Foltabs Prenatal Plus Dha | Prenatal Vitamins And Minerals Kit while Breastfeeding

What is Foltabs Prenatal Plus Dha | Prenatal Vitamins And Minerals Kit used for?

Can I continue breastfeeding if I am using Foltabs Prenatal Plus Dha | Prenatal Vitamins And Minerals Kit? How long does it stays in breast milk?

Iodide ion while Breastfeeding

CAS Number: 7553-56-2

Disinfectant that contains high amount (2-7%) of Iodine in solution with alcohol or water (Lugol's solution) Not absorbed through intact skin of adults. However, it may trespass the inflamed skin, wounds, mucosa surfaces like vagina, in which case can reach concentration in grams in the human serum (1 g = 1,000 milligrams = 1,000,000 micrograms). Normal daily allowance is considered to be as high as 100 to 150 micrograms that increases to 200 – 300 micrograms in pregnancy or nursing period. The latter means less than one third of a milligram. Iodine is concentrated into breast milk with a level that could reach 20 times higher than the concentration in the blood. It has been found higher levels of Iodine, altered results of neonatal screening test for thyroid function, and, transient hypothyroidism in infants whose mothers were exposed to Iodine Povidone. Use should be avoid in the Delivery Room, Operating Room (C-section), Neonatal Units, Toddler admision areas and during the breastfeeding period. Sporadic or inadvertent use, specially on normal skin, does not require special test or procedures because it does not pose higher risk to the child.

Ferrous cation while Breastfeeding

CAS Number: 141-01-5

Several ferrous salts of iron (ascorbate, aspartate, citrate, chloride, fumarate, gluconate, lactate, oxalate, succinate, sulfate, glycine sulfate, etc.) are used in oral administration for treating or preventing iron deficiency anemia.Its molecular weight varies from 170 for the fumarate and succinate, and from 280 for lactate and sulfate to 400 for aspartate and ascorbate. Characteristics of iron metabolism in the body make unlikely that it would be excreted in a significant amount into breast milk.It is a medication used for treatment of Neonatal Anemia in premature babies. Iron is excreted in small amounts in human milk, usually being enough for covering the daily needs of infants due to its high bioavailability. There is no correlation between mother's daily intake of iron and its concentration in breast milk.Iron supplementation to the mother does not increase levels of iron in breast milk or infant plasma significantly. Excessive supplementation can reduce the zinc concentration in milk. WHO List of Essential Medicines 2002: compatible with breastfeeding.

Ferrous cation while Breastfeeding

CAS Number: 299-29-6

Several ferrous salts of iron (ascorbate, aspartate, citrate, chloride, fumarate, gluconate, lactate, oxalate, succinate, sulfate, glycine sulfate, etc.) are used in oral administration for treating or preventing iron deficiency anemia.Its molecular weight varies from 170 for the fumarate and succinate, and from 280 for lactate and sulfate to 400 for aspartate and ascorbate. Characteristics of iron metabolism in the body make unlikely that it would be excreted in a significant amount into breast milk.It is a medication used for treatment of Neonatal Anemia in premature babies. Iron is excreted in small amounts in human milk, usually being enough for covering the daily needs of infants due to its high bioavailability. There is no correlation between mother's daily intake of iron and its concentration in breast milk.Iron supplementation to the mother does not increase levels of iron in breast milk or infant plasma significantly. Excessive supplementation can reduce the zinc concentration in milk. WHO List of Essential Medicines 2002: compatible with breastfeeding.

Docusate sodium while Breastfeeding

CAS Number: 10041-19-7

Anionic surfactant that acts as an emollient laxative. It is also used to treat the retention of ear cerumen. It is minimally absorbed in the duodenum-jejunum and excreted in the bile. No problems have been observed in infants whose mothers were treated, except one case of diarrhea that was possibly due to other laxative medication took by the mother (Greenhalf 1973). The Institute at the American Gastroenterological Association (AGA) consideres it to be compatible while breastfeeding (Mahadevan 2006).

