Maternal Physical Health and Lactation

Question 1

Common drugs for migraine are generally ______ with breastfeeding. Give some examples

Answer 1

compatible.

ex: propranol, sumatriptan succinate, NSAIDS, metoclopramide and diphenhydramine, anticonvulsants and antidepressants

Question 2

Infection disease. Continue to breastfeed? Beware of what med for colds?

Answer 2

in most cases, treat and continue to breastfeed.
Beware of pseudophedrine (decongestant) because it can reduce milk supply

Most antibiotics are safe

Question 3

What is the recommendation if a parent is found to have TB at the time of delivery?

Answer 3

Separate parent from infant for 2 weeks.

Question 4

Is breastfeeding recommended during Zika infection?

Answer 4

Yes

Question 5

Should a parent with Ebola breastfeed?

Answer 5

No

Question 6

WHO recommendation for breastfeeding and HIV?

Answer 6

Exclusive breastfeeding for 6 months and continued breastfeeding with complementary food along with ART for mother and baby.

Question 7

Breastfeeding considerations and COVID?

Answer 7

yes breastfeeding, vaccination recommended, practice rooming in with masking and infant in isolette.

Question 8

Which population should be strongly encourage to express colostrum antenatally?

Answer 8

Parents with diabetes

Question 9

Diabetic parents are at higher risk of delayed lactogenesis 2 and which infections related to breastfeeding?

Answer 9

mastitis and candidiasis

Question 10

which thyroid disorder can impact milk supply?

Answer 10

hypothyroid

Question 11

Symptoms of Sheehan’s syndrome?

Answer 11

• lactation failure
• loss of pubic hair
• cold intolerance
• breast and vaginal tissue atrophy
• low BP
• hypothyroidism
• adrenal failure

Question 12

Is breastfeeding contraindicated for a person with cystic fibrosis?

Answer 12

No, but these patients will require increased support and guidance in terms of maternal nutritional needs, infection control rest, and medication review

Question 13

Some breastfeeding risk factors of parents with PCOS

Answer 13

breast shape variation, little change in breast size during pregnancy, insufficient milk production, insulin resistance

Question 14

Breastfeeding should be _______ in patients with Chron’s or Ulcerative Colitis

Answer 14

Encouraged.

Question 15

Lupus patients may experience exaggerated postpartum flare ups, true or false?

Answer 15

True

Question 16

What is known of relapse in MS as it relates to pregnancy and lactation?

Answer 16

Risk of relapse decreases during pregnancy but increases postpartum (as much as 70%) especially in the first 3-4 months

Question 17

Many epilepsy medications are considered safe in lactation. Which anticonvulsants are contraindicated during lactation?

Answer 17

Clonazepam, Diazepam, ethosuximide and zonisamide

Question 18

HSV can not be transmitted to the breastfeeding infant, true or false.

Answer 18

False. It is crucial to rule out HSV as infants can develop life threatening infection involving the CNS

Parents with open/active lesions should be treated and pump breasts instead of breastfeeding

Question 19

Cancers most frequently diagnosed during pregnancy

Answer 19

breast, cervical, ovarian, thyroid