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Maternal Contraindications to Breastfeeding

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Breastfeeding is beneficial to both the mother and the infant. Read further to learn more about the contraindications of breastfeeding.

Written by

Dr. Sanchana. N

Medically reviewed by

Dr. Sanap Sneha Umrao

Published At September 26, 2023
Reviewed AtDecember 27, 2023

Introduction:

Breastfeeding is one of the most important methods of nourishing an infant. It provides the baby with all the nutrients, antibodies, and other essential components for healthy growth and development. However, there are certain conditions where breastfeeding is not recommended or contraindicated.

What Could Be the Temporary Reason to Stop Breastfeeding?

Sometimes, a woman should not or may not be able to nurse the infant. As follows:

  1. Low Milk Supply: Due to a rise in demand or a decline in supply, some parents might be unable to make enough breast milk. In some circumstances, a parent might be able to pump breast milk and give it to their child in a bottle, or they might be able to temporarily stop breastfeeding before starting again.

  2. Medications: Taking certain medications or needing a medical procedure that is unsafe for breastfeeding. These drugs may result in major health issues for the infant, so it is important for mothers to talk to their doctor before breastfeeding if they are taking any medications. A few medical conditions are incompatible with breastfeeding as well.

  3. Infections: The most common temporary contraindications for breastfeeding include mother or infant infections. If the mother has an infection, such as mastitis, thrush, or an upper respiratory infection, it is important to treat it before breastfeeding resumes. The newborn may contract the infection from the mother's breast milk., which can be dangerous for a newborn. Furthermore, if the baby has an infection, such as a cold or an ear infection, It is significant to remember that most moms and babies are encouraged to breastfeed, and it is not advised to stop without talking to a healthcare expert.

What Does Absolute Contraindication Mean?

Absolute contraindication to breastfeeding means not feeding a baby any breast milk at all.

Absolute contraindications to breastfeeding are very rare and are typically caused by a medical condition in the mother. This includes conditions such as:

  • HIV (human immunodeficiency virus).

  • Active tuberculosis.

  • Ebola virus disease.

  • Untreated galactosemia (galactose 1-phosphate uridyltransferase deficiency).

  • A mother who is actively using illicit drugs like opioids, cocaine, or PCP (phencyclidine).

  • Undergoing radiation therapy.

Additionally, any mother who is taking certain medications should not breastfeed, as some may be passed through breast milk. These medications include certain antibiotics, anticonvulsants, and antipsychotics.

What Should Be Done in Case of Absolute Contraindication to Breastfeeding?

In cases where a mother has an absolute contraindication to breastfeeding, alternative methods of feeding the baby should be discussed with a healthcare provider. This may include formula feeding or feeding expressed breast milk. It is important to note that breastfeeding is encouraged for most mothers and babies and is not recommended to be stopped without consulting with a healthcare provider. In general, absolute contraindications to breastfeeding are uncommon and can be brought on by a mother's health issue or certain drugs. In cases where a mother has an absolute contraindication to breastfeeding, alternative methods of feeding the baby should be discussed with a healthcare provider.

How Does HIV Affect Breastfeeding?

Due to the possibility of passing the infection to the child, nursing is not advised for people with HIV. For moms who are HIV positive, breastfeeding is not advised since the infection might be transmitted to the child through breast milk.

The risk of transmission increases if the mother has a high viral load or if the infant has a low birth weight. In addition, HIV-positive mothers may be more likely to experience mastitis, a breast infection that can be dangerous for the baby. It is crucial to remember that there are other ways in which HIV can be passed from mother to child, such as contact with the mother’s blood or from sharing needles with the mother. Therefore, it is essential for HIV-positive mothers to take all precautions necessary to prevent transmission of the virus to their infants.

How Does Galactosemia Impact Breastfeeding?