Thiamine while Breastfeeding

CAS Number: 59-43-8

Thiamine or Vitamin B1 is a water soluble vitamin. In addition to Thiamine, other chemical compounds with similar activity: Acetiamine, Benfotiamine, Bisbentiamine, Bisbutiamina, Cetotiamina, Cicotiamina, Cocarboxylase, Fursultiamine, Monofosfotiamina, Octotiamine, Pyrophosphotiamine, Prosultiamine and Sulbutiamine.It is essential for the metabolism of carbohydrate nutrients. Its deficiency causes severe neuromuscular and cardiac symptoms known as Beriberi and Wernicke-Korsakoff disease. Thiamine deficiency is common among disadvantaged populations in Southeast Asia (predominantly consumers of refined rice), other malnourished people (refugees, low socioeconomic status ...) and chronic alcohol consumption. Beriberi of childhood, both infants and children, may arise from breastfeeding by Thiamine deficient mothers. Reportedly, several severe cases have occured after feeding the babies with artificial formulas that were not supplemented with vitamin B1. Daily allowance is higher during pregnancy and lactation (1.5 mg / day) which is readily obtained through a varied diet with adequate content of whole grains, legumes, nuts, eggs and lean meat.Thiamine is excreted in breast milk and gradually increases with time, being lower in colostrum (28 ng / mL) and transitional milk than in mature milk (180 ng / mL). The concentration is lower in milk from mothers of preterm (90 ng / mL). Taking vitamin supplementation is not required if diet and nutritional status are adequate. Supplementation does not increase levels in milk of well-nourished women, but of those with a low nutritional status. The supplementation of group B vitamins and C and E vitamins to HIV positive mothers improves the weight growth of their breasted babies.There is no evidence of their effectiveness in improving athletic performance, lack of appetite, sores, stress, fatigue or aging.Toxicity linked to excessive consumption of thiamine is not known. WHO List of Essential Medicines 2002: compatible with breastfeeding.American Academy of Pediatrics: usually compatible with breastfeeding

Riboflavin while Breastfeeding

CAS Number: 83-88-5

A balanced and comprehensive diet make it vitamin supplementation useless.

Pyridoxine hydrochloride while Breastfeeding

CAS Number: 58-56-0

Concentration of vitamin B6 in the breast milk is directly related to the amount present in diet with the possibility of a high increment by an excessive consumption through the diet. Daily allowance of vitamin B6 ranges from 2 to 3 mg. A balanced and varied diet is enough without a need for extra supplementation with this vitamin. Vitamin B6 deficiency is extremely rare since it is widely distributed in many foods. In those cases where supplementation is required, it is recommended not to exceed 40 mg a-day. There are controversial data on the capacity of a high dose of Pyridoxine to inhibit the secretion of Prolactin and suppress the milk production. The American Academy of Pediatrics rates it as usually compatible with breastfeeding.

Folic acid while Breastfeeding

CAS Number: 59-30-3

Soluble B group vitamin that is very abundant in green vegetables, legumes and fruits (citric fruits). It is actively excreted in breast milk with priority over maternal folate in such extent that may even cause maternal deficit. Exclusive breastfeeding meets the daily allowances of infant folic acid.The concentration is higher in mature milk (85 micrograms / L) than in colostrum and premature breast milk.Administration to nursing mothers increases slightly the usual concentration of folate in breast milk. Folic acid needs are increased during pregnancy and lactation (500-600 micrograms / day) and in case of taking anticonvulsant medication. No harmful effects have been observed by taking folic acid during lactation. Excess of folic acid is eliminated by the kidneys every day. No supplements are needed if diet and nutritional status are adequate. The American Academy of Pediatrics rates it as a mediation usually compatible with breastfeeding.WHO List of Essential Medicines 2002: compatible with breastfeeding.

