Download - Contra indications of breast feeding
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CONTRA INDICATIONS OF BREAST FEEDING
PRESENTED BYMR.RENISH GEORGE
ASST.PROFESSORINDEX NURSING COLLEGE
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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
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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
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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
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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.
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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
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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