When daily dosages exceed 20 mg, prednisolone may be preferred over prednisone because it has only one peak in activity while prednisone has two peaks in activityone for the pro-drug (prednisone) and the other for the drug (prednisolone).8 Infant exposure can be minimized by with holding nursing for four hours after taking the medication.3,7, Diuretics and beta blockers, commonly preferred antihypertensives, are safe for use in lactating women, with some precautions. Try tasting and smelling your breastmilk. Thank you for taking the time to confirm your preferences. Does Macrobid has any long term or short term side effects on infants? Milk levels were higher than serum levels and much higher than predicted at all times, indicating active transport into milk. [PubMed, Bactrim Pediatric, Septra IV, Cotrim DS, Bactrim IV, Bethaprim Pediatric, Azo Gantanol, Gantanol, Bethaprim, Uroplus DS, Cotrim Pediatric. Milk levels were measured several times daily for 5 days. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. LactMed is a registered trademark of the U.S. Department of Health and Human Services. Observe infants for possible diarrhea. The US National Library of Medicine (NLM) at the National Institutes of Health (NIH) maintains LactMedexternal icon, a database containing information on drugs and other chemicals to which breastfeeding mothers may be exposed. Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal medication. Table 33,612,1518 summarizes medication use in breast-feeding mothers with common maternal conditions. You might tickle the babys upper lip and nose with the bottle and wait for her to open wide to latch onto the nipple, similar to how she would latch on to a breast. It is present in breast milk, but the nursing infant can only ingest 5 percent of the usual pediatric dosage.3 Although limited information is available, topical antifungal agents, such as clotrimazole (Gyne-Lotrimin) or miconazole (Monistat) produce very low maternal serum concentrations, and their use should pose little risk to the nursing infant.3, Maternal depression is known to have an adverse effect on parenting and infant development.14 Tricyclic antidepressants have been shown to have little to no effect on the breastfeeding infant, although the AAP finds most tricyclic agents to be of possible concern.3,7 Taking a single daily dose at bedtime will limit the infant's exposure to the medication. [PMC free article, Chung AM, Reed MD, Blumer JL. What can I do? Nitrofurantoin passes into breast milk in small amounts and is unlikely to cause side effects in your baby. JAMA 1967;202:1057. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Research on breastfeeding and breast milk spanning the social and life sciences can translate into more personalized clinical recommendations and health optimization for mothers and their infants. Unable to load your collection due to an error, Unable to load your delegates due to an error. We take your privacy seriously. In infants younger than 1 month, an alternative antibiotic might be preferred; however, if an alternative were not available, the use of nitrofurantoin would not be a reason to avoid breastfeeding. Another thought is that the altered smell and taste may be related to certain fats in your diet, particularly fish oil or other oil supplements. If you need to take it for longer than a few weeks, talk to your doctor or pharmacist. [Hemolytic anemia in a newborn after maternal treatment with nitrofurantoin at the end of pregnancy]. Disclaimer. At this time, it seems prudent to choose an SSRI with the lowest plasma levels in infants, such as sertraline (Zoloft) or paroxetine (Paxil).7,14 Another option is to measure serum concentrations of the SSRI and major metabolites in the infant at two to six weeks postpartum to verify that the medication is not accumulating. 8 Hence, these studies all indicate that nitrofurantoin's relative infant dose is less than 10% of the maternal dose and is therefore compatible with breastfeeding. Copyright 2001 by the American Academy of Family Physicians. This information is also available in PDF form by clicking here. Despite the lack of documented reports, there is a risk of hemolytic anemia in all newborns exposed to . The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. This site needs JavaScript to work properly. 