What antibiotics are allowed for breastfeeding: the principles of choice and admission
For many nursing mothers, taking antibacterial agents, unfortunately, becomes a necessary necessity.
During lactation, the maternal organism does not always cope with pathogens, so it is important for the mother to know which antibiotics for breastfeeding can be taken without fear of serious consequences for the child and adverse reactions for her own body.
The list of approved drugs is small, in addition, each medication has features of admission.
On the other principles of the use of antibiotics by a nursing mother, we will discuss further.
When is antibiotics required?
The need to take antimicrobial drugs by a nursing mother may arise from serious inflammatory processes.
The reason for this is the penetration of staphylococcal, streptococcal groups and other microorganisms into the organism, whose reproduction cannot be stopped by lighter preparations.
Nursing mothers need to agree with the doctor's appointments for the following indications:
- infection of the birth canal, which has occurred due to the complicated course of labor;
- severe inflammatory diseases of the respiratory system (for example, inflammation of the lungs), ENT organs (tonsillitis);
- infectious bowel disease (salmonella, typhoid fever);
- urinary tract infections, severe kidney damage.
With such diseases, taking antibiotics will provide nursing women with a speedy recovery and improved well-being. However, these tools affect the child, getting to him with milk. That is why the main criterion when choosing them during lactation is harmless to the newborn.
Some effective antibiotics are strictly prohibited during lactation due to the pronounced negative effect on the child’s body.The doctor will be able to select the sparing and allowed funds.
Advantages of HBV in bacterial infections
A nursing mother does not need to stop HB even when fighting against infectious diseases. Experts recommend sticking to lactation (except for serious diseases, such as tuberculosis, anthrax), because nature has taken care of the safety of the child.
The benefits of breast milk are obvious:
- This product isolates antibodies against microbes even before the onset of visible symptoms. That is, a nursing mother in advance gives the crumbs immune support. If you stop feeding, the child will have to fight the infection on their own.
- If the newborn is already infected, the nursing mother will be able to pass on the best medicine — her own milk. In addition, the natural product can be applied to the baby to support the normal intestinal microflora.
- The termination of lactation for the period of antibacterial therapy creates numerous problems for the nursing mothers themselves. They will have to constantly strain out the milk, and this is not very easy with an illness.But without decanting mom can get inflammation of the mammary glands as an unpleasant "bonus" to the main disease.
Moreover, it is not necessary to boil it, because it will lead to the destruction of antibodies.
Naturally, the described advantages are possible only in the case of the use of antibacterial agents approved during the lactation period and are leveled by the use of prohibited antibiotics.
What antibacterial drugs can be taken during HB? On this popular question of nursing mothers, experts cite 3 main groups of medicines, which, if taken, have a minimal risk of undesirable consequences for the child.
Penicillin and its derivatives
These are the first antibacterial drugs invented by mankind. Penicillin, but rather its improved modifications (Ampicillin, Amoxicillin, etc.) are considered “first-line drugs” for future and lactating mothers and babies.
Penicillin and its "version" has the following features:
- The US Food and Drug Administration (FDA) classifies Penicillin B (animal embryo experiments have shown no harmful effects);
- Scientists have found that the doses of medication that penetrate into the milk during lactation are minimal - less than a tenth of a percent of the amount taken;
- After taking penicillin drugs, undesirable effects are extremely rare. Nursing mothers and children may have a rash, intestinal disorders, diarrhea.
Such drugs as Cefepime, Cefazolin, Tsedeks and other cephalosporin antibiotics, similar in structure to penicillins, can be taken during lactation. Moreover, these medicines are officially considered harmless to a nursing mother and child.
Antibacterial agents have the following properties:
- The FDA classifies them in category B;
- differ in the minimum toxicity;
- Mom should not worry, because they fall into the milk in extremely small amounts;
- after taking, allergic conditions and disturbance of microflora may occur.
Erythromycin and Clarithromycin - the most popular representatives of macrolides - can be taken by nursing women during lactation.
Mom should know that they are prescribed only for contraindications to previous antibacterial drugs, since macrolides are classified as category C (you need to evaluate the risk and benefit).
Features of the reception of macrolides are as follows:
- penetrate into breast milk in large volumes, however, no negative effect was found;
- You can expect the occurrence of allergic reactions or intestinal disorders.
