When in the life of a nursing mother there is a need to take medicine, it is difficult for her to orient in a situation. Especially if the doctor prescribes an antibiotic and advises to temporarily wean the child from the breast. Mom begins to doubt whether her condition really requires medical support.
So that drastic measures — complete weaning or categorical refusal of treatment — are not the result of such reflections, it is important to know where to find reliable information about the drug. After all, there are antibiotics that are permitted during breastfeeding.
The malaise caused by colds, some mothers are willing to endure without the inclusion of medicines. For others, such a deterioration of well-being greatly affects the quality of life.
What to say about such troubles as sore throat and other inflammatory processes. Here the question naturally arises, what kind of antibiotic can be with breastfeeding.
When antibacterial drugs are really needed
For a start, it is worth understanding what ailments are difficult or even impossible to cure without antibiotic therapy. Generally speaking, these include diseases caused by bacteria, for example:
It can be sore throat, sinusitis, cystitis, pyelonephritis, mastitis and other inflammations of different locations. In addition, antibiotics may be given to women in the early postpartum period if inflammation of the birth canal has developed.
Despite the fact that the annotation to the majority of drugs states “is contraindicated / with caution during lactation”, this does not always truthfully describe the situation. Often these phrases insure manufacturers against undesirable liability and risks.
After all, not every pharmaceutical company will bear the costs of organizing and conducting clinical studies on the effect of the drug being produced on nursing women. Therefore, it is more convenient to prescribe that this tool is simply unacceptable during lactation.
Meanwhile, abroad, the same active ingredients have proven efficacy and safety for the breastfeeding period.
Before you start to worry about the ambiguity of the recommendations, it is worth asking the doctor how necessary it is to take this particular drug. Is it possible to replace it with a more loyal to lactation remedy?
If the doctor cannot advise such an alternative, the mother will have to look for information on her own.
And it is not as difficult as it may seem at first. No special medical or linguistic knowledge is needed to check the compatibility of the drug with breastfeeding. There are several available and reputable sources for this with fresh research data:
- website directory E-lactancia;
- World Health Organization Handbook;
- printed works of domestic and foreign authors.
The last in the list include the articles and books of the doctor and professor of pediatrics Thomas Hale, as well as the book of O.I. Karpov and A.A.
It happens that mothers are prescribed antibiotics during lactation, about which there is no data in any of the specified sources. What to do in this situation? There are two options:
- call an experienced breastfeeding counselor;
- study the problem yourself.
In either case, the same resources are likely to be used.
Many drugs do not enter human milk. But there are drugs that, after penetration into the body of a nursing mother, are absorbed into the blood and, therefore, are excreted into breast milk. However, the concentration at which they reach the infant does not usually exceed 1–4% of the maternal dose (according to Dr. T. Hale’s research).
This is an insignificantly small dosage that cannot lead to negative consequences for the well-being of the child. Moreover, as long as this indicator does not exceed the level of 10% of my mother’s dose, there is no reason for excitement and cancellation of funds.
In addition, when taking antibiotics for a nursing mother, several other aspects are important.
- The age of the child. The diet of babies up to six months consists exclusively of breast milk. Therefore, the dose of the drug received through it may be greater than in children who are already eating foods of feeding. And the older the baby, the more efficient its metabolism, including with regard to drugs.
- The volume of sucked milk. According to Dr. Hale, babies up to six months per day drink an average of 150 ml of milk per kilogram of their weight. In fact, this value may differ from mother to mother, but in the course of the research, Professor Hale received just such averaged figures.
- Received mom dose. The amount of active substance that the woman took at one time is recorded. If there is no certainty that the product is absolutely compatible with lactation, you can choose the minimum effective dosage and the shortest duration of therapy.
- The health of the baby. All the above data refer to absolutely healthy children. If the baby was born prematurely, or he has any diseases, he may otherwise respond even to small concentrations of medications.
- Stage of lactation. Within three to five days after delivery, the barrier between blood and milk has not yet formed. In this regard, everything that a mother uses can easily be in milk. Therefore, during this period it is necessary to use drugs with particular caution. After a few days, the circulation of components from the blood into breast milk becomes difficult.
- Crumbs weight The higher the body weight of the infant, the sooner the drug will leave its body.
- The half-life of the substance. The baby can be safely applied to the chest when the half-life of the medicine is left behind. This means that the content of the substance in the blood decreased by half, and the milk, too, was noticeably cleared of its traces.
What antibiotics can be taken during lactation? Since a nursing mother may be confronted with a huge list of diseases of a bacterial nature, it is simply impossible to list all drugs that are allowed for breastfeeding.