Galactosemia and breastfeeding are two of the most important aspects of infant nutrition and health. But when it comes to galactosemia and breastfeeding, there is a contradiction. Galactosemia is the process by which milk sugar is broken down so that it can be absorbed by the body. This process is essential for the proper digestion and nutrition of the baby. Breastfeeding, on the other hand, provides the baby with antibodies and other nutrients that are essential for the baby's overall health. The contradiction is that while breastfeeding benefits the baby, it can interfere with the process of galactosemia. Breastfed babies may not be able to digest the sugar in milk as efficiently as formula-fed babies. This can lead to a condition called lactose intolerance, which can cause abdominal pain, gas, and diarrhea. In order to avoid this contradiction, it is important to ensure that the baby is receiving enough breast milk, but not too much. Ensuring the infant consumes enough formula will also help ensure that the milk's sugar is adequately metabolized.

Why in the Case of Phenylketonuria?

The condition of phenylketonuria may prevent the baby's body from properly metabolizing the amino acid phenylalanine. More phenylalanine in the baby's system can cause problems like brain damage. Babies with this condition must follow a low-phenylalanine diet, but it can occasionally be challenging to determine how much phenylalanine is appropriate to consume. Therefore, a baby with PKU may be allowed to breastfeed with specialized formula milk. However, it may be advised for the mother to practice controlled breastfeeding, and the infant may be closely watched.

How Tuberculosis Impacts Breastfeeding?

Tuberculosis (TB) is an infectious disease caused by the bacteria Mycobacterium tuberculosis. When an infected individual coughs, sneezes, or speaks, the virus is spread via the air, posing a major health risk to pregnant women and their unborn children. The World Health Organization recommends that mothers with untreated TB should not breastfeed their babies. This is because bacteria from an infected mother's milk can be passed to the baby, leading to the development of TB in the baby. However, there are contradictory views on this recommendation. Some research suggests that the benefits of breastfeeding outweigh the risks of transmission of the disease. For instance, the American Academy of Paediatrics advises breastfeeding for moms with untreated TB, as breastfeeding provides essential nutrients, antibodies, and other health benefits to the baby. Despite the advantages of breastfeeding, it's critical to remember that TB transmission is still dangerous. Therefore, it is important for mothers with untreated TB to take all the necessary precautions to reduce the risk of transmission. This includes wearing a face mask when breastfeeding, washing their hands before and after breastfeeding, and not sharing cups, utensils, or other items with their baby.

Why Is Radiation Therapy Contraindicated?

Radiation therapy is a frequent method of cancer treatment that is used to get rid of or shrink tumors. While it is an effective treatment option, many women who are breastfeeding may be unsure if radiation therapy is safe for their babies. The good thing is that breastfeeding moms and their newborns are typically safe from radiation therapy. Research has shown that radiation therapy does not cause any changes to the mother’s milk, and it is safe for babies to consume. However, there are some precautions that mothers should take when undergoing radiation therapy. It is recommended that women pump and discard their milk for at least 24 hours after each radiation therapy session. This ensures that whatever radiation the mother's body may have ingested is not transferred to the child through breast milk. The breast tissue of the mother may undergo certain alterations as a result of radiation therapy, which can affect the amount and quality of the milk that is produced. Women who are undergoing radiation therapy should talk to their doctor about their breastfeeding goals, as well as any changes in their breast tissue that they may experience. Overall, radiation therapy is safe for breastfeeding mothers and their babies. However, it is important for mothers to take the necessary precautions and discuss their breastfeeding goals with their doctor.

Conclusion:

Thus it is crucial to be informed of any possible breastfeeding restrictions. Some contraindications to breastfeeding include using certain medications, an infectious disease in the mother or baby, or an anatomical issue such as inverted nipples. To conclude the contraindications of breastfeeding, mothers should consult a doctor or lactation consultant to determine if any of these issues will prevent them from breastfeeding. If a contraindication occurs, the mother should discuss alternative feeding methods, such as formula or donor milk.

Source Article IclonSourcesSource Article Arrow
Dr. Sanap Sneha Umrao
Dr. Sanap Sneha Umrao

Obstetrics and Gynecology

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