For approved antimicrobials, official instructions indicate that the drug is acceptable for use during lactation. In some cases, it is noted that when prescribing, the doctor takes into account the likely risks and benefits for mothers and children.
What antibiotics are prohibited in HB?
When you take serious drugs, you have the right to hope for a speedy recovery, however, in certain situations, the approved antibacterial agents act ineffectively against infection.
That is why the doctor is forced to prescribe drugs that are prohibited during breastfeeding to a nursing mother.In this case, the lactation should be interrupted, but after therapy, it can and should be returned to it.
Pharmaceuticals include 5 groups of drugs for antibacterial drugs, for which a mother should refuse breastfeeding;
- Aminoglycoside antibiotics (Streptomycin, Amikacin, etc.).The instructions to them says: "It is dangerous for the child." A nursing mother should be aware of the magnitude of the threat to the newborn. Despite the weak penetrating ability, the funds fall into the milk and affect the kidneys and eyes of the baby, the organs of balance and hearing. After their use, other developmental pathologies arise.
- Tetracycline preparations (Tetracycline, Minocycline)."If you take Tetracycline with breastfeeding, be prepared for serious consequences," - so say the experts and are entitled to it. It is dangerous for nursing mothers to use tetracyclines, because antibiotics of this series are toxic - they have a destructive effect on bone tissue and tooth enamel.
- Fluoroquinolone group (Ofloxacin, Ciprofloxacin, etc.).A nursing mother should not drink these antibiotics, since they easily penetrate into the milk and lead to pathologies of the cartilage and bones of the child.American doctors allow Ofloxacin to lactating women, but European doctors are against such appointments. "If you take fluoroquinolones, expect adverse reactions," - the opinion of domestic physicians.
- Lincosamide preparations (Lincomycin, Clindamycin).A nursing mother, when taking these medicines, should be prepared for the appearance of various diseases and disorders of the children's intestines, including colitis, which occurs after prolonged use of antibacterial agents.
- Sulfanilamide drugs (Streptocid, Ftalazol, etc.).A nursing mother should interrupt lactation when using these medicines, since they are characterized by an aggressive effect on the children's liver, as a result of which the newborn develops nuclear jaundice. After taking sulfonamides, mental or physical development may be delayed, deafness, or damage to the optic nerves.
Thus, the list of undesirable consequences from the use of prohibited antibacterial drugs is impressive. Does this mean that mother should refuse to accept them? Certainly not.
For example, aminoglycosides are prescribed for severe conditions - meningitis or blood infection.Therefore, the doctor is guided by an important principle - when you make a decision about the appointment, consider the balance of risk and benefit. And mother's life is more expensive than breastfeeding.
Rules for taking antibiotics for HB
For nursing mothers, it is extremely important to know the rules for using antibacterial agents during the lactation period. If the prescribed medication is one of those that are permitted during breastfeeding, the mother should adhere to the following principles:
- Follow all medical recommendations, do not reduce the prescribed dose for the sake of the mythical reduction of possible adverse reactions.
- Most likely, the doctor will advise the mother to distribute the medication in such a way that the peak of the accumulation of active substances falls on the interval between daytime feeds. For example, “I drink an antibacterial drug once a day - I do it in the evening meal”.
- To maintain optimal intestinal microflora in the mother and newborn, along with the antibacterial agent, probiotics or prebiotics that contain beneficial bacteria can be used.
If the mother is forced to take an antibiotic from among the prohibited drugs, breastfeeding should be suspended.
But such a pause does not imply a complete end of the lactation period - milk feeding must necessarily resume after the end of therapy and the removal of the components of the agent from the body.
The ideal option is to make a reserve of a useful product in the freezer in advance, which will allow a woman to feed her child with her own expressed milk. If such a situation is impossible, it is necessary to switch to artificial feeding for a certain period of time, having picked up a mixture suitable for the age for the baby.
So, modern pharmaceuticals give clear answers, which antibiotics are allowed while feeding, and which ones should be kept away from. However, in each case it is necessary to weigh all sorts of threats, assess the health of the child.
That is why it is a qualified physician who can decide which antibacterial drug is right for you and prescribe the optimal treatment regimen.