Abstract
Dr. Dalal cites literature and guidelines for minimizing the effects of short-term postpartum opioid use, with several studies reporting that single-dose administration may have no detrimental effects on the neonate. In the case of opioid prescription for chronic pain, repeated doses and long-term use are likely. Dr. Dalal notes that caution should be advised in nursing mothers who require repeated opioid dosing. The question is how one interprets “caution.” While the literature often cites careful monitoring for infant drowsiness or other indices of central nervous system depression, these recommendations are predicated on the assumptions that any risks are transitory and minimal as long as …
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