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I am sick, but I feed


Great weakness, headache, high fever ... I feel so bad! Immediately the baby started crying - it's time to feed, ... is it possible, all of a sudden it is dangerous? No matter how well breastfeeding is organized, no matter how good it is, many face the problem of a nursing mother's disease. It is not a secret for anyone that only 20 years ago the recommendations of our doctors in these cases were unequivocal - it is impossible to breastfeed during an illness! However, since the mid-1980s, the attitude towards breastfeeding has undergone major changes. Both the composition of breast milk and its protective properties were practically re-examined. In this case, all methodological omissions of past years were taken into account. By 1989, modern views on the feeding of children, including those with various diseases of the mother, were outlined in the WHO Bulletin "Feeding the first year of life: the physiological basis." For more than 10 years, these principles have been guided by doctors all over the world. Sometimes our mothers are not always familiar with these principles and are captured by outdated notions. What should a modern woman know about breastfeeding with a mother’s disease? To begin with, we will try to identify various situations in which a nursing woman may get sick. It can be an exacerbation of a chronic disease, which a woman has been ill for a long time, it can be an accident or injury, and, finally, a woman can become infected with a viral or bacterial infection. Forewarned is forearmed
Let's first consider the case of exacerbation of a chronic disease. It would not be superfluous to remind you that such diseases do not fall from the sky, and for sure the nursing woman was faced with the need to do something about it already during pregnancy. It is pregnancy, and even better the period before its occurrence should be used to develop tactics of behavior during exacerbation of seizures. If the disease is serious, then first of all it can complicate the course of the pregnancy itself. With some diseases, it becomes simply impossible. If a woman has found an opportunity to become pregnant, therefore, she will be able to feed her with this disease. So, if you are sick of something, but are going to feed, remember the first rule. Chronic diseases do not interfere with lactation. Most of the known diseases are compatible with breastfeeding. Only very serious conditions of the mother that threaten her life require the cessation of breastfeeding. And most often - for a while. To quote the WHO newsletter on feeding children in the first year of life: “It is amazing how well lactation continues, despite the many problems associated with the health of the mother. Breastfeeding is contraindicated only in the case of severe maternal illness, for example, in cases of heart failure or serious kidney, liver or lung diseases ... ”Then the question arises, how to treat exacerbations or seizures? If a woman is serious about her health, then a certain treatment tactic has already been worked out during pregnancy. Doctors who help a pregnant woman do not always expect that she will be fed for a long time. Often, treatment is postponed until the birth to resume it when the woman gives birth. You should discuss with your doctor the possibility of treatment during lactation. Some of them expect that the woman will feed only a few months, and do not take this into account. Explain to your doctor that you are going to feed for a long time, at least 2 years, therefore the tactics of treatment throughout the entire period of pregnancy and lactation should be gentle. Thus, we can formulate the second rule for those who are sick during breastfeeding: Most of the commonly used medicines are safe for the child and can be taken during breastfeeding, but it is better to choose a remedy in advance to be sure. Counting on a long term sparing treatment, it will not be superfluous to take advantage of the possibilities of physiotherapy, homeopathy, acupuncture, etc. In particular, the competent use of complex homeopathic preparations can prevent or greatly facilitate the occurrence of attacks in many diseases. Even if the mother lives in a city where there is no homeopathic pharmacy, complex preparations can be ordered in the online store or by mail. And if you take care of this in advance, then by the time such a situation arises, there will always be a safe and reliable drug at hand. We formulate the third rule: Non-drug methods of treatment should be used as widely as possible, and homeopathy is much safer for both the mother and the child. The trouble came suddenly
Indeed, no one is immune from surprises: accidents, injuries, the need for an urgent operation. Well, Mom did not know, did not notice that her tooth is being destroyed or appendicitis is getting worse! In caring for a child, it is sometimes difficult to notice that there is something wrong with health. Do not give up and immediately warn the doctor that you are breastfeeding. Ask also how compatible are the means that he uses with lactation and after what time they are removed from the body. Most often, even with such a sudden misfortune of a child, it is not necessary to take away a breast. In extreme cases, he may skip feeding for several hours. If the mother was not ready for this situation, then of course she may not have expressed milk in order to feed the child in her absence. Allow relatives to feed the baby several times with milk formula and try to solve all their problems as soon as possible. For mini surgeries, even after using general anesthesia, you can feed the child 6-12 hours after the end of the operation. After tooth extraction, mini-abortion, opening of abscesses and abscesses can be fed after 6 hours. At the same time it is better to express the first portion of milk. For longer operations - after 12 hours. At the same time, it should be drained about 3 times. Consult with your doctor about postoperative antibiotic therapy in advance and select with it those that are compatible with breastfeeding. There are such antibiotics and there are quite a lot of them (for example, penicillin antibiotics, many first and second generation cephalosporins, many macrolides). Breast-feeding antibiotics that affect bone growth or blood formation (for example, fluoroquinolone derivatives, chloramphenicol) are strictly contraindicated. Almost always they can find a suitable substitute. Let's formulate the following rule for such situations: If you use a single dose of a drug that is not safe for the child, the mother is not sure - you should consult with your doctor or pharmacist. If this is not possible, you can not feed for 12 hours during this time, most of the drugs are removed from the body. Unfortunately, not all diseases can be cured by applying the drug once or by performing a simple operation. There are situations when mothers need urgent hospitalization, serious chemotherapy and, unfortunately, it takes more than one day. After hearing about this, many mothers try to immediately stop feeding, and after they return from the hospital, the child becomes a complete artificial artist.
