Contrast

Question 1

is suspending breast feeding after gadolinium based contrast media recommended by the ACR or ACOG

Answer 1

No
ACR and ACOG do not
recommend suspending breast feeding following GBCM administration, regardless of GBCM identity, classification, or renal function [5, 44].

file:///C:/Users/George/Downloads/bookwalter-et-al-2024-contrast-media-in-pregnant-and-lactating-patients-from-the-ajr-special-series-on-contrast-media.pdf

Question 2

what is the plasma half life of iodinated contrast

Answer 2

2 hours with nearly 100% clearance within 24 hours in patients with normal renal function

Question 3

what percentage of IV contrast enters the breast milk

Answer 3

Less than 1% of the maternal dose enters
breast milk, of which <1% enters the infant’s gastrointestinal tract [5];

Question 4

ACR and ACOG position on iodinated contrast media in patients who are breastfeeding

Answer 4

ACR, ACOG, and ESUR indicate that iodinated contrast
media are safe for continuing breastfeeding following maternal ICM administration but suggest
the decision to continue breastfeeding be left to the mother [96].