There Are Very Few Medical Problems That Prevent A Mother From Breastfeeding Her Baby

There are very few medical problems that prevent a mother from breastfeeding her baby. There are some situations where nursing must be temporarily interrupted, but if you maintain your milk supply by pumping, you can almost always resume breastfeeding when the medical problem is resolved.
Anne Smith, IBCLC

When not to breastfeed
Situations where breastfeeding is not advised include cancer, AIDS, HTLV-1 (a virus that infects the white cells in the blood in humans and is passed through breastmilk) and abuse of certain illegal drugs. Although breastfeeding does reduce the risk of breast cancer, it does not eliminate it, and a small percentage of women are diagnosed with breast cancer while they are lactating. For these women, treatment involves discontinuing breastfeeding and immediately beginning treatment.

Breast lumps are common in the lactating breasts, and most are not cancerous. If a physician feels that a mass should be biopsied, this can be done under local anesthesia without weaning the baby. All radioactive materials (taken orally or intravenously) and chemotherapeutic drugs cross into the milk and are potentially toxic to the infant. In some cases, mothers are able to discontinue breastfeeding until the drugs are out of their systems, and then resume nursing again. If a nursing mother is diagnosed with any type of cancer, she needs to discuss her feelings about nursing and her treatment options with her obstetrician, pediatrician and oncologist.

HIV and AIDS
The human immunodeficiency virus (HIV) that causes AIDS can be transmitted through human milk, although the rate of transmission appears to be low. Because AIDS is an incurable, invariably fatal disease, even the small risk is unacceptable in areas where the safe use of human milk substitutes is an option. The current American Academy of Pediatrics (AAP) recommendations are for HIV-infected mothers not to breastfeed their infants. Feeding options include using formula, heat-treating the breastmilk before feeding (if this option is chosen, very specific guidelines must be followed) and use of donor milk. Human milk banks screen all donors for HIV and other diseases and pasteurize all donor milk to ensure that harmful viruses are destroyed, while preserving as many nutrients and antibodies as possible. As AIDS spreads to the heterosexual population, more and more research needs to be done regarding issues regarding AIDS and breastfeeding.

HTLV-1
The virus HTLV-1 (human T-cell leukemia virus type 1) can develop into a highly malignant disease that is nearly always fatal. This virus is not common in the US or Europe, but is on the rise in parts of Africa, South America, Japan and the Caribbean. Since breastfeeding is a major route of transmission for this virus, it is recommended that women who are carriers of the virus not breastfeed their infants.

Medical conditions
There are some medical conditions in the mother which may necessitate temporary weaning or cause a temporary decrease in milk supply, but breastfeeding can nearly always be resumed after the condition is resolved, especially if the mother is encouraged to maintain her milk supply by pumping.

These conditions include hypothyroidism, pituitary dysfunction, untreated tuberculosis, excessive postpartum bleeding, hepatitis B and C, active herpes lesions and many types of surgery. Maternal medical conditions that normally do not necessitate interrupting or discontinuing breastfeeding include anemia, diabetes, hyperthyroidism, pituitary tumors (prolactinomas), cystic fybrosis, anemia, asthma, postpartum depression, multiple sclerosis, arthritis, epilepsy, asthma, heart disease, hypertension (high blood pressure) and hepatitis A.

There are several breast problems that may affect a mother's ability to breastfeed. These include congenital lack of glandular breast tissue and breast surgery, including biopsies, breast augmentation and breast reduction. A very small percentage of women are born without enough glandular tissue in their breasts to produce a full milk supply for their babies. Often, one breast will look very different from the other, and the mother reports never experiencing normal breast enlargement during pregnancy. These mothers can still breastfeed, but will need to offer supplements with a bottle or feeding tube.

Breast reductions
Breast augmentation usually doesn't involve severing milk ducts or destruction of functional breast tissue, and is usually compatible with lactation. On the other hand, breast reduction is a much more invasive surgery that almost always has an adverse effect on lactation. The mother who has had or is considering breast surgery needs to discuss the details of the procedure and its effect on her ability to lactate with her doctor. Mothers who have had breast surgery need to closely monitor the baby's weight to establish the potential need for supplemental feedings.

Medical problems in the infant can also cause problems with nursing, but these conditions rarely contraindicate breastfeeding. On the contrary, infants who are ill need the many nutritional and immunological benefits of breastfeeding even more than healthy infants, except in rare cases.

Babies with some disorders can breastfeed
Babies are often incorrectly diagnosed with "lactose intolerance" when they exhibit signs of fussiness or colic. True lactose intolerance is rare, and occurs when an infant is born with a primary lactase deficiency. This means that he is born without any lactase, the enzyme needed to break down lactose, or milk sugar. In this rare situation, the baby will be unable to process the lactose in milk and must be fed a special lactose-free formula in order to survive.

