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Contraindications to breastfeeding are those conditions that could compromise the health of the infant if breast milk from their mother is consumed. Examples include galactosemia , untreated HIV , untreated active tuberculosis , Human T-lymphotropic virus 1 or II , uses illicit drugs , or mothers undergoing chemotherapy or radiation treatment .
Breastfeeding and medications is the description of the medications that can be used by a breastfeeding mother, and the balance between maternal health and the safety of the breastfeeding infant. [1] [2] Medications, when administered to breastfeeding mothers, almost always are transferred to breast milk, albeit usually in small quantities. [3]
Dopamine agonists are currently the preferred medication for suppressing lactation, which work by suppressing prolactin production. [3] Cabergoline (Dostinex™) is currently most effective option currently available, as it is available as a single dose (as opposed to bromocriptine which must be taken twice daily for 2 weeks.) [4] It may be prescribed in the case of breast abscess.
The mother's use of medications and herbs should be evaluated, as some substance suppress lactation. [5] The Academy of Breastfeeding Medicine protocol for low milk supply recommends that the mother be evaluated for medical causes of the problem, [5] however health professionals and breastfeeding counsellors often do not do this. [2]
Breast, bottle, whatever: How You Feed is a shame-free series on how babies eat. Ten years ago, Time magazine's cover featured mom Jamie Lynne Grumet with her 4-year-old son nursing while standing ...
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To reduce infant exposure to medications used by the mother, use topical therapy or avoid taking the medication during breastfeeding times when possible. [95] Hormonal products and combined oral contraceptives should be avoided during the early postpartum period as they can interfere with lactation. [100]
High levels of prolactin during pregnancy and breastfeeding also increase insulin resistance, increase growth factor levels (IGF-1) and modify lipid metabolism in preparation for breastfeeding. During lactation, prolactin is the main factor maintaining tight junctions of the ductal epithelium and regulating milk production through osmotic balance.