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


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

Herbal fruits are used. It contains essential oil (70% anethol, 10% stragol, 7% fenchone) coumarin and flavonoids. Anethol is neurotoxic and may induce seizures. Mutagenic activity and mild estrogenic effect (Javidnia 2003, Albert 1980) have been found. It is excreted in low levels into breast milk (Hausner 2008). Stragol has shown a carcinogenic effect on animals. In humans, at recommended dose, such effect has not been seen. Fennel infusions have been used for treatment of colicky pain in the infant. Also used as a galactogogue despite the fact that no proof on effectiveness is available. Theoretically, it may decrease milk production. Help by ensuring self confidence in the mother, evaluation and dealing with lactation associated problems and giving effective support to nursing mothers would the best ways to enhance milk production. Excessive consumption has caused letargia, vomiting and hypotonia in either two infants and their mothers (Rosti 1994). For culinary purposes it does not pose any health risk if consumed as food or aromatic seasoning. Precautions when taking plant preparations: 1. Ensure that they are from a reliable source: poisoning has occurred due to confusing one plant with another with toxic properties, as well as poisoning from heavy metals extracted from the ground and food poisoning due to contamination with bacteria or fungi. 2. Do not take in large amounts; follow recommendations from professional experts in phytotherapy. "Natural" products are not always good in any quantity: plants contain active substances from which much of our traditional pharmacopoeia has been obtained and can result in poisoning or act as endocrine disruptors if taken in excessive amounts or time periods.

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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...

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/23979084
  2. http://pediatrics.aappublications.org/content/132/3/e796.full.pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/24219150
  4. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3835544/pdf/1472-6882-13-317.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/23363373
  6. http://www.ncbi.nlm.nih.gov/pubmed/23468043
  7. http://www.ncbi.nlm.nih.gov/pubmed/22220176
  8. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246777/pdf/OGI2012-562704.pdf
  9. http://www.ncbi.nlm.nih.gov/pubmed/22365343
  10. http://www.ncbi.nlm.nih.gov/pubmed/21332371
  11. http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2011.9998
  12. http://www.ncbi.nlm.nih.gov/pubmed/21254794
  13. http://online.liebertpub.com/doi/pdfplus/10.1089/bfm.2010.0062
  14. http://www.ncbi.nlm.nih.gov/pubmed/21094197
  15. http://www.bfmed.org/Media/Files/Protocols/Spanish%20Protocol%20Galactogogues%20and%20Appendix.pdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/21894275
  17. http://www.racgp.org.au/download/documents/AFP/2011/September/201109amir.pdf
  18. http://www.ncbi.nlm.nih.gov/pubmed/20872924
  19. http://www.ncbi.nlm.nih.gov/pubmed/19143669
  20. http://www.ncbi.nlm.nih.gov/pubmed/18571209
  21. http://www.ema.europa.eu/docs/en_GB/document_library/Herbal_-_Community_herbal_monograph/2009/12/WC500018480.pdf
  22. http://apps.who.int/medicinedocs/index/assoc/s14213e/s14213e.pdf
  23. http://www.ncbi.nlm.nih.gov/pubmed/16329162
  24. http://www.ncbi.nlm.nih.gov/pubmed/16041731
  25. http://www.ncbi.nlm.nih.gov/pubmed/13678227
  26. http://www.ncbi.nlm.nih.gov/pubmed/11138225
  27. http://www.ncbi.nlm.nih.gov/pubmed/10460442
  28. http://www.ncbi.nlm.nih.gov/pubmed/7919774
  29. http://www.ncbi.nlm.nih.gov/pubmed/6999244

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