Speaker Type: Breastfeeding Medicine: Advancing Your Level of Care Lecture Pack
Country: United States
Biography:
Sarah Reece-Stremtan MD is an associate professor of pediatrics and anesthesiology at the George Washington University in Washington DC. Her clinical practice is centered at Children's National Hospital in DC, where she works as a pediatric anesthesiologist, acute pain physician, and acupuncturist. She has particularly strong interests in perioperative preservation of breastfeeding, with specific expertise in safety of anesthesia and analgesia medications used by breastfeeding mothers. She has spoken at Congressional Briefings on the need for enhanced research into the use of medications by breastfeeding and pregnant women, and sits on working group #4 within a federal task force developed to enhance Research Specific to Pregnant Women and Lactating Women (PRGLAC).
She has long been involved with the Academy of Breastfeeding Medicine, authoring multiple clinical protocols, chairing various committees, and most recently serving as Treasurer for 2 terms after 5 years as a member of the Board of Directors.
Many women plan to use various pain medications during labour, with epidural analgesia being the most common type of pain relief utilized in many North American hospitals. Medications used for pain relief during labour cross transplacentally to the infant, with varying effects demonstrated on infants and mothers with regards to breastfeeding. Here we will take a closer look at what is involved in pain transmission signals, the medications that help with pain relief during labour, and the effects of these medications on initiation of breastfeeding. We will discuss issues relating to cesarean delivery, and we will also spend a little time at the end reviewing considerations around general anesthesia for breastfeeding mothers.
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