I’d love to hear from the 99NICU community about your go-to references.A few years ago, our team cared for a remarkable mother whose story reminded us how much nuance—and teamwork—breastfeeding counseling can require. She had undergone a liver transplant as a teenager and remained on lifelong anti-rejection medications. Years later, she delivered a healthy full-term baby and had a strong, heartfelt wish to breastfeed.As you can imagine, her medications raised questions about safety and infant exposure. Instead of defaulting to “no,” our team—neonatologist, clinical pharmacist, and the mother’s own transplant specialist—reviewed each drug carefully. We dove deep into pharmacokinetics and pharmacodynamics, half-lives, peak serum times, and milk-plasma ratios. The goal was to adapt the medication schedule to support breastfeeding, rather than ask her to give up breastfeeding because of the medications.Together, we developed a practical plan:• She could directly breastfeed from 7 AM to 7 PM.• She would take her immunosuppressive dose immediately after 7 PM and avoid breastfeeding until 7 AM the next morning.• She would pump at least twice overnight to maintain supply, but this milk would be discarded.• Her baby would receive formula as needed during the nighttime window.With this tailored approach, she was able to partially breastfeed her baby for eight months, which meant the world to her. For us, it was a powerful reminder that with the right information—and interprofessional collaboration—we can often make breastfeeding possible even in complex medical situations. This case was one that helped me shape my personal practice when it comes to breastfeeding support and orientation. It also highlighted how important it is to have trustworthy, up-to-date resources on medication safety in lactation.So I’m curious: what resources do you rely on to check whether a medication is compatible with breastfeeding?Have you managed similar cases you would like to share, and what tools or references were most helpful (e.g., online databases, institutional guidelines, books, lactation pharmacology experts)?Would love to learn from your experience!

I suppose many of you already know and follow the Tiny Baby Collaborative, and international research group dedicated to improving the lives of children born at ≤23 weeks’ gestation and their families.They do excellent educational webinars about this niche population of preterm infants.You find them all on their site here -> https://www.tinybabycollaborative.org/webinarsCheck out the latest below:

Welcome to the MPROvE Academy YouTube channel. Over 300 videos covering Neonatal procedures, Point of Care US, Neonatal and Perinatal Ethics, Human factors Training, Quality MPROvEment and much moreWe have added 50 new videos on point of care US in neonatologyFree to watch and lots of new topics coveredhttps://m.youtube.com/%40mprove-multiprofessionalne4091?fbclid=IwVERDUAN6Z7RleHRuA2FlbQIxMABzcnRjBmFwcF9pZAwzNTA2ODU1MzE3MjgAAR6I8xSCw_v-LjD1N9sryNQGTJu055JcfIgzScqZAVSrhMaKbUmGfiBd9MsqtQ_aem_jy3ORcH9qqT2W9XdtU0FeQ

Preterm, severe RDS, ventilated, tension pneumothorax resolved with chest drain, no reaccumulation for >24 hours, low MAP, FiO2 25%, off iNO. Which you would do first - extubate or remove chest drain?

Hi everybody! We are conducting a survey to assess the perceptions and/or use of autologous cord blood transfusion for neonatal cardiac surgery. Please, all of you working with congenital heat disease, help us out! It will only take 5 minutes. Thank you so much!https://forms.office.com/e/PU1Z0pexXN