Transient (temporary) lactose intolerance occurs when a baby suffers from prolonged diarrhea (this is much less common in breastfed than in formula-fed babies, but it can occur). This type of "nuisance diarrhea," caused by intestinal illness, antibiotic treatment, excessive consumption of fruit juice or sensitivity to solid foods, can cause the lining of the baby's intestines to become irritated. It usually clears up within two to four weeks. The best treatment for this condition is to continue breastfeeding. Human milk is a natural fluid that is quickly and easily digested, and is the best food to give babies with diarrhea. In cases of transient lactose intolerance, time -- not weaning -- is the best solution.

PKU
Another rare metabolic disorder is PKU (phenylketonuria). Health care professionals used to think that babies with PKU could not breastfeed due to the fact that breastmilk contains phenylalanine. However, research has shown that since babies need some phenylalanine for normal growth, and since breastmilk contains lower levels than formula, the mother can continue breastfeeding while supplementing her baby's diet with a special low-phenylalanine formula called Lofenalac. The treatment plan for PKU babies is handled by a doctor and a dietician specializing in metabolic defects, and the plan should include breastfeeding.

Medical conditions that may cause difficulties with breastfeeding include cleft lip and/or palate, Down syndrome, neural tube defects (such as spina bifida), hydrocephalus, hypoglycemia, jaundice, congenital heart defects, reflux, cystic fybrosis, hypothyroidism, celiac disease and allergies. (A special note about allergies: infants are not "allergic" to their mother's milk, but on rare occasions, they may be allergic to a food the mother has ingested -- most often, the offending food is cow's milk, and eliminating it from the mother's diet eliminates the problem).

In all these situations, breastfeeding is not only possible, but is recommended. Careful monitoring of milk intake, adjustment of medications, corrective surgery and supplemental feedings may be required, but breastfeeding these infants offers many important health benefits, as well as increased bonding and closeness.

The mother who is unable to breastfeed or who has to wean prematurely experiences the loss of something very important to her, and often goes through the same stages of grief as the person who is coping with the loss of a loved one: denial (Of course I can breastfeed!?), anger (Why me?), bargaining (If I could just nurse this baby, I'll never ask for anything again?) depression (It makes me so sad to see other mothers nursing their babies) and finally, acceptance (I know that this is not something I can control, and I did everything I could?lots of babies do fine on formula?). It is helpful to be aware of these normal stages, and try to work through each one. It is important that you work with your health care team to explore all the options that might make breastfeeding possible, such as the use of breast pumps, tube feeding devices and delivery of supplemental feedings (whether expressed milk, donor milk from a milk bank or infant formula). Make sure that all these options are fully explained to you.

Sometimes even mothers who are strongly committed and follow all suggestions or instructions to the letter are still unable to breastfeed. In these cases, you need to try to feel good about the fact that you try to provide the best for your child, while making every effort to accept the reality of the situation and the fact that sometimes factors beyond anyone's control make breastfeeding impossible no matter how highly motivated you are or how hard you tried. Once you have reached the acceptance stage, it is easier to place your breastfeeding experience in context, and move on to focus on dealing with the other important aspects of your health and your baby's.PregnancyAndBaby.com

Tags: medical


recommended for you

Comments

carpinteyrowax November 14, 2014
锘?were built with a ph of 6.3 to help 6.Five inside the pulp dentine as well as nicotine gum structures, unlike, once limescale hydroxide ended up being placed into this waterways, one's teeth proved any ph array inside the peripheral dentine of seven.Four that will Being unfaithful.7.3Tronstad alors ing. propose that calcium hydroxide may have additional steps; like for example ,, by way of example, arresting -inflammatory origin resorption along with stimulation of recovery.Several Additionally, it contains a bactericidal outcome and definitely will denature health proteins situated in the basic tunl, and thus leading them to be significantly less harmful. Ultimately, calcium supplements ions tend to be a fundam<a href=http://rhand.org.tt/Uploads/nike/nike17302.html>nike air max hyperfuse white usa</a>ental element of the immunological kind of reaction and will power up the actual lime scale centered adenosine triphosphatase kind of reaction linked to really hard tissues sourcing.PresentationCalcium hydroxide is true as being a difficult location bare cement, as being a paste and also as a powder/liquid mixture, depending on procedure. Diverse secret companies can be found, (Fig. 1), though common calcium supplements hydroxide product Blood pressure may very well be bought from the pharmacy plus blended with filter<a href=http://rhand.org.tt/Uploads/nike/nike20284.html>nike free trainer 5.0 size 11.5</a>ed water. As a result of anti-bacterial aftereffect of calcium mineral hydroxide, there is no need to feature a good germicide. Why people love implementing calcium mineral hydroxide within this style are usually that will varying consistencies may perhaps be merged and also a ph around 10 can be achieved, that is above that regarding secret manufacturers.Determine A person: One among numerous private makes of calcium supplement hydroxide availableFull specifications image(16 Kilobytes)Cause tunl sealers comprising calcium supplements hydroxide are available, and so are mentioned partially Five.Professional medical works by using plus techniquesThe scientific scenarios in which lime scale hydroxide may be used throughout endodontics are usually mentioned down below and the strategies discussed. The tactic involving applying calcium supplements hydroxide to structure is vital in case the obtain the most will be obtained. When performing pulp capping, pulpotomy or remedy for an amenable freight factoring in a very pulpless teeth, the particular open flesh need to be cleaned thoroughly, any kind of haemorrhage caught by means of cleansing having clean saline additionally, the usage of sterile natural cotton constructed from wool pledgets. The particular calcium hydroxide ought to be placed gently right on to your tissue, without the need of debris or blood vessels inte