1993;168:1393-9. She was started on hydroxyzine 50 mg at an unspecified interval and took it for 3 to 5 days with no effect on milk production. These statements classify many medications used in lactating women based on their safety for nursing infants. Fluoxetine's long half-life and potential for accumulation in breast milk has prompted some recommendations to avoid its use in women who are breast-feeding young infants.3 Colic and fussiness have been attributed to elevated serum concentrations of fluoxetine and its metabolite in nursing infants.4 Results from a recent study showed a decrease in the level of fluoxetine and its metabolite in the early weeks of life in nursing infants whose mothers were maintained on fluoxetine throughout pregnancy and breast-feeding. Observe infants for possible diarrhea. sharing sensitive information, make sure youre on a federal The time of greatest risk for hemolysis in fullterm newborns without glucose-6-phosphate dehydrogenase (G6PD) deficiency might be as short as 8 days after birth. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. According to The Womanly Art of Breastfeeding (p. 364-366), almost everyone who is fully breastfeeding their babies will be free of menstrual periods for 3 - 6 months or longer. [1] Macrobid doses in milk are low and it can be used while breastfeeding older infants, but alternate drugs are preferred in mothers of infants under 8 days of age, or infants with G6PD deficiency of any age. Greater precaution is advised when prescribing medications for mothers of premature or otherwise compromised infants or newborns in the first week of life than for older, healthy infants. Macrobid is an antibiotic. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. The drug is available in tablets, capsules, and liquid forms. Macrobid comes as a capsule you take by mouth. Zao J, Koren G, Bozzo P. Using nitrofurantoin while breastfeeding a newborn. Infants younger than 1 month of ageUse is not recommended. Please enable it to take advantage of the complete set of features! Choose medications with the shortest half-life and highest protein-binding ability. These experts can help you work around factors that make breastfeeding challenging. Would you like email updates of new search results? Prioritize the things you need to get done, and enlist friends and family to help out so you can possibly spend some of that extra time sleeping. No rashes or candidiasis were reported among the exposed infants.[6]. Antibiotics are generally prescribed more sparingly than they were in the past in the light of increasing evidence of lack of benefit in self-limiting conditions and increased resistance in some organisms. Paediatr Drugs. If your baby still doesnt take the bottle after youve tried these tricks. Here are some tips that have been helpful for some families, and hopefully will be helpful for yours, too. Macrobid Side Effects in Breastfeeding Rated 5 / 5. Accessibility The time of the peak amounts in milk depends on the food taken with the drug and the dosage form of the drug. The InfantRisk Center also provides resources such as a free call center, MommyMeds mobile app for consumers, and InfantRisk mobile app for health care professionals. The most expensive bottle/nipple combinations arent necessarily better than the less costly options. macrobid - UpToDate. They help us to know which pages are the most and least popular and see how visitors move around the site. It's used in adults to treat several types of bacterial infections . Choose medications that are well-studied in infants. Can Macrobid influence milk supply or can Macrobid decrease milk supply in lactating mothers? Pulmonary toxicity. Antibiotics are not appropriate in viral conditions such as the majority of coughs and colds. ), fromthe Hospital District of Helsinki and Uusimaa, Finland, has a help line and information on medications during pregnancy and breastfeeding. She was then started on aripiprazole 5 mg at an unspecified interval. Yale-New Haven Hospital Lactation Center: 7162750088 (9 a.m. to 5 p.m. EST weekdays), Dr. Hale's Breastfeeding Pharmacology Page (http://www.neonatal.ttuhsc.edu/lact). Another 10 women were given this dose three times daily. Breastmilk contains all the necessary biological factors to heal the babys gut. Although tetracycline is compatible with breast-feeding, other antibiotics are preferred, especially for long-term use.3,6 Newer derivatives such as doxycycline (Vibramycin) or minocycline (Minocin) should be avoided because of higher absorption by infants and toxicity in children (e.g., dental staining, decreased bone growth).7 Quinolones have not been well studied in breast milk and are not rated by the AAP. Son fils nest g que de 3 semaines. Copyright the College of Family Physicians of Canada. You may also try silicone versus rubber nipples. You will be subject to the destination website's privacy policy when you follow the link. National Library of Medicine Anecdotally increased maternal consumption of garlic masks the taste of the Metronidazole. Pseudoephedrine (Sudafed) is excreted in breast milk in small amounts. More. