Breastfeeding Guidelines
Introduction to Breastfeeding
- The American Academy of Pediatrics recommends exclusive breastfeeding for approximately 6 months, continued breastfeeding as complementary foods are introduced, and breastfeeding for 1 year or longer as mutually desired by mother and infant 1
- Most medications are compatible with breastfeeding, with factors such as protein binding and maternal systemic absorption helping to determine safety, and the American Academy of Pediatrics recommends consulting databases like LactMed for specific medications 1, 2
Benefits of Breastfeeding
- Continuing breastfeeding provides significant benefits, including:
Contraindications and Precautions
Infectious Diseases and Breastfeeding
- The American Academy of Pediatrics recommends that Hepatitis C is not a contraindication to breastfeeding, as transmission via breast milk has not been documented 2
- Women with mastitis are encouraged to continue breastfeeding as part of treatment, according to the American Academy of Pediatrics 2
- Most maternal infections are compatible with breastfeeding, including hepatitis B, even in the presence of cracked or bleeding nipples 2, 4
- When taking any medication while breastfeeding, it is recommended to take the medication immediately after breastfeeding when possible to minimize concentration in milk, monitor the infant for any unusual symptoms or changes in behavior, and consult with a healthcare provider about the risk-benefit ratio if concerned about a specific medication 1