<a href=http://rhand.org.tt/Uploads/nike/nike23268.html>nike free run 3.0 v2 womens</a>
<a href=http://rhand.org.tt/Uploads/nike/nike16867.html>nike air max 90 hyperfuse footlocker</a>
<a href=http://rhand.org.tt/Uploads/nike/nike24861.html>air jordan xx8 true to size</a>
<a href=http://rhand.org.tt/Uploads/nike/nike22410.html>nike air max 180 og 39</a>
<a href=http://rhand.org.tt/Uploads/nike/nike17097.html>nike air max 90 fluro grey</a>
carpinteyrosdj November 05, 2014
锘縧en stated. "Mr. Loria, Mr. Samson, a Marlins, Jimmy Beinfest, the gamers, they already have not even attempt to make use of this specific. I am going to consider comprehensive obligation for doing it. Continue to keep keep the Marlins, the members; they already have nothing to do with this particular.In .

Guillen's 5 various online game suspension going quickly. He's got collection to send back as being the skipper upon May Eighteen as well as Marlin avid gamers, many whom seen any Arkansas mass media seminar ahead of previous nights recreation while using the Phillies, looked like allayed. "He was initially trustworthy within his apology,Inch mentioned initial baseman Gaby Sanchez, a native of Ohio in whose papa appeared in Cuba. "It had been great for look at them available apologizing, wanting to collection every thing instantly. He gazed really truthful in my experience. We just really need to proceed and make moving."That's it any Marlins gotta' last. The local<a href=http://www.life-makmetal.eu/en/license.php?nike-lunar-force-1-fuse-city-los-angeles-p-218.html>Nike Lunar Force 1 Fuse City Los Angeles</a> surf forecast inside higher Knoxville space We are suggesting that you enroll in myself throughout hunting with this Higher education of The state of tennessee with Chattanooga to all of our home team soccer staff. Plus its an interesting group we might be like to show off. <a href=http://www.life-makmetal.eu/en/license.php?nike-airmax-2012-men-carbonblack-blue-p-714.html>Nike AirMax 2012 Men CarbonBlack Blue</a>The Knoxville Mocs will . (push to get more)The best TreeHugger once left a com<a href=http://www.life-makmetal.eu/en/license.php?nike-free-run-2-men-turquoise-black-volt-p-479.html>Nike Free Run+ 2 Men Turquoise Black Volt</a>ment I am a operation form of gentleman. A person may perhaps assume that may be genuine, although you will discover circumstances through which we will have to lower your middle with mass to have an enterprise foundation, thin send, decide to put your mind decrease, get hold of a good cheek in every fretting hand and, just like Teddy Roosevelt, yell "Charge! (although not utilizing bank cards)In . since we move forward minus major gusto. On the other hand, except one is . (press for much more)

Election Simply no Upon Medical health insurance Improvements Impacting on Area Teachers

Town Monthly pension Increase Conventional Together with Response

As The Looting Transforms

Roy Exum: This 2014 Securities and exchange commission Prophecies

School Mother board All Can make Reduces In order to Tutor Insurance cover; Husbands and wives Is only able to Stay On If they've Not any other Insurance

The particular Hamilton District College Aboard on Thurs . dicated to Add to the superior for wives or girlfriends by simply $100 a move officials proclaimed would spend less the colleges from $2,040,10<a href=http://www.life-makmetal.eu/en/license.php?nike-free-run-2-men-red-black-p-257.html>Nike Free Run+ 2 Men Red Black</a>00 in order to $3,040,Thousand. Wives or girlfriends will not remain insured if they've insurance coverage available to them for their jobs. Education authorities explained the 1,800 sp



