Maternal Physical Health and Lactation Flashcards
Common drugs for migraine are generally ______ with breastfeeding. Give some examples
compatible.
ex: propranol, sumatriptan succinate, NSAIDS, metoclopramide and diphenhydramine, anticonvulsants and antidepressants
Infection disease. Continue to breastfeed? Beware of what med for colds?
in most cases, treat and continue to breastfeed.
Beware of pseudophedrine (decongestant) because it can reduce milk supply
Most antibiotics are safe
What is the recommendation if a parent is found to have TB at the time of delivery?
Separate parent from infant for 2 weeks.
Is breastfeeding recommended during Zika infection?
Yes
Should a parent with Ebola breastfeed?
No
WHO recommendation for breastfeeding and HIV?
Exclusive breastfeeding for 6 months and continued breastfeeding with complementary food along with ART for mother and baby.
Breastfeeding considerations and COVID?
yes breastfeeding, vaccination recommended, practice rooming in with masking and infant in isolette.
Which population should be strongly encourage to express colostrum antenatally?
Parents with diabetes
Diabetic parents are at higher risk of delayed lactogenesis 2 and which infections related to breastfeeding?
mastitis and candidiasis
which thyroid disorder can impact milk supply?
hypothyroid
Symptoms of Sheehan’s syndrome?
- lactation failure
- loss of pubic hair
- cold intolerance
- breast and vaginal tissue atrophy
- low BP
- hypothyroidism
- adrenal failure
Is breastfeeding contraindicated for a person with cystic fibrosis?
No, but these patients will require increased support and guidance in terms of maternal nutritional needs, infection control rest, and medication review
Some breastfeeding risk factors of parents with PCOS
breast shape variation, little change in breast size during pregnancy, insufficient milk production, insulin resistance
Breastfeeding should be _______ in patients with Chron’s or Ulcerative Colitis
Encouraged.
Lupus patients may experience exaggerated postpartum flare ups, true or false?
True
What is known of relapse in MS as it relates to pregnancy and lactation?
Risk of relapse decreases during pregnancy but increases postpartum (as much as 70%) especially in the first 3-4 months
Many epilepsy medications are considered safe in lactation. Which anticonvulsants are contraindicated during lactation?
Clonazepam, Diazepam, ethosuximide and zonisamide
HSV can not be transmitted to the breastfeeding infant, true or false.
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
Cancers most frequently diagnosed during pregnancy
breast, cervical, ovarian, thyroid
