Crazy Recommendations and Straight Talk on Immunities in New Borns

This week I received a telephone call from a relative.  Her first grandchild will be born in late September.  She learned that the pediatrician chosen has recommended no one be allowed to see the baby until it is six months old!!!!!  No grandmas, aunts, uncles; no one. She and the other grandma have no other grandchildren.  They are devastated!!!

The death rate among infants from COVID is minuscule.  In California not a single child has died of the virus.  Why on earth would a young family be told not to allow anyone to see their baby?  As a doula, this not only sounds strange it sounds dangerous.  Aunts and grandmas are invaluable to new mommies.  Their experience, support and advice are a great source of encouragement to young mothers.  In addition, they are the ones who care for baby while exhausted mommy and daddy rest up.  Family members do the cooking and laundry, they shop, they share information learned when they were young parents.  I ask again, how could this exclusion of all family members even be considered?

I don’t have the details but perhaps the pediatrician has no children?  Perhaps she missed the the med-school unit on the necessity of emotional and practical support of patients?  I have no idea, but I am flabbergasted!!  I will do some research and try to figure out what is up.

Below find some interesting articles on immunities in infants.  More information to come:

20 Things To Know About Baby’s Immune System

Understanding some key points about a baby’s health and that bitty body’s ability to protect itself can be reassuring and helpful.   By Amy Smith    Dec. 23, 2018

https://www.moms.com/20-things-to-know-about-babys-immune-system/

How Breast Milk Protects Newborns

Written by Jack Newman, MD, FRCPC

https://kellymom.com/pregnancy/bf-prep/how_breastmilk_protects_newborns/

 

 

 

Alcohol and Breastfeeding

There are many articles and opinions on the consumption of alcohol when breastfeeding.  Often new moms are confused by the discussion.  Many say no alcohol at all.  Scientific research says a little is OK.  Your pediatrician my have another opinion.  This is one of those areas where you have to decide for yourself what you think is best for you and your baby.  Below are articles from several sources discussing this topic.

Personally I believe those who are saying no alcohol at all are doing so because of the danger of a mom not understanding her own situation with alcohol.  Drinking alone as a new mom is not a good thing.  Drinking strong alcohol is not good, you need to be aware of your self and your baby.  If you have any tendencies toward over drinking, if you have ever had a problem with drinking, if you are unable to control your drinking my recommendation is stay 100% away from any alcohol.  The risks are not worth a drink.  For alcoholics their ability to discern their own desire or need for alcohol is skewed.  If you think you might be in this category please do not drink.  Please seek help.  Please be honest with yourself, this is really tough to do.  Out of love and concern for your baby do not allow yourself to get into trouble.

Being a new mommy is the most wonderful thing.  Having a precious little one to love and care for is an incredible joy.  It is also exhausting and stressful.  Alcohol is not a way to deal with this stress.

If you and your family enjoy a small glass of wine with dinner as a relaxing and social time science would say that is OK.  You are in the company of others so you will tend not to over drink.  Your baby will not be alone.  The risks to you and your baby are low.  Again, this is if you are being honest with yourself and do not have a drinking problem.

My personal recommendation would be wine only and in small amounts: one small glass per day.    Strong drink impairs your ability to function.  You have to be at 100% to take care of yourself and your little one.  I would never recommend drinking alone, only in a social situation where there are others present.  Read the articles below and share any you have found.  This is a controversial topic.  We can all learn more as we go.

JUDY

 

www.cdc.gov › vaccinations-medications-drugs › alcohol

Generally, moderate alcohol consumption by a breastfeeding mother (up to 1 standard drink per day) is not known to be harmful to the infant, especially if the mother waits at least 2 hours after a single drink before nursing.

Anything you eat or drink while you’re breastfeeding can find its way into your breast milk, and that includes alcohol. An occasional drink is unlikely to harm your breastfedbaby. … To keep health risks from alcohol to a low level, it’s safest not to drink more than 14 units a week on a regular basis.

 

Breastfeeding and drinking alcohol-Your pregnancy and baby guide

https://www.nhs.uk/conditions/pregnancy-and-baby/breastfeeding-alcohol/

 

Alcohol

Not drinking alcohol is the safest option for breastfeeding mothers. However, moderate alcohol consumption (up to 1 drink/day) is not known to be harmful to the infant.

https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/alcohol.html

 

Breastfeeding and Alcohol

By Kelly Bonyata, IBCLC

https://kellymom.com/bf/can-i-breastfeed/lifestyle/alcohol/

 

 

 

 

 

COVID CASES IN CALIFORNIA………

In the state of California not one child has died from COVID 19!!! Think of that: 39.51 million people; 366,000 cases of the virus, 7,500 deaths.  Yet, according to state statistics, not one person under the age of 18 has died!!  Have you heard that anywhere?  Yet, schools will not be open in the Fall……………Why?

 

Controversy: How Long After Their Expiration Dates Are Medications Actually Usable?

