Maternal infectious diseases, antimicrobial therapy or immunizations: Very few contraindications to breastfeeding Flashcards

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1
Q

What are the breastfeeding recommendations re: mastitis and breast abscesses?

A

Continue breastfeeding unless there is obvious pus, in which case pump milk and discard from the infected breast and continue to breastfeed from the other breast

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2
Q

What are the breastfeeding recommendations re: TB?

A
  1. Delay direct breastfeeding until mother has received 2 weeks of appropriate anti-TB therapy
  2. Feed infant EBM during 2 week period
  3. Provide TB prophylaxis for infant
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3
Q

Which infections can you continue breastfeeding?

A
  1. UTI
  2. Bacterial infection abdominal wall post c/s
  3. Diarrhea
  4. Other bacterial infections
  5. Malaria
  6. Candidal vaginitis
  7. CMV
  8. Enterovirus
  9. Parvovirus
  10. West Nile Virus
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4
Q

What are infectious contraindications to breastfeeding?

A
  1. Brucellosis
  2. HIV
  3. Human T-cell lymphotrophic virus type I or II
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5
Q

What are the recommendations re: breastfeeding and hepatitis A virus?

A

Continue breastfeeding; immunoglobulin prophylaxis for the infant. Practice meticulous hand hygiene

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6
Q

What are the recommendations re: breastfeeding and hepatitis B virus?

A

Continue breastfeeding; routine prevention of infant HBV infection with HBIG at birth; immunization with HBV vaccine

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7
Q

What are the recommendations re: breastfeeding and hepatitis C virus?

A

Continue breastfeeding; immunization with HBV vaccine

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8
Q

What are the recommendations re: breastfeeding and HSV?

A

Continue breastfeeding. Practice meticulous hand hygiene. Cover oral labial
lesions with a mask. If there are lesions on the breast/ HSV mastitis, verify that it is HSV not varicella-zoster virus. Interrupt direct breastfeeding until lesions are crusted over. Use expressed breast milk

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9
Q

What are the recommendations re: breastfeeding and VZV?

A

Continue breastfeeding. For perinatal VZV, give VZIG; for postpartum, consider VZIG

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10
Q

What are the recommendations re: TB medications (isoniazid, rifampin, streptomycin, ethambutol) and breastfeeding?

A

Continue breastfeeding. Infants only need pyridoxine supplementation if receiving isoniazid themselves

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11
Q

What are the recommendations re: antimalarials and breastfeeding?

A

Group 1: Chloroquine, quinidine, ivermectin; maternal topical diethyltoluamide
or icaridin/picaridin: continue breastfeeding

Group 2: Primaquine, quinine: Contraindicated during breastfeeding unless both mother and baby have normal G6PD levels

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12
Q

What are the recommendations regarding breastfeeding on penicillins, cephalosporins, carbapenems, aminoglycosides, and quinolones?

A

Continue breastfeeding

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13
Q

What are the recommendations regarding breastfeeding on high dose metronidazole?

A

Discontinue breastfeeding for 12 h to 24 h to allow excretion of dose

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14
Q

What are the recommendations regarding breastfeeding on chloramphenicol?

A

Caution: Possible idiosyncratic bone marrow suppression

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15
Q

What are the recommendations regarding breastfeeding on TMP/SMX, sulfisoxazole, or dapsone?

A

Proceed with caution if nursing infant has jaundice or G6PD deficiency, and also if the child is ill, stressed or premature

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16
Q

What are the recommendations regarding breastfeeding on fluconazole or ketoconazole?

A

Continue breastfeeding

17
Q

What are the recommendations regarding breastfeeding on acyclovir, valacyclovir, or amantadine?

A

Continue breastfeeding. If considering prolonged use of amantadine, observe for milk suppression, as it can suppress prolactin production

18
Q

What are the recommendations re: maternal immunization and breastfeeding?

A

Breastfeeding is not a contraindication to the administration of routine recommended vaccines to the infant or the mother. Breastfeeding during immunization can help mitigate the infant’s pain and should be encouraged