Is UNII-K7Q1JQR04M Safe in Breastfeeding

I am a breastfeeding mother and i want to know if it is safe to use UNII-K7Q1JQR04M? Is UNII-K7Q1JQR04M safe for nursing mother and child? Does UNII-K7Q1JQR04M extracts into breast milk? Does UNII-K7Q1JQR04M has any long term or short term side effects on infants? Can UNII-K7Q1JQR04M influence milk supply or can UNII-K7Q1JQR04M decrease milk supply in lactating mothers?

Prostaglandin E2 is eventually used for induction of labor at term. Orally or vaginally administrated. At latest update no published data on excretion into breast milk were found.Pharmacokinetic data (very rapid removal and moderately high protein binding capacity) make it highly unlikely the passage into breast milk in significant amounts.It is a natural component of breast milk (Alzina 1986 Neu 1988) that increases in concentration in the first week postpartum (Hawkes 1999) and possibly plays an important role in the gastrointestinal function of the infant (Bedrick 1989, Shimizu 1992) and intestinal motility (Lucas 1980, Li 1994). Although UNII-K7Q1JQR04M can be used to inhibit lactation by reducing prolactin levels (Bremme 1980, England 1988, Toppozada 1992), it would be necessary to achieve a higher dose than that used at the time of partum for several days (Berić 1992). It would not be recommended to use it for relief of breast engorgement in women who are willing to breastfeed.The effect of reducing prolactin levels induced by UNII-K7Q1JQR04M only occurs during the first days postpartum (Caminiti 1980).

UNII-K7Q1JQR04M (prostaglandin E2) has not been measured in human milk after exogenous administration, but it is a normal component of breastmilk in small amounts where it may help protect the infant's gastrointestinal tract. Use of vaginal UNII-K7Q1JQR04M to induce labor appears to have a negative effect on breastfeeding. Given orally in the first few days postpartum, UNII-K7Q1JQR04M can suppress lactation. Whether postpartum vaginal or endocervical administration suppresses lactation is not known, but it should probably not be used postpartum in mothers who wish to breastfeed. By one month postpartum, the drug appears not to suppress lactation.

A retrospective cohort study of birth records in Cardiff, Wales, UK found that the use of vaginal prostaglandins for the induction of labor resulted in an 11% decrease in the likelihood that mothers would be breastfeeding at 48 hours postpartum. The subgroup of first-time mothers had a 15% decrease.[10] A nonrandomized prospective study compared women who had spontaneous deliveries with those who had elective induction using UNII-K7Q1JQR04M vaginal gel. At hospital discharge, exclusive breastfeeding rates were similar between the two groups (88% and 89%). However, at 1 and 3 months postpartum, exclusive breastfeeding rates were significantly lower in mothers who had UNII-K7Q1JQR04M induction than in those who delivered spontaneously. Exclusive breastfeeding rates were 54% and 85% at 1 month and 46% and 59% at 3 months postpartum, respectively. Rates of supplemental and exclusive formula feeding were higher in the induced mothers at both time points also.[11] UNII-K7Q1JQR04M has been used investigationally to inhibit postpartum lactation and engorgement by reducing serum prolactin concentrations.[12][13][14][15][16] The effect on prolactin levels, engorgement and lactation appears to be dose and duration related. Oral dosages of 3 mg daily for 4 days[17] or 0.5 mg three times daily were ineffective,[16] whereas oral dosages of 8 to 12 mg over 24 to 30 hours were effective.[12][14] These effects seem to be limited to the first few days postpartum; UNII-K7Q1JQR04M had no effect on serum prolactin or milk production when given to women 30 days postpartum.[12] Compared to oral bromocriptine 2.5 mg every 12 hours for 14 days, UNII-K7Q1JQR04M 12 mg orally in divided doses over 30 hours was as effective as bromocriptine, but resulted in less rebound breast tenderness.[14]