contra indications of breast feeding

CONTRA INDICATIONS OF BREAST FEEDING

PRESENTED BYMR.RENISH GEORGE

ASST.PROFESSORINDEX NURSING COLLEGE

CONTRA INDICATIONS

Breastfeeding may not be in the best interest Of the baby in the following conditions

• The baby has galactosemia• Mother has active untreated tuberculosis,

T-cell lymphotrophic virus type 1 or 2• Mother is receiving diagnostic or

therapeutic radio active isotopes or has had exposure to radioactive materials

Cont………...

• Mother is receiving anti metabolites or other chemotherapeutic agents

• Mother is abusing drugs• Mother has herpes simplex lesions on

a breast (the baby may feed from the other breast if free from lesions)

• Mother is HIV positive.• Mother is Hepatitis B surface antigen

positive

Cont……….

• Mother is infected with Hepatitis C virus• Mother is carrier of cytomegalovirus (except

for possibly very low birth weight babies)• Mother smokes – advise her to give up

smoking and not smoke in the home• Mother consumes alcoholic beverages –

advise her that an occasional small amount of alcohol will not harm baby but to avoid breastfeeding for approximately two hours after drinking

Cont……….

• Baby born with jaundice and hyperbilirubinemia ( for the most part be breast fed without interruption).

• Occasionally, in rare cases of hyperbilirubinemia breastfeeding may need to be interrupted temporarily.

definitive contraindications to breastfeeding

• Infants with Special Dietary Requirements– Galatosemia – Phenylketonuria – may be partially breastfed

• Maternal Infectious Disease – Cytomegalovirus – may or may not breastfeed

depending on individual circumstances – Herpes – if active on breast, may use other breast if not

affected – HIV – may or may not breastfeed depending on

individual circumstances – Human T-Lymphotropic Virus type 1 or 2 infection – Tuberculosis – if not contagious or may resume feeding

after two weeks of treatment

Maternal Drugs

– Chemotherapy agents – certain agents, discontinue breastfeeding for as long as they remain in the milk

– Drugs of abuse – discontinue breastfeeding until drugs are out of maternal system

– Primaquine and Quinine – contraindicated if either infant or mother has G6PD

– Metronidazole – discontinue breastfeeding until at least 12-24 hours after medication

– Sulfa drugs – may be a problem in infants with jaundice or G6PD, stressed or premature

– Radioactive isotope – discontinue breastfeeding for as long as the radioactivity is in the milk