Zinc oxide while Breastfeeding

CAS Number: 1314-13-2

It is used topically as an astringent and skin protector, very often together with small amounts of Ferric Oxide to form Calamine (see specific info). It is a product compatible with breastfeeding according to WHO Essential Medicine’s List - 2002.It is also used in dental hygiene products and cosmetics. Widely used for skin protection of the diaper area in infants. Because of the small dose used and poor absorption into plasma of most topical dermatological preparations, excretion into breastmilk in significant amount appears to be unlikely. Do not apply on the breast to prevent infant ingestion; otherwise, wash it off thoroughly with water before the next breast feed.

Ascorbic acid while Breastfeeding

CAS Number: 50-81-7

Vitamin C is abundantly present in food. A balanced and comprehensive diet makes vitamin supplementation useless. Any amount of vitamin C taken by the mother as a supplement does not affect significantly the concentration in breast milk of women who are on a varied and balanced diet.

Citric acid monohydrate while Breastfeeding

CAS Number: 77-92-9

Product that is naturally found in most fruits, especially citrus ones, and which is industrially produced through fermentation of sugar by the fungus Aspergillus niger. It is used in medical compounds as effervescent, to treat intestinal affections, as antioxidant, as an agent for alkalizing urine and dissolution of urinary tract stones. In the food industry it is used as additive (E 330) due to its antioxidant, preservative and flavoring properties. Devoid of toxicity when used at appropriate doses.

Niacinamide while Breastfeeding

CAS Number: 98-92-0

A balanced and comprehensive diet make it vitamin supplementation useless.

.alpha.-tocopherol, d- while Breastfeeding

CAS Number: 1406-18-4

Hay varias substancia, naturales o sintéticas, que forman el complejo Vitamina E.El componente más importante son los tocoferoles, siendo el α-tocopherol el más activo y ampliamente distribuido en la naturaleza. Son también naturales el beta, gamma y delta tocoferol. Los tocotrienoles también son vitamina E.Los alfatocoferoles naturales son isómeros d. La forma dl, menos activa, es sintética. Las necesidades diarias de vitamina E para la madre lactante son 12 a 19 mg (28 UI) diarios; las del lactante en el primer año de vida, 4 a 5 mg (6 a 8 UI) (NIH 2016, Ares 2015, Hall 2010).No se precisan suplementos si la dieta y el estado nutricional son adecuados. La administración de suplementos no aumenta los niveles en leche de mujeres bien nutridas, pero sí en las de bajo estatus nutricional. Las concentración de vitamina E (α-tocopherol) es máxima en el calostro (6,5 a 15 mg/L) (Xue 2017, Melo 2017) y desciende a la mitad-un tercio en la leche de transición y a un tercio-un quinto en la madura (Xue 2017, Silva 2017, Jiang 2016, Lima 2014). La gran concentración de α-tocopherol en el calostro hace que los recién nacidos amamantados alcancen los niveles plasmáticos de vitamina E del adulto (inicialmente un tercio de los mismos) en 4 a 6 días (Ostrea 1986). La leche de la primera semana de madres de prematuros y de niños mayores de 4 kg al nacer tiene un mayor contenido en α-tocopherol (Grilo 2013, Gross 1985). El alfa tocoferol puede estar levemente disminuido en la leche madura tras embarazos de alto riesgo (Sámano 2017). Prematuros alimentados con leche materna de prematuro tuvieron mayor nivel plasmático de vitamina E que los alimentados con leche madura y ambos grupos mayor nivel que los alimentados con fórmula artificial (Gross 1985).La leche materna contiene mayor contración de vitamina E que la de vaca. En el primer año de vida los lactantes amamantados tuvieron mejores niveles de vitamina E plasmáticos que lo no amamantados (Martínez 1984). La suplementación materna de vitamina E aumenta la concentración de la misma en el calostro y leche de transición (Melo 2017, Pires 2016, Clemente 2015), pero no en leche madura (Pires 2016) y no se ha encontrado relación entre la dieta y la concentración de α-tocopherol en leche materna (Jiang 2016). La deficiencia materna de vitamina E no se relaciona con los niveles en leche materna (da Silva 2016).El aporte de vitaminas del complejo B y vitaminas C y E a madres VIH+ mejora el crecimiento ponderal de sus lactantes (Villamor 2005). La aplicación tópica de vitamina E en los pezónes de madres lactantes durante 6 días ocasionó un aumento significativo de los niveles plasmáticos de vitamina E en los lactantes, que no presentaron efectos adversos (Marx 1985).

