About Trash the Pump and Dump
IABLE

About Trash the Pump and Dump

In many healthcare situations, lactating parents are incorrectly instructed to pump and discard their milk, or stop breastfeeding entirely. Most commonly, these scenarios involve administration of medications, radiology and nuclear medicine procedures, and surgery involving anesthesia.

The goal of the Trash the Pump and Dump App is to 1. Explain the true situations when pump and dumping is recommended. (Note, there are very few!) 2. Bust myths regarding contraindications to breastfeeding/providing human milk.

If you are uncertain about a situation, please advise PUMPING AND SAVING!  Most often dumping milk is NOT necessary, and the expressed milk can be given to the child later.

Instructions for installing Trash the Pump and Dump are here.

Editors

Anne Eglash - MD, IBCLC, FABM

Anne Eglash MD, IBCLC, FABM, is a clinical professor with the University of Wisconsin School of Medicine and Public Health, in the Department of Family and Community Medicine. In addition to practicing family medicine, she has been a board-certified lactation consultant since 1994.

Dr. Eglash is a cofounder of the Academy of Breastfeeding Medicine, the Medical Director and cofounder of the Mothers’ Milk Bank of the Western Great Lakes, and the Medical Director of the University of Wisconsin Breastfeeding Medicine Clinic. She has published many peer- reviewed articles on breastfeeding medicine.

She co-hosts and produces a breastfeeding medicine podcast series, called The Breastfeeding Medicine Podcast, available free on iTunes and IABLE website.

Dr. Eglash is founder and president of IABLE, a nonprofit organization dedicated to the creation of breastfeeding-friendly medical systems and communities.

Disclosures
No conflicts of interest.

Katrina Mitchell - MD, IBCLC

Katrina B. Mitchell, MD, is a board-certified general surgeon, fellowship-trained breast surgical oncologist, and international board certified lactation consultant (IBCLC) whose practice includes the care and surgery of women with breast cancer and benign breast disease. She also treats maternal complications of lactation, and has a special interest in pregnancy and postpartum breast cancer.

She resides in Santa Barbara, California and practices at the Ridley Tree Cancer Center at Sansum Clinic. She enjoys reading, traveling, and spending time with her son at the beach. More information about her clinical and educational interests is available at physicianguidetobreastfeeding.org.

Disclosures
No conflicts of interest.

Philip Anderson - Pharm.D., FCSHP, FASHP

Philip O. Anderson, Pharm.D., FCSHP, FASHP is a Health Sciences Clinical Professor of Pharmacy at the UCSD Skaggs School of Pharmacy and Pharmaceutical Sciences where he heads the course on drug information.

Dr. Anderson has lectured and published extensively on drug use during breastfeeding including in professional journals and textbooks, including original research on drug excretion into breastmilk. Dr. Anderson founded the LactMed® database, which is a National Library of Medicine database. He continues to write all LactMed® records and to expand the database. He has authored the medication appendix to the popular handbook, The Nursing Mothers’ Companion and the chapter Medications and breastfeeding in the Breastfeeding handbook for physicians, 3rd edition, published by the American College of Obstetricians and Gynecologists & the American Academy of Pediatrics. Dr. Anderson is a member of the Editorial Board and the Pharmacology Editor of Breastfeeding Medicine, and writes a monthly column on medication use during breastfeeding for the journal. He has also been a consultant to the US Food and Drug Administration on the topic of drug labeling with respect to use during lactation.

Dr Anderson has been a consultant to MotherToBaby, San Diego in the UCSD Department of Pediatrics since 1979, and a charter member of its Scientific Advisory Board and Breastmilk Repository Steering Committee. He is also a charter member of the Board of Directors of the San Diego Milk Bank and a consultant on medications in donated breast milk for the Human Milk Banking Association of North America.

Disclosures
No conflicts of interest.

Sarah Reece-Stremtan - MD

Sarah Reece-Stremtan, MD, is an assistant professor of pediatrics and anesthesiology at the George Washington University in Washington DC. Her clinical practice is centered at Children’s National Hospital in DC, where she works as a pediatric anesthesiologist, acute pain physician, and acupuncturist. She has particularly strong interests in perioperative preservation of breastfeeding, with specific expertise in safety of anesthesia and analgesia medications used by breastfeeding mothers. She has spoken at Congressional Briefings on the need for enhanced research into the use of medications by breastfeeding and pregnant women, and sits on working group #3 within a federal task force developed to enhance Research Specific to Pregnant Women and Lactating Women (PRGLAC).

She has long been involved with the Academy of Breastfeeding Medicine, authoring multiple clinical protocols, chairing various committees, and most recently serving as Treasurer for 2 terms after 5 years as a member of the Board of Directors.

Disclosures
No conflicts of interest.