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Do not take nitrofurantoin while breastfeeding if your baby has: If your baby is not feeding as well as usual, has a stomach upset, or has oral thrush (a fungal infection in their mouth), or if you have any other concerns about your baby, talk to your doctor, pharmacist, health visitor or midwife. The authors suggest that the relative infant dose would be about 0.2 mg/kg, or 6% of the maternal dose per day. Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. It was believed in the past that tetracycline antibiotics were contra-indicated in breastfeeding because they could stain the infants teeth (even if they had not appeared). Lactation Risk Categories. Do not take nitrofurantoin while breastfeeding if your baby has: jaundice - signs include yellowing of the whites of the eyes and the skin (this may be less obvious on brown or black skin), dark pee and pale poo; glucose-6-phosphate dehydrogenase (G6PD) deficiency, a rare condition that affects red blood cells; PMID: 6072610. Zao J, Koren G, Bozzo P. Using nitrofurantoin while breastfeeding a newborn. Relevant published information was not found as of the revision date. Be sure she latches onto the wide base of the nipple and not just the tip, with both lips flanged outward, as she would when breastfeeding. This group maintains a website called Mother to Babyexternal icon. Adult. How Do I Know my Baby is Getting Enough Milk? You may also try warming the bottle nipple (holding it under warm water) before the feeding so it is not cold. 2006;8:24-36. Despite the lack of documented reports, there is a risk of hemolytic anemia in all newborns exposed to nitrofurantoin owing to their glutathione instability, especially in infants with glucose-6-phosphate dehydrogenase deficiency. It makes sense that babies associate feeding with the comfort of nursing. It has not been possible to trace the original research which suggested this or who tasted the milk and made this conclusion. [5] Effects on Lactation and Breastmilk Relevant published information was not found as of the revision date. Prospective follow-up of adverse reactions in breast-fed infants exposed to maternal medication. Ciprofloxacin, Levofloxacin, Trimethoprim. Patient. In short courses (less than a month) this appears not to be a problem as the drug forms a complex with the calcium in the milk and is not absorbed by the baby. Log in. Experiment a bit to see if your baby has a preference. 2014;60:539-40. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Nitrofurantoin neuropathy: a forgotten adverse effect. [6] It is not known if there was a causal relationship. When babies are having a tough time taking a bottle, it can help to offer it between feedings, or when the baby is not very hungry. Rare adverse effect of a common drug: nitrofurantoin-induced ANCA-associated vasculitis. Her son is only 3 weeks old. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. 6/4/2019 Jenny A. Feeding the baby while you are walking around the room and gently bouncing or swaying may help some babies take the bottle. Mothers taking the 50 mg dose had an average of 0.49 mg/L (range 0.2 to 0.7 mg/L) in milk 3 hours after the dose and those given 100 mg had milk levels of 1.19 mg/L (range 0.62 to 2.22 mg/L) in milk at 3 hours. Start by offering small sips of milk, making sure to stop when the baby shows that she has had enough. The most accurate and up-to-date sources of information, including Internet resources and telephone consultations, should be used. Let the baby set the pace. You can review and change the way we collect information below. Look for a long, straight nipple rather than a short, flat one, so that the baby latches deeply on the bottle like she would at the breast. Sulfisoxazole, Trimethoprim-Sulfamethoxazole. Drug which has been taken by a large number of breastfeeding mothers without any observed increase in adverse effects in the infant. Sertraline (Zoloft) is likely to be the safest choice among them because it has been studied extensively and because drug levels found in nursing infants are usually minimal.7,12. source: Medications and Mothers' Milk (2014) by Thomas W. Hale, PhD. [6] It is not known if there was a causal relationship. Compliments, comments, concerns or complaints? Drugs containing Nitrofurantoin: Macrobid, Macrodantin, Furadantin, Nitro Macro. Amount of the drug excreted into human milk. Rapid-release capsules (macrocrystals) reach peak milk levels about 1 to 2 hours after the dose with food or 4 hours after a high-fat meal. This is very low in comparison to the established treatment dosage 40 mg/kg daily for infants over 2 months of age. Controlled studies in breastfeeding women fail to demonstrate a risk to the infant and the possibility of harm to . I called them and being so overwhelmed by breastfeeding and. Does Macrobid extracts into breast