Cholecalciferol while Breastfeeding

CAS Number: 67-97-0

Daily allowance of Vitamin D for the breastfeeding woman is still an issue and a matter of disagreement among experts. Vitamin D is hardly found in common food and mostly synthesized by skin under sunlight stimulus. Low concentration in breast milk is thought to be due to deficient levels in the serum of mothers. As high as 6.400 IU daily doses of Vitamin D given to the mother have been required to normalize the infant serum content of 25-OH Vitamin D. Moderate exposure of mothers to sunlight, avoiding any burning, is probably the most cost-effective measure to fight Vitamin D deficiency in the infant. 1 mg = 40.000 IU.

Iodide ion while Breastfeeding

CAS Number: 7553-56-2

Iodine is an essential trace nutrient for all infants that a normal component of breastmilk. Infant requirements are estimated to be 15 mcg/kg daily in fullterm infants and 30 mcg/kg daily in premature infants.[1] Systematic reviews and studies on iodine nutrition found that iodine in breastmilk is adequate in iodine-sufficient countries, but in countries with iodine fortification of foods, many mothers did not obtain adequate iodine and that additional supplementation was desirable.[2][3][4][5] In iodine-deficient areas, supplementation of breastfeeding mothers with iodine appears to be more effective than direct supplementation of the infant in reducing infant iodine deficiency.[6] The American Thyroid Association recommends that breastfeeding women should supplement their diet with a daily oral supplement that contains 150 mcg of iodine, but sustained iodine intake while breastfeeding that exceeds 500 to 1100 mcg daily should be avoided.[7] A survey in the United States between 2011 and 2014 found that only 19% of lactating women used a dietary supplement that contained iodine.[8] The use of excessive amounts of iodine in the mother near term and during breastfeeding (e.g., seaweed soup) can increase breastmilk iodine levels and cause transient hypothyroidism in breastfed infants. The absorption of iodine can be marked after application to open wounds or mucous membranes. Exposure of mothers to unnecessary iodine who are or will be breastfeeding should be avoided or minimized to the extent possible by avoiding its use on maternal mucous membranes (e.g., vaginal use, wound therapy), avoiding prolonged contact time, avoiding repeated applications, and applying it to the smallest possible surface areas of the body. It is possible that maternal exposure to iodine near term could interfere with thyroid studies done as a part of newborn screening tests.

Docusate sodium while Breastfeeding

CAS Number: 10041-19-7

Docusate is minimally absorbed from the gastrointestinal tract and therefore the drug is unlikely to be found in the maternal serum or breastmilk. Laxatives that are completely unabsorbed may be preferred.[2]

.alpha.-tocopherol, d- while Breastfeeding

CAS Number: 59-02-9

Vitamin E is a normal component of human milk.[1] Maternal obesity, smoking and possibly preterm birth (<37 weeks gestational age) are associated with lower milk vitamin E levels. Lactating mothers may need to supplement their dietary intake of vitamin E to achieve the recommended daily allowance of 19 mg.[2] Daily maternal vitamin E supplementation from prenatal multivitamins can safely and modestly increase milk vitamin E levels and improve the vitamin E status of the breastfed infant compared to no supplementation. Higher daily dosages have not been studied. Holder pasteurization (62.5 degrees C for 30 minutes) does not reduce milk antioxidant capacity, which is a reflection of vitamin E levels.[3]

I already used Foltabs Prenatal Plus Dha | Prenatal Vitamins And Minerals Kit and meanwhile I breastfed my baby should I be concerned?

My doctor has prescribed me Foltabs Prenatal Plus Dha | Prenatal Vitamins And Minerals Kit, what should I do?

If I am using Foltabs Prenatal Plus Dha | Prenatal Vitamins And Minerals Kit, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Foltabs Prenatal Plus Dha | Prenatal Vitamins And Minerals Kit in breastfeeding?