Antibiotics during breastfeeding Every woman can get sick, whether she is pregnant, nursing or “ordinary”, but not everyone is allowed to be treated with antibiotics. Despite the fact that a woman in the “special” period of life – pregnancy and breastfeeding – is not recommended to use drugs, it happens when you need immediate treatment and without antibiotics can not do.
To avoid the use of strong antibacterial drugs, in fact, can be quite rare, as they are today the main pharmaceutical tool to combat disease. Therefore, the topic of drug use is quite relevant.
The risk is in any case present, but is it possible to avoid unpleasant consequences? Sure you may. Here we find out how compatible antibiotics and breastfeeding can be. Look at the tips of the famous pediatrician Komarovsky and learn a lot of useful information.
Why is antibiotics prescribed for HB?
Why do they even prescribe such drugs if everyone has long known that breastfeeding can lead to a violation of lactostasis, or even worse, a violation of the health of the child? Antibiotics are required in order to treat various pathologies. As a rule, they are caused by pathogenic microbes and bacteria. For example, you can designate cystitis, pneumonia, pyelonephritis, mastitis, urinary tract infections, endometritis, and so on.
The degree of safety of a drug can be determined with the help of their active substances: how much they penetrate into the body, into breast milk, and what negative consequences they have. Many antibiotics can cause various negative reactions in nursing mothers, side effects from toxicosis. Even worse, they affect the young, not fully strengthened, children’s body.
However, in the modern world there are a number of antibiotics that are permissible during breastfeeding. They more gently affect the body of the mother and baby. In any case, the instructions always contain the point of relative compatibility of the medicinal substance with the breastfeeding period. By this criterion, antibiotics can be divided into:
- prohibited means during lactation;
- allowed during breastfeeding;
- conditionally resolved – are used in certain cases when a nursing mother has serious symptoms that cannot be cured by other means;
- drugs whose nature during lactation is unknown, that is, the manufacturers did not conduct research on patients of such a category of people as pregnant women and nursing mothers.
It must be said that the last two options are permissible when treatment by other means does not help, and the disease progresses. In this case, the desired effect of the drug prevails over its possible harm.
It is necessary to act only in accordance with the recommendations of the doctor. Only he can prescribe medication as close as possible to safe treatment during HB.
Drugs approved during lactation
Nursing mothers The antibacterial agents that women are allowed to use during breastfeeding include:
- penicillin group: penicillin, ampicillin, ampioks, amoxicillin;
- cephalosporins: cefoxitin, cefazolin, cefalexin;
- macroliths: azithromycin, vilprafen, sumamed, erythromycin.
It is believed that a number of these antibiotics can penetrate the milk of a nursing mother only in small quantities, therefore, they are among the safer drugs.
What could be the consequences?
On the issue of drug safety, it is important to know the consequences of their use. Despite the fact that there are permissible drugs for HB, there is always a chance to get a negative reaction from the body of the baby. The following disorders may occur:
- impaired kidney and liver function;
- bacterial diseases such as thrush;
- skin rash;
- dysbacteriosis and reduction of useful microflora;
- slowing the production of vitamin K, which leads to the absence in the intestine of the baby coagulation factor prothrombin, thereby increasing the risk of bleeding;
- deterioration of the immune system;
- the inability to quickly assimilate calcium and vitamin D.
As can be seen from the list, all these disorders are very serious, for their treatment the immediate hospitalization of the child is required. Therefore, care in the choice of antibiotic should be the most enhanced!
Dangerous antibiotics for nursing!
Antibiotics during breastfeeding We have already talked about which antibiotics are resolved during lactation. Another important question is which medications exactly should not be taken during breastfeeding.
First of all, these include the group of aminoglycoside antibiotics: amikacin, gentamicin, neomycin, kanamycin, and others. These drugs are different from other high toxicity, so their appointment to nursing mothers should be only in the most extreme cases. He is prescribed to treat:
- abscess of internal organs.
If you take these antibiotics, you can get a number of serious side effects: from hearing impairment to optic nerve damage. Therefore, before prescribing aminoglycosides, the doctor is obliged to fully examine the situation of the patient and, in the case of the mandatory use of drugs, explain all the possible consequences.
In addition to aminoglycosides, there are a number of other antibacterial agents, the use of which in the course of treatment is in no way compatible with breastfeeding:
- chloramphenicol (can cause cyanosis, impairing the hematopoietic function of the bone marrow);
- tetracycline (leads to a violation of bone formation in children);
- metronidazole (violates protein metabolism);
- clindamycin (same effect as metronidazole);
- a group of fluoroquinolone antibiotics (used in the case of a urological infection, can damage the inter-articular cartilage in a baby and adversely affect its growth).
We learn the opinion of a specialist, Dr. Komorowski, on the account of which drugs should be used during lactation and which should not. We offer to watch a video where the pediatrician talks about the features of certain drugs, about the possibility of their negative impact, and also provides useful information about alternative treatment options for various diseases.