Contra indications of breast feeding

PRESENTED BY MR.RENISH GEORGE, ASST.PROFESSOR, PSYCHIATRIC NURSING DEPARTMENT.....

1. CONTRA INDICATIONS OF BREAST FEEDING PRESENTED BY MR.RENISH GEORGE ASST.PROFESSOR INDEX NURSING COLLEGE

2. 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

3. 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

4. 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

5. 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.

6. 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

7. 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