Therefore, we will focus on some groups of antibacterial agents.
- Penicillin group. Active against gonococci, meningococci and spirochetes. They have low toxicity, quickly penetrate into the body and are also promptly removed from it. The half-life is on average 30-90 minutes. Famous drugs from this category: Ampicillin, Amoxicillin, Phenoxymethylpenicillin, Carbenicillin. All of these funds have the status of “lowest risk” according to the site e-lactancia. In rare cases, children can cause allergic manifestations and disorders of the chair.
- Macrolide group. Least toxic antibiotics. The safest representatives are: Clarithromycin, Azithromycin, Lincomycin, Spiromycin, Roxitromycin.
- Group of tetracyclines. They have a wide spectrum of action, are active against gram-positive and negative bacteria, spirochetes and other things. Fully safe representatives: Oxytetracycline, Tetracycline.
- Antifungal antibiotic group. Work against pathogens of fungal diseases. Loyal drugs of this category: Griseofulvin, Nystatin.
What to do mom if the means is incompatible with feeding
Every situation is unique. It may happen that for any reason a nursing mother and a doctor cannot pick up an antibacterial agent that is completely loyal to lactation. But we don’t want to wean the baby while the mother is being treated.
How, then, to do?
It should be said that the range of drugs that are really dangerous for an infant, is very modest. These include:
- radioactive products;
- anticancer drugs;
- substances with effects on the brain and spinal cord.
But if mom wants to be on the safe side, she has several lines of conduct.
It is convenient to feed the baby immediately before taking the medication. The duration of the break depends on the half-life of the substance.
At this time, it is possible to feed the baby with pre-expressed and frozen (cooled) mother’s milk, donor milk, or adapted milk formula.
If circumstances allow, mother can prepare in advance a stock of “healthy” expressed breast milk. It is convenient to freeze and feed it to the child during therapy.
Because nipples and bottles often negatively affect breastfeeding and sucking, the baby can safely feed from a syringe without a needle, a special spoon, or a small cup. The choice depends solely on the preferences of the mother.
To then seamlessly return to feeding, mom will need to support the production of milk on their own. To do this, she will need to efficiently decant both breasts with her hands or with the help of an electric (or clinical) breast pump.
If a woman does not plan to return to breastfeeding after discontinuation of the medication, it is important to help the baby overcome this difficult period. Breastfeeding is not only a way to feed a baby. This is a significant tool of education and care.
Mom will have to teach him to calm down, take comfort and fall asleep without a breast. Given the painful condition of the mother, it can be very difficult both physically and morally.
For this reason, it is important to enlist the support and help of loved ones. Sharp weaning is also not beneficial for the breast, because:
- milk production continues in the same volume;
- at the same time emptying of the breast stops.
This can lead to stagnation of the secret and the inflammatory process, mastitis. To avoid such consequences, the mother should podstsezhivat breast, as soon as she notices the overcrowding of the gland and discomfort.
When these feelings disappear, the procedure can be completed. Gradually, the production of milk will slow down and completely “come to naught.”
Antibiotics when breastfeeding is not a reason to stop feeding, and reviews of lactating mothers who have been treated with antibacterial drugs confirm this. If the mother tells the doctor in time that she is going to breastfeed during the treatment, he will help her choose the safest remedy.
And there is always the opportunity to get support and relevant data on a particular drug from a breastfeeding consultant.
Reviews: “Injectable antibiotics for 10 days, my daughter was fine”
“I heard that there are antibiotics allowed in HB. But still somehow scary: after all, an antibiotic – he is an antibiotic, and nothing good in it.
I, too, fell ill with the younger one, drank pills for a week, pumped out the milk, and he ate the mixture, and now the GV was adjusted again. There were small problems, because I got used to drinking from a bottle, it was easier out of it, then lazy.
She fed another 2 or 3 weeks, but then everything returned to normal. ”
“Ltd. Maeute”, https://deti.mail.ru/forum/nashi_deti/kormim_grudju/antibiotiki_i_grudnoe_vskarmlivanie_by_lora_pavlova_84_mail_ru/
“Antibiotics of the 4th and 5th generation, as a rule, are allowed for HB, since they are practically not excreted with milk. My daughter was 3.5 months old when I had purulent sinusitis.
Injecting antibiotics for 10 days, my daughter was fine. ”
“I, when the baby was 3 months old, pyelonephritis worsened. I consulted with the doctor and he said that I had already transferred most of the immunity to the baby, and picked up antibiotics that can be given to me when I was fed.
We are now 2 years old, and there are no problems. ”