I have a client who is 28 weeks pregnant and over her life tends to get painful eczema flares on her nipples. She is concerned about this complicating breastfeeding. And I am concerned that postpartum hormonal shifting could lead to a flare. Currently, the eczema is quiet. In the short time remaining before the birth, I am planning to focus on GI anti inflammatories, nervines and nutrient rich herbs/foods to support the pregnancy. Beyond these herbs and foods, monitoring stress and avoiding known food intolerances, is there anything else you might recommend internally or topically both now and postpartum? This client was also recommended a Chinese formula (Si Jun Zi Wan) to help "move my chi up and generally create space for the baby to turn head down in the next month." This formula contains licorice (about 20% of the 1200mg daily dose.) Is this cause for concern for the baby in your opinion? If there is a measure of concern, I will need to let the client know, but I am concerned about stepping on another practitioner's toes. Any advice on how to handle this professionally if there is concern?

Because timeliness was a concern, I answered the second part of my question about licorice for myself and no longer need an answer. I am still seeking input on the eczema concern. Thank you!

An anti-inflammatory diet, Fish oil with Vitamin D, perhaps some Burdock root (2 parts) and Turmeric (1 part), topical coconut oil with added vitamin E can offer some benefits as well. Yes, studies show high doses of Licorice have negative effects on fetuses (See MM sheet).