International Board of Certified Lactation Consultant (IBCLC) Practice Exam

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Which of the following is NOT a recommended resource when checking medication compatibility with breastfeeding?

  1. Hale's Medications and Mothers' Milk

  2. LactMed

  3. Trash the Pump and Dump

  4. e-lactancia

The correct answer is: Trash the Pump and Dump

The correct choice indicates that "Trash the Pump and Dump" is not a recommended resource when checking medication compatibility with breastfeeding. The phrase "pump and dump" refers to a practice where a breastfeeding mother removes milk to relieve fullness or discomfort after taking medication, then discards the milk, believing it to be contaminated or unsafe for the infant. However, this approach is often unnecessary or misguided, as many medications are safe for use during lactation, and the practice can lead to decreased milk supply and unnecessary waste. In contrast, resources like Hale's Medications and Mothers' Milk, LactMed, and e-lactancia provide evidence-based information on the safety of various medications during breastfeeding. These references include detailed assessments of drug levels in breast milk, potential effects on nursing infants, and guidance on safe medication use while breastfeeding. Utilizing these reliable resources helps healthcare professionals and breastfeeding mothers make informed decisions about medication use, ensuring that both maternal health and infant safety are prioritized.