Primum non-nocere, (first, do no harm) a loose translation of a line from the Hippocratic oath that most physicians take upon graduating from medical school, should be a guiding principle of medical practice. [1] In obstetrics and pediatrics, this philosophy was fashionable in terms of advising postpartum women concerning nursing who were on long-term medications. Generally, this was not to mix pharmaceutical agents with breastfeeding. This was a no win dilemma (ie, a Sophie’s Choice) for many women who were being treated for chronic illnesses; choosing between taking their medications and forgoing nursing, and therefore, depriving their baby of the benefits of breast milk (or to nurse and stop their medications, and run the risk of exacerbating their underlying condition).
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