title: Drugs in Breast Milk.
abstract: Most drugs appear in breast milk in very small and safe amounts. The obstetric care provider evaluates drug transfer most commonly in the peripartum period, postpartum hospitalization; and they are often consulted when the new mother has a subsequent need for drug therapy. The chapter provides the foundations for the safest decisions for the mother and her breastfed infant. The foundation of safe decisions is accomplished through a review of the physiology of lactation, the lactation pharmacology, and the specific pharmacology and infant safety of drugs common to everyday obstetric practice.
authors.affiliation: *Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina †Department of Pediatrics, School of Medicine, Texas Tech University, Lubbock, Texas.
authors.forename: Edward R
authors.initials: ER
authors.lastname: Newton
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Hale
mesh_terms: D000700:Analgesics / Q000494:pharmacology; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D000925:Anticoagulants / Q000494:pharmacology; D000927:Anticonvulsants / Q000494:pharmacology; D000928:Antidepressive Agents / Q000494:pharmacology; D000959:Antihypertensive Agents / Q000494:pharmacology; D014150:Antipsychotic Agents / Q000494:pharmacology; D001942:Breast Feeding / Q000009:adverse effects; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000494:pharmacology; D007231:Infant, Newborn; D007774:Lactation / Q000502:physiology*; D008895:Milk, Human / Q000737:chemistry*; D057985:Multi-Ingredient Cold, Flu, and Allergy Medications / Q000494:pharmacology
chemical_list: D000700:Analgesics; D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D000927:Anticonvulsants; D000928:Antidepressive Agents; D000959:Antihypertensive Agents; D014150:Antipsychotic Agents; D007004:Hypoglycemic Agents; D057985:Multi-Ingredient Cold, Flu, and Allergy Medications