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Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.


woomen

Is it allowed to take Ethinylestradiol during lactation?
Is it safe for a nursing mother and a child?

Synthetic estrogen that has a similar action as estradiol. Used in combination with progestogens for contraception. Ethinylestradiol is excreted in small or no amount into breast milk.There is evidence (albeit inconsistent) that estrogen-containing pills may decrease milk production, especially during the first few weeks postpartum with a daily dose above 30 micrograms of ethinyl estradiol.It may reduce the protein content of the milk.No problems have been observed in infants whose mothers were treated, except some cases of transient gynecomastia in infants whose mothers were receiving a higher dose than usual. During lactation progestin-only drugs are preferred or in combination with estrogen for birth control, but whatever, the ones with the lower doses of estrogen should be used.For the first 6 weeks postpartum, non-hormonal methods are of choise.

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woomen

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

Trade Names

The main trade names in different countries containing in its composition Ethinylestradiol:

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/25793657
  2. http://www.ncbi.nlm.nih.gov/pubmed/26002804
  3. http://www.ncbi.nlm.nih.gov/pubmed/26390248
  4. http://www.ncbi.nlm.nih.gov/pubmed/25551519
  5. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/13-contraception-and-breastfeeding-protocol-english.pdf
  6. https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/13-contraception-and-breastfeeding-protocol-spanish.pdf
  7. http://www.ncbi.nlm.nih.gov/pubmed/26447268
  8. http://www.ncbi.nlm.nih.gov/books/NBK321151/pdf/Bookshelf_NBK321151.pdf
  9. http://www.ncbi.nlm.nih.gov/pubmed/23178070
  10. http://www.ncbi.nlm.nih.gov/pubmed/23784109
  11. http://www.cdc.gov/mmwr/pdf/rr/rr6205.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/20559203
  13. http://www.cdc.gov/mmwr/pdf/rr/rr5904.pdf
  14. http://whqlibdoc.who.int/hq/2002/55732.pdf
  15. http://www.ncbi.nlm.nih.gov/pubmed/11763981
  16. http://www.ncbi.nlm.nih.gov/pubmed/11044538
  17. http://www.ncbi.nlm.nih.gov/pubmed/10438999
  18. http://www.ncbi.nlm.nih.gov/pubmed/9853546
  19. http://www.ncbi.nlm.nih.gov/pubmed/1381897
  20. http://www.ncbi.nlm.nih.gov/pubmed/1935859
  21. http://www.ncbi.nlm.nih.gov/pubmed/3816229
  22. http://www.ncbi.nlm.nih.gov/pubmed/3780231
  23. http://www.ncbi.nlm.nih.gov/pubmed/4085247
  24. http://www.ncbi.nlm.nih.gov/pubmed/6241559
  25. http://www.ncbi.nlm.nih.gov/pubmed/6681210
  26. http://www.ncbi.nlm.nih.gov/pubmed/6404597
  27. http://www.ncbi.nlm.nih.gov/pubmed/6404596
  28. http://www.ncbi.nlm.nih.gov/pubmed/6404595
  29. http://www.ncbi.nlm.nih.gov/pubmed/7234211
  30. http://www.ncbi.nlm.nih.gov/pubmed/7195545
  31. http://www.ncbi.nlm.nih.gov/pubmed/7361700
  32. http://ajcn.nutrition.org/content/33/4/816.full.pdf
  33. http://www.ncbi.nlm.nih.gov/pubmed/630883
  34. http://www.ncbi.nlm.nih.gov/pubmed/4128673
  35. http://www.ncbi.nlm.nih.gov/pubmed/4467130
  36. http://www.ncbi.nlm.nih.gov/pubmed/20468683
  37. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2370008/pdf/canfamphys00378-0058.pdf
  38. http://www.ncbi.nlm.nih.gov/pubmed/6038336
  39. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1842938/pdf/brmedj02152-0036.pdf

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