Contraindications in Breastfeeding Flashcards
What is a breastfeeding contraindication?
Any element that could put a mother or her infant at significant risk while breastfeeding
What are the true contraindications in breastfeeding?
- breast cancer
- HIV/AIDS
- galactosemia
- untreated tuberculosis
- maternal chickenpox
- herpes (only if in direct contact with an open lesion)
- some known contraindicated drugs
- drugs of abuse
What are The most common situations in which mothers are given inappropriate advice to stop breastfeeding?
- during some drug therapies
- infectious diseases
- phenylketonuria (PKU)
A mother who has been diagnosed with breast cancer should not breastfeed her infant, because
the mother will need to undergo specific treatment for the disease
What factors in breastfeeding can accellerate malignant growths?
- high levels of prolactin
- sex steroids
Do women who have been breastfed as infants have a higher incidence of getting breast cancer than those who were not breastfed?
No
Why do daughters of women who who have breast cancer have an increased risk of developing tumours?
- heredity
- not their breastfeeding history.
Why have recommendations moved away from HIV positive mothers not breastfeeding their infants?
Learning more towards reducing risk in the infant with maternal antiviral treatments and infant prophylaxis
Why does the WHO change its recommendation against HIV-infected women in developing countries breastfeeding?
- the rate of death in the first year of life from diarrhea and pneumonia is often very high
- exclusive breastfeeding is the feeding method of choice.
- increasing use of antivirals and recognition of limited access or affordability of alternative milk sources
What is galactosemia?
is a congenital metabolic disorder in which there is an inability to metabolize galactose.
galactosemia causes what complications?
- failure to thrive
- hepatomegaly
- splenomegaly
Infants with galactosemia must have what type of diet?
Galactose-free
Can galactosemia be fatal?
Yes, in severe form
Why must babies with galactosemia be weaned from the breast?
because human milk is high in lactose
What must babies with galactosemia have instead of breast milk?
Special formula
If a mother has been diagnosed with active tuberculosis, she should be treated with
- INH
- rifampin
How do INH and rifampin interact with breast milk?
- INH is secreted into breastmilk
- no reports of adverse effects to infants of mothers taking this drug
- The American Academy of Pediatrics states there are no reported signs or symptoms or effect on lactation from Rifampin (2013).
What is rifampin?
Antibiotic used to treat TB
When a mother is diagnosed with active TB prior to delivery
baby and mother must be separated to prevent the infant from contracting the disease
When may breastfeeding resume if the mother has active TB?
- When the mother has complied with treatment for 2 or more weeks
- the infant is receiving INH prophylaxis
What is one of the most communicable childhood diseases?
Chickenpox
When should the mother and infant be isolated separately with maternal chickenpox?
When maternal chickenpox occurs immediately postpartum and there are no apparent lesions on the infant
When can breastfeeding resume with maternal chickenpox/
when it is safe to reunite the mother and baby
When are chickenpox antibodies present in the breastmilk?
breastmilk within 48 hours following onset of disease
