Naropin | Ropivacaine Hydrochloride Injection while Breastfeeding

What is Naropin | Ropivacaine Hydrochloride Injection used for?

I am currently breastfeeding and I want to know if using Naropin | Ropivacaine Hydrochloride Injection is safe for my kid? Does it have any effect on milk production?

Ropivacaine hydrochloride while Breastfeeding

CAS Number: 84057-95-4

Local anesthetic agent which is used for infiltration and nerve-blocking procedures included Epidural anesthesia. It is excreted into breast milk in non-significant amount, with no side-effect observed on breastfed infants of treated mothers. Plasma levels in those infant were undetectable. There is controversy about the effect of drug-mediated analgesia used during the child birth (e.g. epidural injection of local anesthetics plus Fentanyl or alone) on the mature milk coming in, whether by delaying the onset of Lactogenesis phase II, or, by affecting the ability of the child for sucking. Some studies have shown a higher risk for delay of initiation of Lactogenesis phase II (milk coming in) longer than 3 post-natal days, but without effect on loss of initial weight. On other studies, the newborn infant appears to have higher risk for delay on first latch-on, higher body temperature and irritability or somnolence. Because of the latter, it is argued that those mothers would be in need of more support on breastfeeding when they have received ante or intra partum analgesia. However, some studies that have used Ropivacaine did not get such findings. There is consensus on the achievement of higher milk production and higher body weight increase in the neonate with an adequate pharmacological control of pain after C-section or vaginal childbirth.

Ropivacaine hydrochloride while Breastfeeding

CAS Number: 84057-95-4

Ropivacaine passes into milk poorly and is not orally absorbed by breastfed infants. Infants appear not to be affected by the small amounts of drug in breastmilk. Local anesthetics administered during labor and delivery with other anesthetics and analgesics have been reported by some to interfere with breastfeeding. However, this assessment is controversial and complex because of the many different combinations of drugs, dosages and patient populations studied as well as the variety of techniques used. Published data on the use of ropivacaine and fentanyl used during labor and delivery in a small number of women found little or no adverse effect on breastfeeding.[1] Labor pain medication may delay the onset of lactation.

What should I do if already breastfed my kid after using Naropin | Ropivacaine Hydrochloride Injection?

My health care provider has asked me to use Naropin | Ropivacaine Hydrochloride Injection, what to do?

If I am using Naropin | Ropivacaine Hydrochloride Injection, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Naropin | Ropivacaine Hydrochloride Injection in breastfeeding?