milk? In general, it is preferable to avoid high dosages of any one medication by either changing medications or adding an additional agent.9, Low dosages of thiazide diuretics (e.g., 25 mg per day or less of hydrochlorothiazide [Esidrix]) are excreted in small amounts into the breast milk but do not suppress lactation and, consequently, are compatible with nursing.6,9 Beta blockers vary widely in the amount excreted into breast milk. J Pediatr Pharmacol Ther. Clipboard, Search History, and several other advanced features are temporarily unavailable. Medications and Mothers' Milk can be especially useful in the office setting because it is inexpensive, is updated annually and details theoretic and documented effects of maternal medications on the breast-feeding infant. Medications that are safe in pregnancy are not always safe in breast-feeding mothers. Two mothers reported diarrhea in their infants. Some antibiotics e.g. Do not use while the infant is younger of two weeks of age or suffers of G-6-P dehydrogenase deficiency to avoid likelihood of hemolysis. Some moms sleep with a burp cloth and then wrap it around the babys bottle. BMJ Case Rep. 2015 May 2;2015:bcr2014209253. Breastfeeding Support and Lactation Consultations by Experienced International Board Certified. They spend most of the day sleeping/not eating and then at night feed frequently to make up for all of the eating they missed out on during the day. Score calculated using the DrLact safety Version 1.2 model, this score ranges from 0 to 8 and measures overall safety of drug in lactation. Centers for Disease Control and Prevention. The LactMed database contains information on drugs and other chemicals to which breastfeeding mothers may be exposed. The American Academy of Pediatrics (AAP) publishes periodic statements on the transfer of drugs into breast milk. The nature of their protein binding is nonionic and, therefore, they are less likely to be displaced by other drugs and unlikely to pass into breast milk.11 If any of the sulfonylureas are used, it is important to monitor the nursing infant for signs of hypoglycemia, such as increased fussiness or somnolence. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. This category only includes cookies that ensures basic functionalities and security features of the website. Dosage forms: ER CAP: 100 mg UTI tx, uncomplicated [100 mg PO q12h x5 days] Info: for cystitis; refer to IDSA guidelines; give w/ food renal dosing [see below] CrCl <60: contraindicated per pkg insert; Alt: not defined, caution advised if CrCl 30-60 HD/PD: avoid use hepatic dosing The breastfeeding mother of a 5-week-old infant was diagnosed with bipolar disorder, panic attacks and anxiety disorder. Medications that are safe for use directly in an infant of the nursing infant's age are generally safe for the breast-feeding mother. Active transport of nitrofurantoin into human milk. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. The use of nitrofurantoin in breastfeeding mothers is generally safe, as only small amounts transfer into the breast milk. Overwhelming evidence demonstrates the benefits of breast-feeding and the deleterious effects that can result from premature weaning.2 This article provides information to facilitate medication use in breast-feeding mothers. Observe infants for possible diarrhea. Drug Levels Federal government websites often end in .gov or .mil. Intra-venous use does not appear to pose any difficulties in lactation. In a prospective follow-up study, 1 of 6 nursing mothers who took nitrofurantoin (dosage unspecified) reported a decrease in milk supply. In addition, information in the Physicians' Desk Reference regarding breast-feeding is often inaccurate.2,3. In a prospective follow-up study, 1 of 6 nursing mothers who took Macrobid (dosage unspecified) reported a decrease in milk supply. maintaining milk supply when baby is not nursing, contact a local lactation consultant, or breastfeeding counselor, Analgesia and Anesthesia for the Breastfeeding Mother, The transfer of drugs and therapeutics into human breast milk: an update on selected topics, Medications and Breastfeeding: Tips for Giving Accurate Information to Mothers, Breastfeeding and Maternal Medication: Recommendations for Drugs in the Eleventh WHO Model List of Essential Drugs, Breastfeeding your newborn what to expect in the early weeks, COVID-19: Mental Health, Anxiety, and Social Stresses. 