Cristina Novais

What a powerful case — thank you for sharing it. Stories like this really capture the nuance of breastfeeding counselling and the importance of moving beyond reflexive “no’s.” One set of resources that has consistently shaped my own practice in complex situations like this is the Academy of Breastfeeding Medicine (ABM) Clinical Protocols. I find them particularly helpful because they are practical, evidence-based, and explicitly encourage individualized, patient-centred decision-making with interprofessional collaboration — exactly what you describe. https://www.bfmed.org/protocols A few protocols I often return to: ABM Protocol #21 – Breastfeeding and Substance Use / Substance Use Disorder ABM Protocol #18 – Use of Antidepressants in Breastfeeding Mothers ABM Protocol #15 – Analgesia and Anesthesia for the Breastfeeding Mother Beyond individual drug safety, what I appreciate most about ABM protocols is their framework: assess the drug, the infant, the maternal condition, timing, and alternatives — and then adapt the plan to support breastfeeding whenever safely possible. Your case beautifully illustrates that philosophy in action. I’d love to see more teams approach complex medication scenarios with that same curiosity and collaboration rather than default restriction.