The answer to this often asked question will surprise you!!!!  Please read each of the attached articles and do you own research.  You are responsible for your choices in the use of any medications, supplements, and other items.  However, generally, medications in pill or capsule form are potent for several years past their written expiration date.  The articles below show in some cases medications retain up to 90% of their potency for up to 15 years!!!!.  Liquid based medications do not maintain their potency nearly as long.  Read this information and do your own research before you decide how you will respond.

Why is this information valuable to you?

https://www.drugs.com/article/drug-expiration-dates.html

1.In life and death situations, such as extreme allergic reaction, a life could be saved even if the EipPen is expired.  There won’t be many cases as extreme as this, but having the confidence to use an expired EPI Pen, understanding that the fact it is expired does not mean is it dangerous, could literally save a life!

2017 research on expired EpiPens has been published. A small evaluation of almost 40 expired, unused EpiPens gathered from patients showed that the pens retained 80% of their initial dose of epinephrine, some for up to four years past the expiration date on the device. The lowest level of epinephrine was found in an EpiPen Jr. 30 months past its expiration date; it retain over 80% of it’s original epinephrine dose. About 65% of the EpiPens and 56% of the EpiPen Jrs. contained at least 90% of their initial dose.

In a life-threatening allergic situation, if there is no other option, use of an expired EpiPen should be considered if it is the only auto-injector available and there are no discoloration or precipitates seen in the solution. In this case, the potential benefit of saving a life is greater than the potential risk of death by not using.

2.  Expense. Families need to make the best of their resources and finances.  If your medications are almost expired it is good to know they are not dangerous.  They may be a bit less potent than when purchased, but they are not harmful.  The same for items like Aspirin, Advil, Tylenol, Melatonin, etc.   We have been taught to believe these items are harmful if they are “expired”.  The aforementioned Harvard study reveals this simply is not the case.  Again, it is important you review information on this topic and come to your own decision as to how you wish to proceed.

3.  Peace of Mind:  When you have a splitting headache and the medication you have on hand is expired you can confidently know what you have is better than nothing. It will relieve your headache, toothache, or other pain better than not taking the medication.  According to the research information at hand if in good condition what you have should not harm you.

The U.S. Air Force started a study in 1985 and later extended it to other military services in the early 1990s. The military had gathered a stockpile of medications worth more than a billion dollars that were close to or past their expiration dates. No one wanted to throw away expensive medications that might still be safe and effective. So the drugs were extensively tested with oversight by the U.S. Food and Drug Administration (FDA).

The verdict? Most medications were still good nearly 3 years past their expiration dates.

The only articles I could find refuting this information are below.  They are written by pharmacists rather than MDs or researchers.

 

 

Harvard Health Studies                                                         https://www.health.harvard.edu/staying-healthy/is-it-ok-to-use-medications-past-their-expiration-dates

Is it ok to use medications past their expiration dates?

 

 

https://www.health.harvard.edu/staying-healthy/drug-expiration-dates-do-they-mean-anything

Drug Expiration Dates — Do They Mean Anything?

FDA study gets to the heart of expired medicine and safety

Published: November, 2003

 

 

MEDICAL PRESS.COM  OCTOBER 25, 2018

Can I still use prescription drugs after they expire?

https://medicalxpress.com/news/2018-10-prescription-drugs-expire.html      The Harvard Medical School republished a well-worn article in August that recounted a 1985 study in which the U.S. Food and Drug Administration (FDA) looked to pinpoint expiration dates for more than 100 drugs in an effort to unburden the U.S. military from some of the exorbitant annual costs of replacing its pharmaceuticals.

The study showed that 90 per cent of more than 100 drugs, both prescription and over-the-counter, were fine to use well after expiry dates had passed, and in some cases more than 15 years after the expiration date had come and gone.

 

LIVE SCIENCE    Does Medicine Really Expire?    By Megan Gannon – Live Science Contributor March 24, 2019

https://www.livescience.com/65052-why-do-medicines-have-expiration-dates.html

But not everyone knows that, so poison control centers occasionally get calls from people who are concerned because they accidentally took expired medication, said Lee Cantrell, director of the San Diego Division of the California Poison Control System.

“The last time I checked, I haven’t seen any peer-reviewed documentation of expired medicine causing any problems in people,” Cantrell told Live Science. The effectiveness of medicines, however, may degrade over time, but there are few studies on the issue, he said.

That said, several years ago, Cantrell had a rare opportunity to examine an old stash of drugs — including antihistamines, pain relievers and diet pills — found in the back of a pharmacy.

“We found that those medications, some of them at least 40 years past their manufacture date, still retained full potency,” Cantrell said. That study was published in the journal JAMA Internal Medicine in 2012. Cantrell published another study in 2017 showing that EpiPens — the expensive auto-injectors used to treat life-threatening allergic reactions — retained 84 percent of their potency more than four years past their expiration dates, suggesting that in an emergency, an expired EpiPen would be better than nothing.