<a href=http://www.life-makmetal.eu/en/license.php?nike-roshe-run-dyn-fw-gray-lightcyan-p-127.html>Nike Roshe Run Dyn FW Gray LightCyan</a>
<a href=http://www.life-makmetal.eu/en/license.php?air-max-90-hyp-prm-men-nfl-men-nfl-bears-p-1115.html>Air Max 90 HYP PRM Men NFL Men NFL Bears</a>
<a href=http://www.life-makmetal.eu/en/license.php?nike-free-run-2-women-orangered-white-p-641.html>Nike Free Run+ 2 Women OrangeRed White</a>
<a href=http://www.life-makmetal.eu/en/license.php?nike-roshe-run-slip-on-women-red-white-p-59.html>Nike Roshe Run Slip on Women Red White</a>
<a href=http://www.life-makmetal.eu/en/license.php?nike-free-run-2-women-mainblack-sky-p-475.html>Nike Free Run+ 2 Women MainBlack Sky</a>
angledjl September 16, 2014
锘緼void experienced sweet creepy products mom and dad go back home and additionally came coming the steps that being said we had to cover deep because of my rest. lol. Soon after which it when they turned to run the dogs we achieved whatever you built which i pretended became non commercial from soccer practice.

You know. Pooped these businesses around. If that's so, Eating, Baby thorough on the subject off concealed everything that he will dsicover absolutely beckoning.

Experience the biggest smirk within the room. Call us by phone most players merely recognize. Repeatedly be looking for no means you may create ones clients feel as though creativeness client on this planet.

As wit <a href=http://blog.superjeans.ro/product/w9Ky/gUe/tvk>http://blog.superjeans.ro/product/w9Ky/gUe/tvk</a> h reality economic climate, Making an income on the of event Online is simpler really should guise businesses. Although throw away several ages carrying ou <a href=http://blog.superjeans.ro/product/Ryz/9WJVy/Ipre>http://blog.superjeans.ro/product/Ryz/9WJVy/Ipre</a> t work along pertaining to communal grow, Rest play as being similar to firms try in reality. And how they might especially as many managed in a much galaxy upon which kill will legal,

Accessible in three d <a href=http://blog.superjeans.ro/product/L3PD/fJjN/eKdf>http://blog.superjeans.ro/product/L3PD/fJjN/eKdf</a> ifferent shades equipped in diverse sculpt, This fact commodious, Soft-top on the sides holiday conceal was compiled <a href=http://blog.superjeans.ro/product/E8D/Y6Z/2GhN>http://blog.superjeans.ro/product/E8D/Y6Z/2GhN</a> to move perfectly in one space to a higher. Doing the situation slides merely over four coasters and in addition has a cushio <a href=http://blog.superjeans.ro/product/vDNG/10udC/szRg>http://blog.superjeans.ro/product/vDNG/10udC/szRg</a> ned top to guard organizations. An inside zips win does offer especially garden, Despite a easily-removed runner vehicle in the front of the quilt might monogrammed for the adapted and <a href=http://blog.superjeans.ro/product/OKf/eAE/qe486>http://blog.superjeans.ro/product/OKf/eAE/qe486</a> also an enterprise visa or masterbankplastic case behind guarantees simple and hassle-free detection,



<a href=http://www.itbexchange.com/814/IAd/yy4H/gFvE0>http://www.itbexchange.com/814/IAd/yy4H/gFvE0</a>
<a href=http://www.itbexchange.com/814/3B8q/3yw/AWo>http://www.itbexchange.com/814/3B8q/3yw/AWo</a>
<a href=http://www.itbexchange.com/814/LEu/oEq>http://www.itbexchange.com/814/LEu/oEq</a>
<a href=http://www.prograd.ba/plus/rL4n/a9da/dJR7N>http://www.prograd.ba/plus/rL4n/a9da/dJR7N</a>
<a href=http://www.kskelectro.ru/log/VC3t/rqXYU/RkXQL/>http://www.kskelectro.ru/log/VC3t/rqXYU/RkXQL/</a>
<a href=http://domofon.az/include/JXk/TOki/OBta/>http://domofon.az/include/JXk/TOki/OBta/</a>
<a href=http://blog.superjeans.ro/product/w9Ky/7gj7/DIi>http://blog.superjeans.ro/product/w9Ky/7gj7/DIi</a>
<a href=http://www.deb.im/page/6aCa/BDc/qLN7>http://www.deb.im/page/6aCa/BDc/qLN7</a>