Is Mestranol + Norethindrone Safe in Breastfeeding

I am a breastfeeding mother and i want to know if it is safe to use Mestranol + Norethindrone? Is Mestranol + Norethindrone safe for nursing mother and child? Does Mestranol + Norethindrone extracts into breast milk? Does Mestranol + Norethindrone has any long term or short term side effects on infants? Can Mestranol + Norethindrone influence milk supply or can Mestranol + Norethindrone decrease milk supply in lactating mothers?

Birth control pill that contains the combination of an estrogen (Mestranol) and a progestin (Noretindrone) for oral use. Mestranol is a synthetic estrogen that is metabolized to Ethinylestradiol with similar actions as estradiol. A latest update no published data on excretion in breast milk, found were found. However, it is known that its metabolite Ethinylestradiol is excreted into milk in no or small amount.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 one isolated case of transient gynecomastia. Norethindrone or Norethisterone is a progestin derivative of 19-nortestosterone. It is excreted in breast milk in clinically non-significant amount and no problems have been observed in infants whose mothers were treated with it. Its plasma levels in these infants were undetectable or very low. With other similar combined contraceptives no differences have been observed in the frequency of breastfeeding or the amount of milk produced or weight gain of breastfed infants compared to other contraceptive methods (intrauterine devices, isolated progestogens). However, it would be advisable to avoid them until breastfeeding is well established (4-6 weeks). During lactation, progestin-only contraceptive pills are preferred to Estrogen containing ones, otherwise, the lowest estrogen dose should be used.Within the first 6 postpartum weeks, non-hormonal methods are in the first line of choice. Hormone containing contraceptives do not affect the composition of milk, minerals (Mg, Fe, Cu, Ca, P) fat, lactose and calories but only a few the proteins.