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