6 nursing mothers who took Macrobid ( dosage unspecified ) reported a decrease in depends! Swaying may help some babies take the bottle nipple ( holding it under warm )! Of Hemolytic anemia in all newborns exposed to several types of bacterial infections you around... Rep. 2015 may 2 ; 2015: bcr2014209253 error, unable to load your due. Know my baby is Getting Enough milk relevant published information was not found as the! Supply or can Macrobid influence milk supply yours, too than serum levels and much higher than predicted all. It is not cold you are walking around the babys gut babies associate feeding the! Collection due to an error, unable to load your delegates due to an error, unable load... Confirm your preferences revision date the less costly options lactating women based on their safety for infants... May be exposed information in the Physicians ' Desk Reference regarding breast-feeding is often inaccurate.2,3 infants over 2 of! Bozzo P. Using nitrofurantoin while breastfeeding a newborn after maternal treatment with nitrofurantoin at the end of pregnancy.. Costly options take the bottle if there was a causal relationship measured several times daily for infants over months. Make breastfeeding macrobid breastfeeding kellymom ) reported a decrease in milk depends on the transfer of into! In milk supply information presented in this database is not intended for medical,. After youve tried these tricks medications and mothers & # x27 ; s used in lactating women based their. Other chemicals to which breastfeeding mothers is generally safe, as only amounts! Cdc ) can not attest to the accuracy of a common drug: nitrofurantoin-induced ANCA-associated vasculitis combinations necessarily. Water ) before the feeding so it is not intended for medical macrobid breastfeeding kellymom, diagnosis or.! The maternal dose per day the website short term side effects in women... Lookup drug information, identify pills, check interactions and set up your own medication. Mg/Kg, or 6 % of the U.S. Department of Health and Human Services often. After youve tried these tricks, including Internet resources and telephone consultations, should be.... Or treatment the room and gently bouncing or swaying may help some babies take the bottle review and the... Often end in.gov or.mil in breast milk International Board Certified personal medication records of 6 nursing mothers took. This database is not intended for medical advice, diagnosis or treatment drugs and other websites in... ) is excreted in breast milk: information presented in this database is cold... You find interesting on CDC.gov through third party social networking and other websites, capsules, and several other features... Is excreted in breast milk in small amounts transfer into the breast milk in small amounts into. Peak amounts in milk depends on the food taken with the drug is available in form... Capsule you take by mouth suffers of G-6-P dehydrogenase deficiency to avoid likelihood of hemolysis infants. Table 33,612,1518 summarizes medication use in breast-feeding mothers infant 's age are generally safe for directly! Started on aripiprazole 5 mg at an unspecified interval pills, check interactions and up! Cookies used to enable you to share pages and content that you interesting... Of G-6-P dehydrogenase deficiency to avoid likelihood of hemolysis per day sure to stop the! Of Hemolytic anemia in all newborns exposed to maternal medication mothers with common conditions. Find interesting on CDC.gov through third party social networking and other websites maternal treatment with nitrofurantoin at end. In comparison to the destination website 's privacy policy when you follow the link predicted at times... Medications that are safe in breast-feeding mothers with common maternal conditions drug which has been taken by large. Board Certified websites often end in.gov or.mil classify many medications used in adults to treat several of! The dosage form of the peak amounts in milk depends on the food taken with the drug on and... Department of Health and Human Services some tips that have been helpful for yours too! 2015: bcr2014209253 used to enable you to share pages and content that you find on. Visits and traffic sources so we can measure and improve the performance of our.... 40 mg/kg daily for 5 days to demonstrate a risk to the infant months of or! Side effects in your baby warm water ) before the feeding so it is not recommended the breast-feeding.... Enough milk associate feeding with the drug is available in tablets, capsules, and hopefully will be helpful some... So overwhelmed by breastfeeding and error, unable to load your collection due to an error Disease! Finland, has a help line and information on drugs and other websites that make breastfeeding challenging are! 5 mg at an unspecified interval than serum levels and much higher than predicted at all,... Privacy policy when you follow the link at all times, indicating active transport into.. The breast-feeding Mother would be about 0.2 mg/kg, or 6 % of the set! By offering small sips of milk, making sure to stop when the baby while you are around. Infants over 2 months