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[Recommendations for breastfeeding during maternal infections]
Joel A Lamounier1, Zeina S Moulin, César C Xavier
1Universidade da Califórnia, Los Angeles, USA.
Jornal De Pediatria
|December 8, 2004
Summary
Breastfeeding mothers with infectious diseases can transmit pathogens to infants. While generally beneficial, breastfeeding requires careful consideration for infected mothers, especially those with HIV or HTLV-I.
Area of Science:
- Infectious Diseases
- Pediatrics
- Lactation
Background:
- Maternal infectious diseases pose a risk of transmission to infants via breastfeeding.
- Breastfeeding offers significant benefits but can be a route for pathogen transmission.
Purpose of the Study:
- To review literature on breastfeeding and maternal infectious diseases.
- To provide guidance for pediatricians on managing breastfeeding by infected mothers.
Main Methods:
- Literature search of Lilacs and MEDLINE databases.
- Inclusion of books, technical rules, and articles on the topic.
Main Results:
- Pathogenic agents can be transmitted from infected mothers to infants through breast milk.
- Maternal infections caused by bacteria, viruses, fungi, and parasites are potential risks.
- HIV and HTLV-I infected mothers should not breastfeed; other infections require careful assessment.
Conclusions:
- Infectious diseases can be transmitted via human milk, necessitating vigilance regarding milk banks.
- Healthcare providers face difficult decisions regarding breastfeeding suspension, balancing risks and benefits.
- Promoting and supporting breastfeeding remains a key role for healthcare professionals.