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Need MRI- told to pump & dump 24 hrs

post #1 of 12
Thread Starter 
so, I need to have an MRI and I was told to pump and dump for 24 hours, but my research online (lll, kellymom, etc) states that this is not necessary...

anyone with experience here?

I am nursing a 10mo apx 5-7X/day and a variable number of times at night
AND
a 3.5 yo 1X/day.

I really don't want to go through dealing with abstaining from bf'ing and if it's avoidable that would be fantastic...but I don't want to put my kids in danger either.

wwyd?
anyone buck the advice from radiology in the past?
post #2 of 12
No personal experience, but some Googling got me these links:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1952588/

http://www.mrisafety.com/safety_article.asp?subject=173

Good luck!
post #3 of 12
If LLLI and KellyMom say it's safe, I would consider it safe!

I had a head MRI when I was 31 weeks pregnant, FWIW.
post #4 of 12
Is this a MRI or a MRI w/contrast? A regular MRI should be fine. If you have to have contrast then it can differ if it is safe or not. You should ask if the contrast is radioactive. If it is then you have to pump and dump. If it is is just iodine then that is safe. You can request just iodine only if the results will come out the same.
post #5 of 12
You need to know the name of the contrast they are using, if they are using one! However, I just flicked through the appendix on radiocontrast agents in the 2008 edition of Hale's "Medication and Mothers' Milk" and they are all L1, L2 and L3. So assuming your baby is healthy and not brand new anything they throw at you should be ok, in my brief flick through I've not even spotted any of the L3 ones have any cautions, seems like they are L3 because of less data.

If you decide to find out the contrast agent, don't tell them why unless forced, I needed an MRI in an emergency situation a couple of months ago, I'd already had a whole host of other drugs, but it was only the MRI they were bothered about, they told me not to breastfeed for 48 hours and I just smiled and nodded and planned to check later. I called my husband and had him bring my copy of Hale's and asked the nurseh to find out what they had used. I breastfed DD when they visited and also pumped and asked the nurse to store the milk, by which stage it must have been a different nurse because they did, but the next morning when it was the nurse who'd taken me to the MRI and we were leaving, I asked her to get the milk for me and she didn't want to give it to me and said something like if we knew you were going to breastfeed we wouldn't have given you the scan, though I knew that if I'd initally said no to their order not to breastfeed, it wouldn't have changed the fact I needed the scan and would likely just have meant calling the doctor for him to tell me not to breastfeed and pressurise me to say I wouldn't. So basically I would use your own judgement but I wouldn't take the risk of having the appointment cancelled because you were saying you were ignoring their advice.
post #6 of 12
I had an MRI when I was nursing my son, he was about six months at the time. Most MRIs will use contrast (gadolinium), which is considered safe for breastfeeding according to the research I did at the time (which I think was in Hale's). The radiology techs leaned on me to pump and dump, I smiled and nodded, and kept nursing my son immediately after my MRI and he had no problems whatsoever.
post #7 of 12
The usual MRI contrast is gadolinum, and should be fine. You should PUMP and DUMP with CT contrast or nuc med contrast. Unless they are giving you sedation, in which case you would need to pump & dump.
post #8 of 12
i had gadolinium as my MRI contrast, both when my DD was almost 4 months as well as when she was 20 months. per hale i did not pump & dump either time, i just nursed her, with no ill effects. HTH!

eta: oh! funny story. when she was 4 months i brought in print-outs from hale and other sources explaining why pumping and dumping is unnecessary for gadolinium and certain other dyes, and actually detrimental to the breastfeeding relationship. they acted SO interested! then, a year and change later when i needed another MRI, they asked if i was nursing and i said yes and they told me to pump and dump. great, glad my attempt at education was MEANINGLESS!
post #9 of 12
I just wanted to throw in there that I've had numerous MRIs and never have received any kind of contrast agent. FWIW, it may not even be a concern, just something they say to you to cover their butts. Which is often the case with most info from doctors concerning bfing.
post #10 of 12
Quote:
Originally Posted by anj_rn View Post
The usual MRI contrast is gadolinum, and should be fine. You should PUMP and DUMP with CT contrast or nuc med contrast. Unless they are giving you sedation, in which case you would need to pump & dump.
this is not always the case. You do not need to pump/dump for sedation nearlhy ever.
post #11 of 12
Thread Starter 
thanks for all the feedback!
I feel better about forgoing the advice after hearing from some mamas...
every single source I've come across on the web states that pumping is unnecessary, just wanted to be sure.
I figured it was a "cover your butt" kind of thing...
post #12 of 12
Quote:
Originally Posted by anj_rn View Post
The usual MRI contrast is gadolinum, and should be fine. You should PUMP and DUMP with CT contrast or nuc med contrast.
It depends on the contrast, according to Hale, the group of iodinated radio contrast agents used for CT are safe and have been reviewed by the American College of Radiology as having little or no risk for breastfeeding.

Not all radioactive drugs require you to stop, on Hale's website there is a link to a table from the NRC with specific details.
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