However, there is no need to wean the baby forever. This is what the WHO bulletin recommends in these cases: “If there is an urgent need for medication harmful to the breastfed baby, feeding should be temporarily interrupted while lactation should be maintained.” It is much easier to organize a temporary weaning of the baby from the breast than to deprive its forever benefits borne by breast milk. For 2-3 weeks the child is fed with the mixture, it is better not to use a bottle with a nipple, but in any other way - with a spoon, a small cup, using a penicillin vial or a plastic syringe without a needle. With temporary weaning, it is better for mother not to take part in the care of the child, so as not to mislead him - he will not be able to understand why the mother, who is near, does not put him to the breast. If a mother is really seriously ill, then to maintain lactation, she will only need to express her breast 3-4 times a day, since milk production during severe ailments and lack of suction is significantly reduced. In situations where mother's well-being does not suffer much, you need to express more often, but enough 6 times a day. This is not such a big sacrifice, for the sake of happiness, again to attach the child to your breast at the end of treatment. After completion of therapy, the child quickly returns back "to the chest" and the volume of lactation is restored within 1-3 days. Therefore, the following rule for treatment during lactation will look like this: If you need to use drugs that are incompatible with breastfeeding, use the temporary weaning of the baby from the breast. These are ubiquitous infections.
If it is impossible to infect a child with a toothache or an injured finger, then when it comes to an infectious disease, many are still confident that the mother will definitely infect the child and should certainly be weaned. There is also an idea that such an infection can be prevented by putting a gauze bandage on the mother, and giving milk to the child after boiling. For modern ideas about breastfeeding, this behavior is simply ridiculous. If the mother is sick, then much earlier than any clinical signs of the disease begin to manifest, the child already receives, with milk, the causative agent itself, specific antibodies to this pathogen, split pathogen fragments to develop its own antibodies to it, plus a complete immune defense against possible associated complications. . When the mother or the doctors who treat her find out that she has the disease, the child is already either sick or actively immunized. The exclusion of breastfeeding in this case leads to depriving the child of the only unique personally-administered medication that he receives from his mother's milk. Boiling milk will destroy not only the pathogen, but all the protective factors of milk. A gauze bandage, dressed after the disease is detected, does not protect against pathogens in milk. Neither should we wean a child who is already ill, nor one who is still healthy. It is the mother's milk that gives the baby the opportunity to effectively immunize and avoid the disease, despite the fact that he received pathogens every day. Weaning a healthy child at the time of illness of the mother puts him in danger of falling ill, while depriving him of effective immune protection. In clinical studies, by the example of diseases of influenza, measles, chickenpox, etc., it is shown that a child who is without immune protection gets sick more often and recovers more slowly than a child who is not weaned. Weaning a sick child from the breast, as shown by studies of children infected with staphylococcus, streptococcus, mumps, flu, etc., will deprive him of many antimicrobial factors of breast milk, and feeding with substitutes will cause an increase in intestinal pathogens. Neither is desirable for a child already at risk. In addition, both mother and child should receive adequate treatment, which is easier to organize when the baby receives the medicine directly through mother's milk. In some cases, the early infection of a child by microorganisms that are carried by the mother plays an important role in the formation of his immune defense. In particular, Staphiloccocus aureus (staphylococci) is found in mother's milk in most cases of postpartum mastitis. These are common microorganisms that live on the skin and in the mother’s mouth. A few hours after birth, the mother gives them a child, without any negative consequences for him, so if mastitis happens, they are no longer dangerous for the child. Detection of CMV (cytomegalovirus) in a nursing mother does not lead to the illness of a child, but rather serves as primary immunization against this viral disease. Thus, it is possible to formulate the following rule: for mothers who breastfeed when an infection is detected, there is no reason to wean the child from the breast when an infection is found in the mother, regardless of what causative agent caused it. Moreover, weaning a child in this situation puts him in danger of becoming ill with the same disease that his mother is ill with. How to treat a nursing mother for infection? Depending on the situation, which depends on the type of pathogen and on the state of the mother. The heat can and should be reduced if the mother does not tolerate it. It should be remembered that high temperature is one of the ways to protect the body. To reduce the temperature once you can use any tool that was found in the house, however, if you need to repeat the drug, it is better to stay on drugs paracetamol. Conventional remedies for rhinitis, cough, sore throat, etc., the so-called symptomatic remedies are safe to use during lactation. For the treatment of viral infections (colds, flu, etc.), in addition to antipyretic and symptomatic agents, special antiviral medications based on interferon preparations can usually be used. It is better that the doctor prescribes such agents, although some of them, for example, “influenza-ferron,” can be used independently. Most of them are also compatible with lactation. For the treatment of bacterial infections (otitis, angina, pyelonephritis, mastitis, etc.), antibiotics should be prescribed. Using the same principles as described above, you can always find antibiotics that are compatible with breastfeeding. If a nursing mother knows that, continuing to feed the baby even during the illness, she can provide him with immune protection, this will help her not only to continue feeding, but also be a good incentive for a speedy recovery. Therefore, summing up the above, you can once again say to all lactating mothers - do not stop breastfeeding during the illness! If doctors insist on this, consult a few. Another source of information is lactation consultants, we have accumulated a huge statistical material on breastfeeding in different situations. Mayorskaya MB, consultant for lactation.
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I am sick, but I feed

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