Conflict of interest None for all authors.

states that ‘it would be unethical to withhold sedation and anesthesia when necessary ’ and ‘more harm may be inflicted if necessary treatment is withheld’. As a corol-lary to this statement, based on current evidence and considering the advantages of breast-feeding to both the mother and the infant, the use of short-acting sedative premedication for the nursing mother may be consid-ered (albeit with caution as with any other medication). Further research in measuring the parent drug and any active metabolites in the infant blood and urine would be reassuring in determining which maternally adminis-trated drugs would deliver minimal to absent exposure to the infant (5). We certainly remain concerned over any possible effect of any drug transmitted via breast milk (5). Financial suppor