. Pregnancy Loss • When babies are born at term, it is the pediatrician that focuses on infant feeding with the parents, not the obstetricians. • When a pregnancy ends without a live baby, there is no pediatrician. • Who talks to mom about her breasts? • No one.

  6. History • Prior to the 1990’s the method of choice was bromocriptine. • Side effects, including DVTs, seizures and other brain-related issues caused it to be taken off the market for lactation supression.

  7. Research??? • There is no solid research on the efficacy of any lactation suppression methods, either pharmacological or non-pharmacological.

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