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