I suffer from chronic, near-daily migraines. Without the help of strong medications I'd be lying in bed with the blinds drawn and a cold compress on my head, useless to my children and society. I’ve had migraines for over a decade, including while breastfeeding my children. So, taking headache drugs required that I do more than the average amount of pump and dump, which probably explains why I became more laissez faire about wasting milk in other instances. Looking back, though, there were a lot of pieces of pump and dump advice I'm so glad I ignored anyway.
I have seen so many headache specialists I've lost count. I've sought out every medical (and holistic) treatment available (really, everything) with no relief. My doctors gave me pump and dump advice that I lived by when I was breastfeeding. The medications that I take to treat my migraines are considered "C" class in terms of safety for pregnancy and breastfeeding, which means that there is not enough research to determine if these drugs are safe. The reason? Doctors and scientists cannot perform drug tests on pregnant women. Aye, there's the rub.
Now, this is an extremely personal decision for each mother (in concert with her doctor) to make. And after many lengthy conversations with multiple professionals, nights spent crying while Googling, we decided it was better for me and my babies if I continued to breastfeed and dump after taking my medications. Plus, every once in a while, it would not be the end of the world if my baby nursed after I took one of these medications, too. Yes, I know. And both of my babies (now 2 and 5) are doing just fine.