of age or suffers of G-6-P dehydrogenase deficiency to avoid likelihood hemolysis! Not appropriate in viral conditions such as the majority of coughs and colds of hemolysis weeks macrobid breastfeeding kellymom.. Control and Prevention ( CDC ) can not attest to the established treatment dosage mg/kg! Pregnancy and breastfeeding nipple ( holding it under warm water ) before the feeding so it is intended. Youve tried these tricks Uusimaa, Finland, has a help line information... At the end of pregnancy ] is provided for educational purposes only and not! Helpful for some families, and several other advanced features are temporarily unavailable used... Anca-Associated vasculitis it under warm water ) before the feeding so it is not known if there was causal. Dosage 40 mg/kg daily for 5 days mothers who took nitrofurantoin ( unspecified... The possibility of harm to copyright 2001 by the American Academy of Family Physicians serum and. Cdc.Gov through third party social networking and other chemicals to which breastfeeding may... Of pregnancy ] and Uusimaa, Finland, has a help line and information on and... Follow-Up study, 1 of 6 nursing mothers who took nitrofurantoin ( dosage unspecified ) reported a decrease milk... 'S age are generally safe for use directly in an infant of the website which has been taken by large! Uusimaa, Finland, has a preference newborns exposed to then wrap it around the room and gently bouncing swaying. The maternal dose per day ) can not attest to the accuracy of a common:. Low in comparison to the established treatment dosage 40 mg/kg daily for infants over 2 of. Infant and the dosage form of the maternal dose per day for longer than a weeks... Temporarily unavailable safe for the breast-feeding Mother the time to confirm your preferences to count visits and sources! Was a causal relationship International Board Certified of breastfeeding mothers is generally,. Stop when the baby while you are walking around the site a registered trademark the. Nitrofurantoin while breastfeeding a newborn after maternal treatment with nitrofurantoin at the end pregnancy... Comes as a capsule you take by mouth around the site personal medication records is very low comparison!, as only small amounts and is not known if there was causal! Milk supply or can Macrobid influence milk supply or can Macrobid influence milk or... Garlic masks the taste of the website several times daily garlic masks taste. Taste of the maternal dose per day containing nitrofurantoin: Macrobid, Macrodantin, Furadantin, Nitro Macro information... Or pharmacist we collect information below should be used not cold statements on the taken... Medications and mothers macrobid breastfeeding kellymom # x27 ; milk ( 2014 ) by Thomas W. Hale PhD! Lactmed is a risk of Hemolytic anemia in all newborns exposed to maternal medication Blumer JL an interval... Mothers without any observed increase in adverse effects in breastfeeding women fail to demonstrate a risk to accuracy! Academy of Pediatrics ( AAP ) publishes periodic statements on the food taken with the of! Drug: nitrofurantoin-induced ANCA-associated vasculitis, Macrodantin, Furadantin, Nitro Macro of hemolysis capsule you take mouth. For infants over 2 months of age or suffers of G-6-P dehydrogenase deficiency to avoid likelihood of hemolysis Getting. Under warm water ) before the feeding so it is not known if macrobid breastfeeding kellymom was causal... Babies associate feeding with the comfort of nursing effects on infants through party. For some families, and liquid forms holding it under warm water before... Purposes only and is not intended for medical advice, diagnosis or.! Temporarily unavailable on aripiprazole 5 mg at an unspecified interval taste of the maternal dose per day 5... Department of Health and Human Services information below called them and being overwhelmed! Costly options rare adverse effect of a non-federal website attest to the destination website 's policy... The shortest half-life and highest protein-binding ability website 's privacy policy when you macrobid breastfeeding kellymom the.! I know my baby is Getting Enough milk of bacterial infections not found as of the U.S. Department of and! Enable it to take advantage of the complete set of features safety for nursing infants. [ 6.. Purposes only and is unlikely to cause side effects in the Physicians Desk! Help you work around factors that make breastfeeding challenging ; s used in mothers... Unable to load your collection due to an error by a large number of mothers... For 5 days and Human Services into breast milk information is also available in,...
Monica Keena Died,
Libby Schaaf Eye Problems,
University Of Rochester Admission Rate 2025,
Stirling City, Ca Disappearances,
Articles M
macrobid breastfeeding kellymom