"when i went into labor i had to have a episiotomy got about 50 stitches and had a rough labor.  i was in a lot of pain after but i also planned on breast feeding. my doc prescribed tramadol 50mg. he reassured me it was fine with breastfeeding. the medicine definetly worked with the pain for me 100% that&#039;s why i gave it a good score but please mamas who are breastfeeding pay attention, soon after getting my baby home i noticed she was sleeping so much all day all night i would have to wake her to get her to eat and this was the only thing i could relate it too was the tramadol it was the only thing i was taking i immediately stopped the medicine and she was fine after that so please even tho the doc says it&#039;s ok i would def not recommend it"