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Updated: May 25, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Three cases of lithium exposure and exclusive breastfeeding
Debra L Bogen1, Dorothy Sit, Adrienne Genovese
1Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. bogendl@upmc.edu
Abstract:
The aim of this study was to provide data to aid decision making regarding lithium use during lactation. Three women treated with lithium for bipolar disorder during pregnancy and lactation and their four infants provided lithium levels at 1 month postpartum. Infant levels ranged from 10% to 17% of maternal levels. Two infants experienced early feeding problems which were overcome with breastfeeding education and support. Women taking lithium can be supported to breastfeed, and their infants should be followed closely until breastfeeding is well established.
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